Development of a smoke-free home intervention for families of babies admitted to neonatal intensive care

Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304, Brown, Tracey, Bauld, Linda, Boyle, Elaine, Clarke, Paul ORCID: https://orcid.org/0000-0001-6203-7632, Hardeman, Wendy ORCID: https://orcid.org/0000-0002-6498-9407, Holland, Richard, Hubbard, Marie, Naughton, Felix, Nichols, Amy, Orton, Sophie, Ussher, Michael and Ward, Emma ORCID: https://orcid.org/0000-0002-7579-3215 (2022) Development of a smoke-free home intervention for families of babies admitted to neonatal intensive care. International Journal of European Research in Public Health, 19 (6).

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Abstract

Neonatal intensive care units (NICUs) have a disproportionately higher number of parents who smoke tobacco compared to the general population. A baby’s NICU admission offers a unique time to prompt behaviour change, and to emphasise the dangerous health risks of en-vironmental tobacco smoke exposure to vulnerable infants. We sought to explore the views of mothers, fathers, wider family members, and healthcare professionals to develop an intervention to promote smoke-free homes, delivered on NICU. This article reports findings of a qualitative interview and focus group study with parents whose infants were in NICU (n=42) and NICU healthcare professionals (n=23). Thematic analysis was conducted to deductively explore aspects of intervention development including initiation, timing, components and delivery. Analysis of inductively occurring themes was also undertaken. Findings demonstrated that both parents and healthcare professionals supported the need for intervention. They felt it should be positioned around the promotion of smoke-free homes, but to achieve that end goal might incorporate direct cessation support during the NICU stay, support to stay smoke free (relapse prevention), and support and guidance for discussing smoking with family and household visitors. Qualitative analysis mapped well to an intervention based around the ‘3As’ approach (Ask, Advise, Act). This informed a logic model and intervention pathway.

Item Type: Article
Additional Information: Funding Information: This research was funded by the National Institute for Health Research, grant number PB-PG-0817-20032.
Uncontrolled Keywords: intervention development,neonatal,relapse prevention,smoke-free homes,smoking cessation,public health, environmental and occupational health,pollution,health, toxicology and mutagenesis,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2739
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Social Sciences > School of Psychology
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 15 Mar 2022 16:30
Last Modified: 23 Oct 2022 03:39
URI: https://ueaeprints.uea.ac.uk/id/eprint/84059
DOI: 10.3390/ijerph19063670

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