+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services

Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services

Bmc Public Health 14: 1041

Maternal smoking is a key cause of poor outcomes for mothers, babies and children and Wales has higher rates of smoking in pregnancy than any other UK country. Despite various improvements within the NHS Stop Smoking Service to strengthen the intervention for pregnant women, referrals and successful quit attempts for this group have continued to remain extremely low. A key element of UK national guidance for smoking cessation during pregnancy is to provide a flexible and tailored service to help increase levels of engagement. This study aims to test the effectiveness of three different models of service delivery to address the gap in the evidence base about how to deliver a flexible, tailored smoking cessation service to pregnant women. This study will adopt a quasi-experimental design over a 12 month period. The setting is four of Wales' seven Health Boards using an integrated approach between maternity services, local public health teams and the NHS Stop Smoking Service. Core recommendations from UK public health guidance are being implemented across intervention and usual care sites. Stop smoking support for pregnant women in intervention sites is being delivered more flexibly than in usual care sites. Both qualitative and quantitative approaches will be adopted to capture important contextual information and consider multiple perspectives. A health economic analysis will be undertaken using a cost-consequences analysis approach. The primary outcome measure is engagement with stop smoking services (defined as having at least one face-to-face therapeutic contact with a clinician). Supporting pregnant women to stop smoking is a challenging area of public health. The proposed study will address several areas where there are key evidence gaps relating to smoking cessation interventions for pregnant women. Specifically, how best to encourage pregnant women to attend a specialist stop smoking support service, how to deliver the service and who should provide it.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054418483

Download citation: RISBibTeXText

PMID: 25287152

DOI: 10.1186/1471-2458-14-1041

Related references

PMM.58Who should support pregnant women to quit smoking? Early findings from a quasi-experiment building upon NICE guidance: Models for Access to Maternal Smoking cessation Support (MAMSS). Archives of Disease in Childhood - Fetal and Neonatal Edition 99(Suppl 1): A142.1-A142, 2014

Provision of smoking cessation support for pregnant women in England: results from an online survey of NHS Stop Smoking Services for Pregnant Women. Bmc Health Services Research 14: 107, 2014

Attitudes to E-Cigarettes and Cessation Support for Pregnant Women from English Stop Smoking Services: A Mixed Methods Study. International Journal of Environmental Research and Public Health 16(1):, 2019

Evaluation of 'Stop Smoking in its Tracks': an intensive smoking cessation program for pregnant Aboriginal women incorporating contingency-based financial rewards. Public Health Research and Practice 28(2):, 2018

Smoking prevalence and smoking cessation services for pregnant women in Scotland. Substance Abuse Treatment Prevention and Policy 5: 1, 2010

Smoking, smoking cessation, and use of smoking cessation aids and support services in South Derbyshire, England. Public Health 121(5): 321-332, 2007

The delivery of stop smoking support to people with mental health conditions: a survey of NHS stop smoking services. Bmc Health Services Research 10: 179, 2010

Comparing different intensities of active referral to smoking cessation services in promoting smoking cessation among community smokers: a study protocol of a cluster randomized controlled trial. Bmc Public Health 18(1): 830, 2018

If you try to stop smoking, should we pay for it? The cost-utility of reimbursing smoking cessation support in the Netherlands. Addiction 105(6): 1088-1097, 2010

Support for pregnant women who wish to stop smoking. Nursing Times 92(10): 36-37, 1996

Antenatal Clinic and Stop Smoking Services Staff Views on "Opt-Out" Referrals for Smoking Cessation in Pregnancy: A Framework Analysis. International Journal of Environmental Research and Public Health 13(10):, 2016

Smoking Cessation and Socioeconomic Status: An Update of Existing Evidence from a National Evaluation of English Stop Smoking Services. Biomed Research International 2015: 274056, 2015

'Opt-out' referrals after identifying pregnant smokers using exhaled air carbon monoxide: impact on engagement with smoking cessation support. Tobacco Control 26(3): 300-306, 2017

Integrating the promotion of physical activity within a smoking cessation programme: findings from collaborative action research in UK Stop Smoking Services. Bmc Health Services Research 10: 317, 2010

Best practice in smoking cessation services for pregnant women: results of a survey of three services reporting the highest national returns, and three beacon services. Journal of the Royal Society for the Promotion of Health 126(5): 233-238, 2006