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dc.contributor.authorFlemming, Kateen_UK
dc.contributor.authorGraham, Hilaryen_UK
dc.contributor.authorMcCaughan, Dorothyen_UK
dc.contributor.authorAngus, Kathrynen_UK
dc.contributor.authorSinclair, Lesleyen_UK
dc.contributor.authorBauld, Lindaen_UK
dc.description.abstractBackground: Reducing smoking in pregnancy is a policy priority in many countries and as a result there has been a rise in the development of services to help pregnant women to quit. A wide range of professionals are involved in providing these services, with midwives playing a particularly pivotal role. Understanding professionals' experiences of providing smoking cessation support in pregnancy can help to inform the design of interventions as well as to improve routine care.  Methods: A synthesis of qualitative research of health professionals' perceptions of the barriers and facilitators to providing smoking cessation advice to women in pregnancy and the post-partum period was conducted using meta-ethnography. Searches were undertaken from 1990 to January 2015 using terms for maternity health professionals and smoking cessation advisors, pregnancy, post-partum, smoking, and qualitative in seven electronic databases. The review was reported in accordance with the ‘Enhancing transparency in reporting the synthesis of qualitative research' (ENTREQ) statement. Results: Eight studies reported in nine papers were included, reporting on the views of 190 health professionals/ key informants, including 85 midwives and health visitors. The synthesis identified that both the professional role of participants and the organisational context in which they worked could act as either barriers or facilitators to an individual's ability to provide smoking cessation support to pregnant or post-partum women. Underpinning these factors was an acknowledgment that the association between maternal smoking and social disadvantage was a considerable barrier to addressing and supporting smoking cessation.  Conclusions: The review identifies a role for professional education, both pre-qualification and in continuing professional development that will enable individuals to provide smoking cessation support to pregnant women. Key to the success of this education is recognising the centrality of the professional-client/patient relationship in any interaction. The review also highlights a widespread professional perception of the barriers associated with helping women give up smoking in pregnancy, particularly for those in disadvantaged circumstances. Improving the quality and accessibility of evidence on effective healthcare interventions, including evidence on ‘what works' to support smoking cessation in disadvantaged groups, should therefore be a priority.  PROSPERO 2013: CRD42013004170.en_UK
dc.publisherBioMed Centralen_UK
dc.relationFlemming K, Graham H, McCaughan D, Angus K, Sinclair L & Bauld L (2016) Health professionals’ perceptions of the barriers and facilitators to providing smoking cessation advice to women in pregnancy and during the post-partum period: a systematic review of qualitative research. BMC Public Health, 16, Art. No.: 290.
dc.rights© Flemming et al. 2016 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.en_UK
dc.subjecthealth professionalsen_UK
dc.subjectqualitative researchen_UK
dc.subjectsystematic reviewen_UK
dc.titleHealth professionals’ perceptions of the barriers and facilitators to providing smoking cessation advice to women in pregnancy and during the post-partum period: a systematic review of qualitative researchen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNational Institute for Health Researchen_UK
dc.contributor.affiliationUniversity of Yorken_UK
dc.contributor.affiliationUniversity of Yorken_UK
dc.contributor.affiliationUniversity of Yorken_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.relation.funderprojectBarriers and facilitators to smoking cessation in pregnancy and following childbirthen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorFlemming, Kate|en_UK
local.rioxx.authorGraham, Hilary|en_UK
local.rioxx.authorMcCaughan, Dorothy|en_UK
local.rioxx.authorAngus, Kathryn|0000-0002-5351-4422en_UK
local.rioxx.authorSinclair, Lesley|0000-0002-2210-8181en_UK
local.rioxx.authorBauld, Linda|en_UK
local.rioxx.project11/93/01|National Institute for Health Research|
local.rioxx.filenameFlemming et al BMCPublicHealth16.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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