Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review

Introduction The prevalence of smoking among pregnant women is the highest in the European region, making smoking cessation a public health priority. In order to address this, pregnant smokers need to be better supported by their healthcare professionals in their attempts to quit smoking. The 5As mo...

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Main Authors: Adrianna Burtin<sup>*, Estelle Clet<sup>*, Nolwenn Stevens, Charlotte Kervran, Manon Frevol, Rébecca Ratel, Perrine Moysan, François Alla, 5A-QUIT-N group<sup>+
Format: Article
Language:English
Published: European Publishing 2023-08-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Factors-associated-with-the-implementation-of-the-5As-model-nof-smoking-cessation,169623,0,2.html
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author Adrianna Burtin<sup>*
Estelle Clet<sup>*
Nolwenn Stevens
Charlotte Kervran
Manon Frevol
Rébecca Ratel
Perrine Moysan
François Alla
5A-QUIT-N group<sup>+
author_facet Adrianna Burtin<sup>*
Estelle Clet<sup>*
Nolwenn Stevens
Charlotte Kervran
Manon Frevol
Rébecca Ratel
Perrine Moysan
François Alla
5A-QUIT-N group<sup>+
author_sort Adrianna Burtin<sup>*
collection DOAJ
description Introduction The prevalence of smoking among pregnant women is the highest in the European region, making smoking cessation a public health priority. In order to address this, pregnant smokers need to be better supported by their healthcare professionals in their attempts to quit smoking. The 5As model, which is a psychosocial intervention, seems to be effective in this specific population. The objective of this review is to identify the factors that act as barriers or facilitators to the implementation of the 5As model within prenatal practices. Methods We conducted a scoping review of the literature on PubMed and Scopus databases, using the terms: ‘smoking cessation’, ‘pregnan*’, and (‘5A’ or ‘5As’). The identified factors were categorized using a theoretical framework of The European Observatory on Health Systems and Policies. Results Among the 43 articles identified in the databases, 13 articles were included in this review. In total, we identified 48 factors. When necessary, we grouped them together, resulting in 12 sub-categories, which in turn were grouped into 9 categories. Those 9 categories were then classified into the 3 levels of the theoretical framework: the clinical level (motivation), the organizational level (healthcare pathway), and the health system level (political environment). Conclusions The factors identified are varied and numerous and are involved in each level of the theoretical framework.
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spelling doaj.art-b687b1bed8df43bfa947d70ad32ad2f32023-10-25T08:34:11ZengEuropean PublishingTobacco Induced Diseases1617-96252023-08-0121August1810.18332/tid/169623169623Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping reviewAdrianna Burtin<sup>*0https://orcid.org/0000-0002-8027-2174Estelle Clet<sup>*1https://orcid.org/0000-0002-4767-5967Nolwenn Stevens2https://orcid.org/0000-0002-4159-2271Charlotte Kervran3https://orcid.org/0000-0003-0108-1079Manon Frevol4Rébecca Ratel5Perrine Moysan6François Alla7https://orcid.org/0000-0002-5793-71905A-QUIT-N group<sup>+Department of Methodology and Innovation in Prevention, Bordeaux University Hospital, Bordeaux, FranceDepartment of Methodology and Innovation in Prevention, Bordeaux University Hospital, Bordeaux, FranceInserm UMR 1219-Bordeaux Population Health, University of Bordeaux, Bordeaux, FranceInserm UMR 1219-Bordeaux Population Health, University of Bordeaux, Bordeaux, FranceDepartment of Methodology and Innovation in Prevention, Bordeaux University Hospital, Bordeaux, FranceDepartment of Methodology and Innovation in Prevention, Bordeaux University Hospital, Bordeaux, FranceInserm UMR 1219-Bordeaux Population Health, University of Bordeaux, Bordeaux, FranceDepartment of Methodology and Innovation in Prevention, Bordeaux University Hospital, Bordeaux, FranceIntroduction The prevalence of smoking among pregnant women is the highest in the European region, making smoking cessation a public health priority. In order to address this, pregnant smokers need to be better supported by their healthcare professionals in their attempts to quit smoking. The 5As model, which is a psychosocial intervention, seems to be effective in this specific population. The objective of this review is to identify the factors that act as barriers or facilitators to the implementation of the 5As model within prenatal practices. Methods We conducted a scoping review of the literature on PubMed and Scopus databases, using the terms: ‘smoking cessation’, ‘pregnan*’, and (‘5A’ or ‘5As’). The identified factors were categorized using a theoretical framework of The European Observatory on Health Systems and Policies. Results Among the 43 articles identified in the databases, 13 articles were included in this review. In total, we identified 48 factors. When necessary, we grouped them together, resulting in 12 sub-categories, which in turn were grouped into 9 categories. Those 9 categories were then classified into the 3 levels of the theoretical framework: the clinical level (motivation), the organizational level (healthcare pathway), and the health system level (political environment). Conclusions The factors identified are varied and numerous and are involved in each level of the theoretical framework.http://www.tobaccoinduceddiseases.org/Factors-associated-with-the-implementation-of-the-5As-model-nof-smoking-cessation,169623,0,2.htmlsmoking cessation5as methodhealth promotionprenatal carepregnancy
spellingShingle Adrianna Burtin<sup>*
Estelle Clet<sup>*
Nolwenn Stevens
Charlotte Kervran
Manon Frevol
Rébecca Ratel
Perrine Moysan
François Alla
5A-QUIT-N group<sup>+
Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
Tobacco Induced Diseases
smoking cessation
5as method
health promotion
prenatal care
pregnancy
title Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
title_full Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
title_fullStr Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
title_full_unstemmed Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
title_short Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review
title_sort factors associated with the implementation of the 5as model of smoking cessation support during pregnancy a scoping review
topic smoking cessation
5as method
health promotion
prenatal care
pregnancy
url http://www.tobaccoinduceddiseases.org/Factors-associated-with-the-implementation-of-the-5As-model-nof-smoking-cessation,169623,0,2.html
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