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...
Main Authors: | , , , , , , , , |
---|---|
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 |
_version_ | 1797650364061712384 |
---|---|
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. |
first_indexed | 2024-03-11T15:59:09Z |
format | Article |
id | doaj.art-b687b1bed8df43bfa947d70ad32ad2f3 |
institution | Directory Open Access Journal |
issn | 1617-9625 |
language | English |
last_indexed | 2024-03-11T15:59:09Z |
publishDate | 2023-08-01 |
publisher | European Publishing |
record_format | Article |
series | Tobacco Induced Diseases |
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 |
work_keys_str_mv | AT adriannaburtinsup factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT estellecletsup factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT nolwennstevens factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT charlottekervran factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT manonfrevol factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT rebeccaratel factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT perrinemoysan factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT francoisalla factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview AT 5aquitngroupsup factorsassociatedwiththeimplementationofthe5asmodelofsmokingcessationsupportduringpregnancyascopingreview |