What is it about?
Quantitative evaluation of a complex intervention to improve referral and treatment of pregnant smokers in routine practice, and to assess the incremental costs to the NHS per additional woman quitting smoking.
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Why is it important?
Smoking in pregnancy has multiple health harms for mother and baby; some of which are experienced immediately and others throughout their lives. This complex intervention aimed to embed NICE public health guidance more thoroughly into maternity and stop smoking services. This paper reports how trial-based evidence of effectiveness was operationalised to maximise quit rates. In addition, it shows the benefits of stopping smoking for these mothers and babies. The cost to services is also calculated.
Perspectives
This paper brought together statistics from eight NHS Trusts, including both maternity and stop smoking services. These provide us with a regional picture of the impact of implementing NICE guidance more fully. Delays in implementation limited our work, but offered important lessons in terms of how to implement trial-based evidence, designed as a standard package, into multiple organisations, locations and settings.
Susan Jones
Teesside University
Read the Original
This page is a summary of: Evaluation of a complex healthcare intervention to increase smoking cessation in pregnant women: interrupted time series analysis with economic evaluation, Tobacco Control, February 2017, BMJ,
DOI: 10.1136/tobaccocontrol-2016-053476.
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