Hind A Beydoun, May A Beydoun, Ana I Maldonado, Marie T Fanelli-Kuczmarski, Jordan Weiss, Michele K Evans, Alan B Zonderman
Allostatic Load and Cognitive Function Among Urban Adults in the Healthy Aging in Neighborhoods of Diversity across the Life Span Study
Journal of Alzheimer's disease : JAD
aim study identify factors influencing midwives conversations smoking referral specialist smoking cessation services using evidencebased theoretical framework semistructured qualitative interviews undertaken community midwives employed within one health board region wales deductive framework analysis employed coding data domains theoretical domains framework tdf identifying themes within domains across participants seven midwives took part study 13 possible 14 domains mapped tdf key enablers conversations referrals include knowledge risks smoking pregnancy congruence professional identity midwife use carbon monoxide monitors initiating conversations referrals limited knowledge specialist service confusion optout pathway varied skills communicating engaging women low confidence ability influence womens decisions limited appointment times competing priorities identified barriers midwives recognise importance role within provision smoking cessation advice referral specialist services continued time pressures competing priorities midwives enhancing skills confidence collaborative empowering approaches addressing smoking would support optimising uptake maternity smoking cessation support could also enhance conversations public health issues diet physical activity alcohol use