Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 735, 3500 AS, Utrecht, the Netherlands.
Department of Interdisciplinary Social Science, Utrecht University, P.O. Box 80125, 3584 CS, Utrecht, the Netherlands.
BMC Health Serv Res. 2021 Sep 16;21(1):973. doi: 10.1186/s12913-021-06969-1.
Recently, the parent-tailored telephone based smoking cessation counseling program 'Smoke-free Parents' was shown to be effective in helping parents to quit smoking. To implement this program in child healthcare settings in the Netherlands, the research team developed a proactive referral tool to refer parents to Smoke-free Parents. The aim of the present implementation study was to explore the facilitators, barriers, and suggestions for improvement in the implementation of this referral tool.
Child healthcare professionals (N = 68) were recruited via multiple strategies (e.g., social media, mailings, and word of mouth among healthcare professionals) and invited to complete two online (quantitative and qualitative) questionnaires and to participate in a telephone semi-structured qualitative interview between April 2017 and February 2019. In total, 65 child healthcare professionals were included in the analyses. After inductive coding, thematic analyses were performed on the qualitative data. Descriptive analyses were performed on the quantitative data.
The data from both questionnaires and the telephone interview revealed that the majority of the child healthcare professionals (92.3 % female; average years of working as a healthcare professional: 23.0) found the Smoke-free Parents referral tool accessible and convenient to use. Yet there were several barriers that limited their use of the tool. The data revealed that one of the main barriers that healthcare professionals experienced was parental resistance to smoking cessation assistance. In addition, healthcare professionals noted that they experienced tension when motivating parents to quit smoking, as they were not the parent's, but the child's healthcare provider. Additionally, healthcare professionals reported being concerned about the lack of information about the costs of Smoke-free Parents, which limited professionals referring parents to the service.
Although healthcare professionals reported rather positive experiences with the Smoke-free Parents referral tool, the use of the tool was limited due to barriers. To increase the impact of the Smoke-free Parents telephone-based smoking cessation counseling program via child healthcare settings, it is important to overcome these barriers. Suggestions for improvement in the implementation of the referral tool in child healthcare settings are discussed.
最近，针对父母的基于电话的戒烟咨询计划“无烟父母”被证明可以有效地帮助父母戒烟。为了在荷兰的儿童保健机构实施该计划，研究团队开发了一种积极的转介工具，将父母转介给“无烟父母”。本实施研究的目的是探讨实施该转介工具的促进因素、障碍和改进建议。
通过多种策略（例如，社交媒体、邮件和医护人员之间的口碑）招募儿童保健专业人员（N=68），邀请他们完成两个在线（定量和定性）问卷，并在 2017 年 4 月至 2019 年 2 月之间参加电话半结构化定性访谈。共有 65 名儿童保健专业人员被纳入分析。在进行归纳编码后，对定性数据进行主题分析。对定量数据进行描述性分析。
来自问卷和电话访谈的数据显示，大多数儿童保健专业人员（92.3%为女性；平均从事医疗保健工作年限为 23.0 年）认为“无烟父母”转介工具易于访问且使用方便。然而，有几个障碍限制了他们使用该工具。数据显示，医护人员遇到的主要障碍之一是父母对戒烟帮助的抵制。此外，医护人员还指出，当他们激励父母戒烟时，他们会感到紧张，因为他们不是父母的，而是孩子的医疗保健提供者。此外，医护人员报告说，他们对“无烟父母”服务的费用信息不足感到担忧，这限制了他们向该服务转介父母。
尽管医护人员报告了对“无烟父母”转介工具的相当积极的体验，但由于存在障碍，该工具的使用受到限制。为了通过儿童保健机构提高“无烟父母”基于电话的戒烟咨询计划的影响力，有必要克服这些障碍。讨论了在儿童保健机构实施转介工具的改进建议。
