Vila-Farinas Andrea, Pérez-Ríos Mónica, Montes-Martínez Agustín, Trinanes-Pego Yolanda, Varela-Lema Leonor
Departamento de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela , España.
Departamento de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela , España; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela , España.
Aten Primaria. 2023 Nov;55(11):102732. doi: 10.1016/j.aprim.2023.102732. Epub 2023 Aug 11.
To explore the opinion of different key stakeholders regarding the requirements that tobacco, alcohol and/or cannabis cessation interventions should meet to be implemented and to be acceptable and useful during pregnancy.
A qualitative study with phenomenological approach. SITE: The study was conducted in Spain in 2022.
Decision makers, health professionals, pregnant women using tobacco, alcohol and/or cannabis and their partners who are also users.
Data were collected through focus groups and in-depth interviews, until discourse saturation was reached and accurately transcribed. Exploratory analysis and inductive open coding were conducted, codes were merged into categories and subcategories were identified.
Four categories and 18 subcategories were identified. The results suggest that interventions should be multicomponent. Among the interventions most accepted by pregnant women and their partners were specific cessation consultations, information, peer support (although they did not specify how) and financial incentives. Among other options to consider, co-oximetry, proposed by managers to obtain an objective register.
The conclusion is that this intervention should be carried out at the level of prenatal care in primary care. There are doubts regarding the frequency, purpose, and follow-up of this multicomponent intervention, as well as the possibility of incorporating couples.
探讨不同关键利益相关者对于烟草、酒精和/或大麻戒烟干预措施在孕期实施、可接受性及实用性方面应满足的要求的看法。
采用现象学方法的定性研究。
2022年在西班牙开展该研究。
决策者、卫生专业人员、使用烟草、酒精和/或大麻的孕妇及其同样为使用者的伴侣。
通过焦点小组和深入访谈收集数据，直至达到话语饱和并进行准确转录。进行探索性分析和归纳开放式编码，将编码合并为类别并确定子类别。
确定了四个类别和18个子类别。结果表明，干预措施应具有多组分性。孕妇及其伴侣最接受的干预措施包括特定的戒烟咨询、信息提供、同伴支持（尽管他们未具体说明方式）和经济激励。在其他需要考虑的选项中，管理人员提议采用一氧化碳血氧测定法以获得客观记录。
结论是该干预应在初级保健的产前护理层面进行。对于这种多组分干预的频率、目的和随访，以及纳入伴侣的可能性存在疑问。
