• Atencion primaria · Nov 2023

    [Considerations for the design and implementation of interventions for the cessation of tobacco, alcohol and cannabis use in pregnancy: A qualitative study].

    • Andrea Vila-Farinas, Mónica Pérez-Ríos, Agustín Montes-Martínez, Yolanda Trinanes-Pego, Leonor Varela-Lema, and Grupo de trabajo Programa TACABAL.
    • Departamento de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela , España.
    • Aten Primaria. 2023 Nov 1; 55 (11): 102732102732.

    ObjectiveTo 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.DesignA qualitative study with phenomenological approach. SITE: The study was conducted in Spain in 2022.ParticipantsDecision makers, health professionals, pregnant women using tobacco, alcohol and/or cannabis and their partners who are also users.MethodsData 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.ResultsFour 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.ConclusionsThe 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.Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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