A mixed-methods exploration of primary care as a setting for delivering secondhand smoke harm reduction interventions

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Ghag Kaur, Jaidev (2021). A mixed-methods exploration of primary care as a setting for delivering secondhand smoke harm reduction interventions. University of Birmingham. Ph.D.

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Abstract

There is no safe level of exposure to secondhand smoke (SHS). Many non-smokers in the UK remain at risk of exposure to SHS and the associated consequences. Healthcare professionals (HCPs) working in UK primary care settings are considered well placed to deliver interventions which would promote (and support) reductions in SHS exposure for non-smokers.

This thesis adopts a mixed-methods approach to explore the potential for using primary care settings to deliver SHS harm reduction interventions. Firstly, a systematic review highlights the need to conduct further research to explore primary care-based SHS harm reduction approaches. Subsequently presented are the results of: a national survey of HCPs (n=172); qualitative interviews with HCPs (n=25) and smokers (n=9); and a mixed-methods integration of these study findings. The COM-B Model of behaviour change underpins these studies. Motivation favouring SHS intervention delivery was evidenced by HCPs and smokers; both understood the negative consequences of SHS exposure. However, HCPs lacked the opportunities and capability to intervene in practice.

Overall, this thesis highlights a need to improve the educational training and physical opportunities available to primary care-based HCPs; thereby helping them to better deliver SHS harm reduction interventions to smokers in the future. Intervention considerations are suggested herein.

Type of Work:

Thesis (Doctorates > Ph.D.)

Award Type:

Doctorates > Ph.D.

Supervisor(s):