Smoking in Pregnancy Reward Scheme (Significant Other Supporter Scheme)
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Transcript of Smoking in Pregnancy Reward Scheme (Significant Other Supporter Scheme)
Smoking in Pregnancy Reward Scheme
(Significant Other Supporter Scheme)
Tina Williams Head of Training and Development
July 2011
Smokefree North West
Who are we?SFNW is a regional body funded by the regions Primary Care Trusts to support and enhance their tobacco control activities
VisionA tobacco free future for our children
MissionTo prevent tobacco related health inequalities by breaking the cycle of children and young people’s addiction and exposure to tobacco through the delivery of a comprehensive tobacco control strategy
Aim of the Scheme
To increase the number of pregnant women and quitting smoking and maintaining their quit attempt up to and
beyond 2-months post partum
‘Relapse Prevention’
Duration and Outcome Measures
• Start - 1st September 2010• End – 27th November 2010
• Pregnant women with an EDD up to 17th September 2011
• Allows for delivery 10-days overdue plus 2-months post partum
• Bench Mark:
– Reduction in NW SATOD 18% (2010) to 14%
• Launch:
– September 2010
• Participation:
– 22 PCTs across NW
Evaluation• Supported by Professor Linda Bauld Stirling University
– Impact of the scheme• Enhancers• Added value• Barriers
– Perspectives• Pregnant women and their significant others• Clinicians and advisors• Administration
• Local Snap Shot Evaluation throughout July 2011– Questionnaire to all women participating in the scheme during the
month
The Mechanism
Providing:
1. Increased motivation and relapse prevention via a financial reward
2. Financial reward– £20 reward for achieving a 4-week quit– £20 for every month smoke free– £20 for maintaining smokefree lifestyle for
2-months after the birth
Love2shop Flexi - Card
Added Value
Promoting a smokefree pregnancy as a lifestyle change for pregnant women, their partners and families have wide ranging benefits including:
– Reducing the negative health impact on the foetus and the new born
– Reduced risk of SIDS– Reducing the negative health impact to the pregnant woman– Decrease in the number of infants and children exposed to
secondhand smoke– Denormalising of smoking in the home and the wider
community– Increasing the potential for short-term abstinence to become
life-long
Financial Case
• International evidence suggests that for every £1.00 spent interventions to reduce smoking in pregnancy result in a saving £4.00
Financial Benefits
• Cost of a home birth• Normal birth
£457• With complications
£693• Cost of transfer to obstetric
unit £237
• Cost of a birth in an Obstetric Unit
• Normal birth £833• With complications £1,413• Caesarean section without
complications £1,912• Caesarean section with
complications £2, 638
Intrapartum Care of Healthy Women and their Babies: Clinical Guidelines 2007National Collaborating Centre for Women and Children’s Health(Costs based on 2004)
Signing Up – Participating PCTsAgree to:• Manage the scheme effectively at local level
– Follow the scheme guidance – Establish and manage an effect audit trail for the
management of the ‘Reward Cards’• Recruit and support eligible pregnant woman to participate in
the scheme • A commitment to see participants monthly and CO validate• Aiming to support 37 ‘successful’ quitters between September
1st 2010 and 14th November 2011• Maintain a robust effective records of progress and activity• Maintain a robust database • Provide quarterly feedback to SFNW• Attend a quarterly practice sharing network meeting• Support the evaluation of the project
Who is eligible to join the scheme?
• Any pregnant smoker who has quit for 4-weeks and who is at high risk of relapse– Living in a challenging environment– Living with a smoker– Teen Pregnancy
• Professional Judgement
Signing up - The Pregnant Woman
• Sign an agreement which includes:• Staying smokefree – not even a puff – throughout the
pregnancy and for two months following the birth• Asking a non-smoking friend, relative or partner to provide
relapse prevention support throughout the pregnancy and for two-months beyond (Significant Other)
• Attend monthly session with their advisor throughout the pregnancy and for two-months beyond
• Undertake CO monitoring on a monthly basis throughout the pregnancy and for two-months beyond
• Complete and evaluation form about the support received to stay smokefree
The Significant Other Supporter Role• Increased social support and encouragement• A friendly ear when the going gets tough!• Someone with a positive relationship with the pregnant woman
– Close friend– Mum– Family member – Partner– Stop smoking advisor – if necessary
• Reward – £40 if the woman remains smoke-free throughout the
pregnancy and for two months after the birth
Signing Up – The Significant Other
• Sign an agreement which includes:• Support the pregnant woman in staying quit throughout the
pregnancy and for at least two months after the birth• Attend sessions with the pregnant woman
– Minimum of 2• 4-week quit appointment • 2-month follow-up• More if possible
• Take part in CO monitoring• Complete an evaluation form on how I helped my friend stay
smokefree
Training Event Resource pack on a stick• The business case• Reward scheme flow chart• Client monitoring form• Contract for the client• Significant other tips leaflet• Job seekers allowance declaration• Appointment card• Reward Card Client Receipt Record• FAQ’s• Media Handling Protocol11. All today’s presentations12. Evidence file13. Database for service use and
reporting
Training event 1. Comprehensive training
for the operational scheme lead for each PCT September 2010
2. 23 PCT’s agreed to participate and attendedthe event
Progress to May 2011
Q2 – cumulative summary of resultsGreater Manchester
PCT No. of participants No. quit at 2 months post partum
Ashton, Leigh & Wigan 44 13
Bolton 19 4
Bury 6 0
HMR 5 0
Oldham 10 0
Salford 12 3
Stockport 10 0
Tameside & Glossop 5 0
Trafford No data received
Total: 111 20
Q2 – cumulative summary of resultsCheshire & Merseyside
PCT No. of participants No. quit at 2 months post partum
C&E Cheshire 2 2
Halton & St Helens 24 6
Knowsley 27 7
Liverpool 8 2
Sefton 31 6
Warrington 12 0
Wirral 8 0
Total: 112 23
Q2 – cumulative summary of resultsCumbria & Lancs
PCT No. of participants No. quit at 2 months post partum
Blackpool 28 2
Central Lancs 22 4
Cumbria 8 3
East Lancs 30 3
Blackburn with Darwen No data received
North Lancs No data received
Total: 88 12
Regional Total: 311 55
Conclusion
No matter how successful the scheme finally proves the desired reduction in SATOD won’t
happen…
SATOD data collection is unreliable