Feasibility of audio-recording consultations with pregnant Australian Indigenous women to assess use of smoking cessation behaviour change techniques [post]

2019 unpublished
Behavioural counselling is an effective method to improve smoking cessation rates during pregnancy. It is not always clear whether counselling is delivered as per guidelines. Audio-recordings of consultations have been used previously to assess fidelity of the intervention delivered. This has been performed mainly in specialized smoking cessation services for the general population. This study aimed to assess the feasibility of audio-recording smoking cessation counselling between health
more » ... tween health providers and pregnant women as part of an intervention in Aboriginal primary care settings. A secondary aim was to explore the number and type of behaviour change techniques delivered. Methods A nested feasibility study within a larger intervention trial in six Aboriginal Medical Services. Recruited health providers and pregnant women were asked to agree or decline audio-recording their smoking cessation related consultations, pre and post intervention. Data collected included percentage providing consent to audio-recording; number of recordings performed, type of health provider performing the consultation, and date (pre/post intervention). Transcribed recordings were coded by two researchers. At the end of the trial, interviews were conducted to assess the acceptability of the study. Data relevant to the audio-recordings was extracted. Results Two services provided seven recordings, all pre-intervention. Of 22 recruited women, 14 consented to being audio-recorded (64%) and five provided recordings; of 23 recruited health providers, 16 agreed (69%), and two provided recordings. Qualitative data suggest health providers found audio-recording difficult to remember. Health providers spend two minutes discussing smoking (range 00:47-03:47 minutes), and used few behaviour change techniques for each consultation (average 4 behaviour change techniques, range 2-8).
doi:10.21203/rs.2.14124/v1 fatcat:dcbece5gubhhxazqv73hc6z7ke