Evidence map›Paper›PMID 36494723›Full record

ArticleImplementation science : IS2022

The MOHMQuit (Midwives and Obstetricians Helping Mothers to Quit Smoking) Trial: protocol for a stepped-wedge implementation trial to improve best practice smoking cessation support in public antenatal care services.

Larisa Ariadne Justine Barnes, Jo Longman, Catherine Adams, Christine Paul, Lou Atkins, Billie Bonevski, Aaron Cashmore, Laura Twyman, Ross Bailie, Alison Pearce and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Australian Women's Perspectives on Preventing Postpartum Relapse or Quitting Smoking or Vaping in the Postpartum Year.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Larisa Ariadne Justine BarnesThe University of Sydney, The University Centre for Rural Health, 61 Uralba St., Lismore, NSW, 2480, Australia. larisa.barnes@sydney.edu.au.ORCID 0000-0002-9847-775X
Jo LongmanThe University of Sydney, The University Centre for Rural Health, 61 Uralba St., Lismore, NSW, 2480, Australia.
Catherine AdamsNorthern New South Wales Local Health District, Byron Central Hospital, Ewingsdale Rd, Byron Bay, NSW, 2480, Australia.
Christine PaulUniversity of Newcastle, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia.
Lou AtkinsUniversity College London, Centre for Behaviour Change, Gower Street, London, WC1E 6BT, UK.
Billie BonevskiFlinders University, College of Medicine & Public Health, Flinders Health and Medical Research Institute, Sturt Road, Bedford Park, SA, 5042, Australia.
Aaron CashmoreNSW Ministry of Health, Centre for Epidemiology and Evidence, 1 Reserve Road, St Leonards, NSW, 2065, Australia.
Laura TwymanTobacco Control Unit, Cancer Prevention and Advocacy Division, Cancer Council NSW, and Conjoint Fellow, School of Medicine and Public Health, University of Newcastle, 153 Dowling St., Woolloomooloo, NSW, 2011, Australia.
Ross BailieThe University of Sydney, The University Centre for Rural Health, 61 Uralba St., Lismore, NSW, 2480, Australia.
Alison PearceThe Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, and Sydney School of Public Health, The University of Sydney, Edward Ford Building, A27 Fisher Rd, Camperdown, NSW, 2006, Australia.
Daniel BarkerUniversity of Newcastle, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia.
Andrew J MilatNSW Ministry of Health, Centre for Epidemiology and Evidence, 1 Reserve Road, St Leonards, NSW, 2065, Australia.
Julie DorlingWestern NSW Local Health District, 7 Commercial Avenue, Dubbo, NSW, 2830, Australia.
Michael NichollClinical Excellence Commission-NSW Health and The University of Sydney Faculty of Medicine and Health, 1 Reserve Road, St. Leonards, NSW, 2065, Australia.
Megan PasseyThe University of Sydney, The University Centre for Rural Health, 61 Uralba St., Lismore, NSW, 2480, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmoking during pregnancy is the most important preventable cause of adverse pregnancy outcomes, yet smoking cessation support (SCS) is inconsistently provided. The MOMHQUIT intervention was developed to address this evidence-practice gap, using the Behaviour Change Wheel method by mapping barriers to intervention strategies. MOHMQuit includes systems, leadership and clinician elements. This implementation trial will determine the effectiveness and cost-effectiveness of MOHMQuit in improving smoking cessation rates in pregnant women in public maternity care services in Australia; test the mechanisms of action of the intervention strategies; and examine implementation outcomes.

methodsA stepped-wedge cluster-randomised design will be used. Implementation of MOHMQuit will include reinforcing leadership investment in SCS as a clinical priority, strengthening maternity care clinicians' knowledge, skills, confidence and attitudes towards the provision of SCS, and clinicians' documentation of guideline-recommended SCS provided during antenatal care. Approximately, 4000 women who report smoking during pregnancy will be recruited across nine sites. The intervention and its implementation will be evaluated using a mixed methods approach. The primary outcome will be 7-day point prevalence abstinence at the end of pregnancy, among pregnant smokers, verified by salivary cotinine testing. Continuous data collection from electronic medical records and telephone interviews with postpartum women will occur throughout 32 months of the trial to assess changes in cessation rates reported by women, and SCS documented by clinicians and reported by women. Data collection to assess changes in clinicians' knowledge, skills, confidence and attitudes will occur prior to and immediately after the intervention at each site, and again 6 months later. Questionnaires at 3 months following the intervention, and semi-structured interviews at 6 months with maternity service leaders will explore leaders' perceptions of acceptability, adoption, appropriateness, feasibility, adaptations and fidelity of delivery of the MOHMQuit intervention. Structural equation modelling will examine causal linkages between the strategies, mediators and outcomes. Cost-effectiveness analyses will also be undertaken. DISCUSSION: This study will provide evidence of the effectiveness of a multi-level implementation intervention to support policy decisions; and evidence regarding mechanisms of action of the intervention strategies (how the strategies effected outcomes) to support further theoretical developments in implementation science.

trial registrationACTRN12622000167763, registered February 2nd 2022.

Indexed as

Maternal Health ServicesSmoking CessationFemaleHumansObstetriciansPregnancyPrenatal CareSmokingAntenatal careBehaviour change wheelImplementationPregnancySmoking cessation supportStepped-wedge cluster-randomised controlled trialSystems change intervention

Identifiers

PMID36494723
PMCPMC9734467

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.