Objectives This study aimed to examine the impact of the
‘ICAN QUIT in Pregnancy’ intervention on individual health
providers (HPs) smoking cessation care (SCC) knowledge,
attitudes and practices in general, and specifically
regarding nicotine replacement therapy (NRT) prescription.
Design Step-wedge clustered randomised controlled
study. HPs answered a preintervention and 1–6 months
postintervention survey.
Setting Six Aboriginal Medical Services (AMSs) in three
states of Australia.
Participants All HPs were invited to participate. Of 93
eligible, 50 consented (54%), 45 completed the presurvey
(90%) and 20 the post (40%).
Intervention Included three 1-hour webinar sessions,
educational resource package and free oral NRT.
Outcomes HPs knowledge was measured using
two composite scores—one from all 24 true/false
statements, and one from 12 NRT-specific statements.
Self-assessment of 22 attitudes to providing SCC were
measured using a five-point Likert scale (Strongly disagree
to Strongly agree). Two composite mean scores were
calculated—one for 15 general SCC attitudes, and one for
7 NRT-specific attitudes. Self-reported provision of SCC
components was measured on a five-point Likert scale
(Never to Always). Feasibility outcomes, and data collected
on the service and patient level are reported elsewhere.
Results Mean knowledge composite scores improved
from pre to post (78% vs 84% correct, difference 5.95,
95%CI 1.57 to 10.32). Mean NRT-specific knowledge
composite score also improved (68% vs 79% correct,
difference 9.9, 95%CI 3.66 to 16.14). Mean attitude
composite score improved (3.65 (SD 0.4) to 3.87 (SD 0.4),
difference 0.23, 95%CI 0.05 to 0.41). Mean NRT-specific
attitudes composite score also improved (3.37 (SD 0.6) to
3.64 (SD 0.7), difference 0.36, 95%CI 0.13 to 0.6). Selfreported practices were unchanged, including prescribing
NRT.
Conclusions A multicomponent culturally sensitive
intervention in AMSs was feasible, and might improve HPs
provision of SCC to pregnant Aboriginal women. Changes
in NRT prescription rates may require additional intensive
measures