THE INFLUENCE OF INDIVIDUAL AND ORGANIZATIONAL-FACTORS ON THE REPORTED SMOKING INTERVENTION PRACTICES OF STAFF IN 20 ANTENATAL CLINICS

This study investigates the factors which influence the reported use o f a smoking cessation interventions in antenatal clinics. Midwives and doctors in 20 hospital antenatal clinics (n = 203) completed a survey designed to measure their perceptions, knowledge and use of brief int erventions for smoking. Measures for hospital structure and work clima te were also obtained. The aims of the study are: to describe the smok ing intervention practice of antenatal clinic staff and to ascertain t he organizational and practitioner variables which predict clinician u se of smoking interventions. The results indicate that the majority of antenatal clinic staff do not use the most effective forms of brief i nterventions for smoking. The presence of specific procedures and trai ning in smoking cessation intervention appear to be the most important predictors of reported smoking intervention in hospital antenatal cli nics.