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Table 2 Factor categories and loadings for the barriers/enablers of implementation of the 5As

From: Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Factor

(Cronbach’s alpha)

Item

Loading

Capability (0.927)

I have good knowledge of the use of NRT in pregnancy

.863

I have good skills in assisting pregnant women who are struggling to quit

.795

I have good skills in assisting pregnant women with strategies to quit smoking

.776

I have the skills required to determine and interpret pregnant women’s nicotine dependence

.774

I know how to provide smoking cessation support in antenatal care to help pregnant women quit

.768

I have good knowledge of nicotine addiction and the barriers to quitting smoking

.761

I am confident providing smoking cessation assistance to pregnant women

.751

I am confident assessing women’s smoking status

.721

I am confident arranging follow-up support for pregnant smokers

.631

I’ve had adequate training in assisting pregnant women to quit smoking

.584

I have good skills in motivating pregnant women who don’t want to quit, to try to quit

.583

I am familiar with the guidelines for using the 5As for smoking cessation during antenatal care (Ask, Advise, Assess, Assist, Arrange Follow-up)

.497

Intentions and memory (0.826)

I intend to provide smoking cessation support to each pregnant smoker

.878

I intend to follow up with all smokers about their smoking at later visits (after the booking in visit)

.810

I always remember to advise women who smoke to quit smoking

.689

I intend to advise all pregnant smokers to quit

.612

I always remember to provide smoking cessation support to smoking women at every antenatal visit

.519

Work environment (0.796)

Our service has good pamphlets and resources to support pregnant smokers to quit

.965

Our service has capacity to provide smoking cessation support for pregnant smokers

.739

Our service has midwives, obstetricians and/or managers who really champion addressing smoking with our clients

.611

The clinic I work in values midwives who follow the 5As guidelines

.554

The team I work with places a high priority on addressing smoking with pregnant women

.457

Emotional reward (0.767)

Helping women quit smoking makes me feel proud of my role

.778

I get satisfaction from providing smoking cessation support to pregnant women

.591

I think providing smoking cessation support for pregnant women increases the chances that they’ll quit

.584

I feel optimistic that providing smoking cessation support helps women quit smoking

.488

Most women appreciate it when I discuss quitting smoking with them

.361

Negative perceptions (0.720)

I often find talking with pregnant smokers about their smoking makes me feel uncomfortable

.715

Advising women to quit smoking risks pushing them away from antenatal care

.704

After the booking in visit, providing smoking cessation support is not as important to me as providing some other aspects of antenatal care

.461

I don’t have time to provide smoking cessation support in visits after the booking in visit

.453

The harms of smoking in pregnancy are not as great as the other risks that women face

.426

Providing smoking cessation support to women is not worth it given the small level of success

.377

Personal priority (0.782)

Providing smoking cessation support for pregnant women is an important part of my role

.752

Talking with women about quitting smoking is a good use of my time

.528

I place a high priority on helping women quit smoking

.406

Tracking systems (0.84)

I have systems in place (e.g. a checklist or stickers) to help me keep track of women who smoke and provide ongoing smoking cessation support for them

.936

Our service has systems in place to help keep track of women who smoke and provide ongoing support for them

.574

Main things

Advising women to quit smoking is one of the main things that can be done to help women have healthy babies

.328

Quitline

Referring women to the Quitline is an effective way of assisting pregnant women to quit

.496