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Agreement and Disparities between Women and Stop-Smoking Specialists about How to Promote Adherence to Nicotine Replacement Therapy in Pregnancy

Author

Listed:
  • Lisa McDaid

    (Behavioral and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

  • Ross Thomson

    (Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK)

  • Joanne Emery

    (Behavioral and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

  • Tim Coleman

    (Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK)

  • Sue Cooper

    (Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK)

  • Lucy Phillips

    (Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK)

  • Felix Naughton

    (Behavioral and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

Abstract

Evidence for the effectiveness of nicotine replacement therapy (NRT) for smoking-cessation in pregnancy is weak. This has been attributed to insufficient dosing and low adherence. This study investigated the acceptability of key messages and delivery modes for a behavioral intervention to increase NRT adherence in pregnancy. Semi-structured telephone interviews were carried out with pregnant or postpartum women aged ≥16 from across England, who had been offered NRT during pregnancy as part of a quit attempt and who struggled to quit ( n = 10), and a focus group with stop-smoking specialists from across England ( n = 6). The two data sources were coded separately using a thematic approach and then integrated to compare perspectives. Women and specialists agreed on message tone and delivery modes. However, views diverged on the most influential sources for certain messages and whether some information should be given proactively or reactively. There was also disagreement over which messages were novel and which were routinely delivered. This study demonstrates the value of capturing and integrating different perspectives and informational requirements when developing behavior-change interventions. The findings provide useful insights for designing a pregnancy-specific NRT adherence intervention that is acceptable to both those who will deliver and receive it.

Suggested Citation

  • Lisa McDaid & Ross Thomson & Joanne Emery & Tim Coleman & Sue Cooper & Lucy Phillips & Felix Naughton, 2021. "Agreement and Disparities between Women and Stop-Smoking Specialists about How to Promote Adherence to Nicotine Replacement Therapy in Pregnancy," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4673-:d:544850
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    References listed on IDEAS

    as
    1. Julie Boucher & Anne T. M. Konkle, 2016. "Understanding Inequalities of Maternal Smoking—Bridging the Gap with Adapted Intervention Strategies," IJERPH, MDPI, vol. 13(3), pages 1-16, March.
    2. Ross Thomson & Lisa McDaid & Joanne Emery & Lucy Phillips & Felix Naughton & Sue Cooper & Jane Dyas & Tim Coleman, 2019. "Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study," IJERPH, MDPI, vol. 16(23), pages 1-12, November.
    3. Katarzyna A Campbell & Libby Fergie & Tom Coleman-Haynes & Sue Cooper & Fabiana Lorencatto & Michael Ussher & Jane Dyas & Tim Coleman, 2018. "Improving Behavioral Support for Smoking Cessation in Pregnancy: What Are the Barriers to Stopping and Which Behavior Change Techniques Can Influence Them? Application of Theoretical Domains Framework," IJERPH, MDPI, vol. 15(2), pages 1-20, February.
    4. Ross Thomson & Lisa McDaid & Joanne Emery & Felix Naughton & Sue Cooper & Jane Dyas & Tim Coleman, 2019. "Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals," IJERPH, MDPI, vol. 16(10), pages 1-13, May.
    5. Pauline Ford & Anton Clifford & Kim Gussy & Coral Gartner, 2013. "A Systematic Review of Peer-Support Programs for Smoking Cessation in Disadvantaged Groups," IJERPH, MDPI, vol. 10(11), pages 1-16, October.
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    Cited by:

    1. Amanual Getnet Mersha & Michelle Kennedy & Parivash Eftekhari & Gillian Sandra Gould, 2021. "Predictors of Adherence to Smoking Cessation Medications among Current and Ex-Smokers in Australia: Findings from a National Cross-Sectional Survey," IJERPH, MDPI, vol. 18(22), pages 1-14, November.

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