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Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals

Author

Listed:
  • Ross Thomson

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

  • Lisa McDaid

    (School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

  • Joanne Emery

    (School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

  • Felix Naughton

    (School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK)

  • Sue Cooper

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

  • Jane Dyas

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

  • Tim Coleman

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

Abstract

Smoking during pregnancy is a leading cause of negative pregnancy and perinatal outcomes. While UK guidelines recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy, adherence to NRT is generally low and may partially explain why NRT appears less effective in pregnancy compared to non-pregnant smokers. This study aimed to identify and describe factors associated with NRT adherence from a health professional’s perspective. Two focus groups and one expert group were conducted with 26 professionals involved in antenatal stop smoking services and the data were analysed thematically using a template methodology. From our analyses, we extracted two main themes: (i) ‘Barriers to NRT use in pregnancy’ explores the issues of how misinformation and unrealistic expectations could discourage NRT use, while (ii) ‘Facilitators to NRT use in pregnancy’ describes the different information, and modes of delivery, that stop smoking professionals believe will encourage correct and sustained NRT use. Understanding the barriers and facilitators to improve NRT adherence may aid the development of educational interventions to encourage NRT use and improve outcomes for pregnant women wanting to stop smoking.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1814-:d:233280
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    References listed on IDEAS

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    1. 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.
    2. Katarzyna Anna Campbell & Sophie Orton & Katharine Bowker & Sue Cooper & Tim Coleman, 2019. "Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy," IJERPH, MDPI, vol. 16(8), pages 1-10, April.
    3. Sue Cooper & Sophie Orton & Katarzyna A. Campbell & Michael Ussher & Naomi Coleman-Haynes & Rachel Whitemore & Anne Dickinson & Andy McEwen & Sarah Lewis & Felix Naughton & Katharine Bowker & Lesley S, 2019. "Attitudes to E-Cigarettes and Cessation Support for Pregnant Women from English Stop Smoking Services: A Mixed Methods Study," IJERPH, MDPI, vol. 16(1), pages 1-17, January.
    4. Kylie Morphett & Brad Partridge & Coral Gartner & Adrian Carter & Wayne Hall, 2015. "Why Don’t Smokers Want Help to Quit? A Qualitative Study of Smokers’ Attitudes towards Assisted vs. Unassisted Quitting," IJERPH, MDPI, vol. 12(6), pages 1-17, June.
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    Cited by:

    1. Ross Thomson & Sue Cooper & John Waldron & Efe Mamuzo & Lisa McDaid & Joanne Emery & Lucy Phillips & Felix Naughton & Tim Coleman, 2022. "Smoking Cessation Support for Pregnant Women Provided by English Stop Smoking Services and National Health Service Trusts: A Survey," IJERPH, MDPI, vol. 19(3), pages 1-9, January.
    2. 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.
    3. 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.

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