IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i2p430-d476397.html
   My bibliography  Save this article

A Qualitative Study of Factors Influencing Adherence among Pregnant Women Taking Part in a Trial of E-Cigarettes for Smoking Cessation

Author

Listed:
  • Allison Ford

    (Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK)

  • Isabelle Uny

    (Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK)

  • Judith Lowes

    (Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK)

  • Felix Naughton

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

  • Sue Cooper

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

  • Tim Coleman

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

  • Peter Hajek

    (Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK)

  • Dunja Przulj

    (Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK)

  • Katie Myers Smith

    (Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK)

  • Linda Bauld

    (Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh EH8 9AG, UK)

  • Lesley Sinclair

    (Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh EH8 9AG, UK)

  • Robert Walton

    (Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK)

  • Miranda Clark

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

  • Michael Ussher

    (Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK
    Population Health Research Institute, St George’s University of London, London SW17 ORE, UK)

Abstract

Use of e-cigarettes (vaping) has potential to help pregnant women stop smoking. This study explored factors influencing adherence among participants in the vaping arm of the first trial of vaping for smoking cessation in pregnancy. We conducted semi-structured telephone interviews (n = 28) with women at three-months postpartum. Interviews were analysed using thematic analysis, informed by the Theoretical-Domains Framework, Necessity-Concerns Framework and Perceptions and Practicalities Approach. Interviewees generally reported high levels of vaping. We found that: (1) intervention adherence was driven by four necessity beliefs—stopping smoking for the baby, and vaping for harm reduction, smoking cessation or as a last resort; (2) necessity beliefs outweighed vaping concerns, such as dependence and safety; (3) adherence was linked to four practicalities themes, acting as barriers and facilitators to vaping—device and e-liquid perceptions, resources and support, whether vaping became habitual, and social and environmental factors; and (4) intentional non-adherence was rare; unintentional non-adherence was due to device failures, forgetting to vape, and personal circumstances and stress. Pregnant smokers provided with e-cigarettes, and with generally high levels of vaping, had positive beliefs about the necessity of vaping for smoking cessation which outweighed concerns about vaping. Non-adherence was mainly due to unintentional factors.

Suggested Citation

  • Allison Ford & Isabelle Uny & Judith Lowes & Felix Naughton & Sue Cooper & Tim Coleman & Peter Hajek & Dunja Przulj & Katie Myers Smith & Linda Bauld & Lesley Sinclair & Robert Walton & Miranda Clark , 2021. "A Qualitative Study of Factors Influencing Adherence among Pregnant Women Taking Part in a Trial of E-Cigarettes for Smoking Cessation," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:430-:d:476397
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/2/430/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/2/430/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Katharine Bowker & Michael Ussher & Sue Cooper & Sophie Orton & Tim Coleman & Katarzyna Anna Campbell, 2020. "Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    2. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Eleanor Lutman-White & Riya Patel & Lauren Bell & Deborah Lycett & Kelly Hayward & Ruth Sampson & Janani Arulrajah & Maxine Whelan, 2024. "Provision of E-Cigarettes for Smoking Cessation in Pregnancy: Perceptions and Experiences of Pregnant Women from Two UK Sites," IJERPH, MDPI, vol. 21(4), pages 1-12, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. 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.
    3. 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.
    4. Eleanor Lutman-White & Riya Patel & Deborah Lycett & Kelly Hayward & Ruth Sampson & Janani Arulrajah & Maxine Whelan, 2024. "Implementing E-Cigarettes as an Alternate Smoking Cessation Tool during Pregnancy: A Process Evaluation at Two UK Sites," IJERPH, MDPI, vol. 21(3), pages 1-17, March.
    5. David, Jean-Charles & Fonte, David & Sutter-Dallay, Anne-Laure & Auriacombe, Marc & Serre, Fuschia & Rascle, Nicole & Loyal, Deborah, 2024. "The stigma of smoking among women: A systematic review," Social Science & Medicine, Elsevier, vol. 340(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:430-:d:476397. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.