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Healthcare Providers’ Views on Digital Smoking Cessation Interventions for Pregnant Women

Published online by Cambridge University Press:  10 March 2014

Ildiko Tombor Open the ORCID record for Ildiko Tombor [Opens in a new window] ,
Joanne Neale ,
Lion Shahab ,
Milagros Ruiz  and
Robert West
Ildiko Tombor*
Affiliation:
Cancer Research UK Health Behaviour Research Centre, University College London
Joanne Neale
Affiliation:
Institute of Psychiatry, King's CollegeLondon
Lion Shahab
Affiliation:
Research Department of Epidemiology and Public Health, University College London
Milagros Ruiz
Affiliation:
Research Department of Epidemiology and Public Health, University College London
Robert West
Affiliation:
Cancer Research UK Health Behaviour Research Centre, University College London
*
Address for correspondence: Ildiko Tombor, Cancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK; E-mail: ildiko.tombor.11@ucl.ac.uk
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Abstract

Introduction: Digital smoking cessation aids may benefit pregnant smokers who do not wish to receive face-to-face behavioural support. Healthcare providers (HCPs) who interact with pregnant smokers may have valuable insights into their development and use.

Aims: To explore HCPs’ views of using digital smoking cessation interventions with pregnant women in order to inform the design and delivery of digital smoking cessation interventions.

Methods: Two structured focus groups were conducted with HCPs (n = 16) who provided smoking cessation support for pregnant women in England. Discussions covered participants’ general views about digital smoking cessation interventions, the potential of such interventions for smoking cessation support for pregnant smokers, and recommendations for future intervention development. Transcripts were analysed thematically.

Results: HCPs identified a variety of ways in which digital interventions could benefit pregnant smokers, such as by providing anonymity, offering consistent quality of advice, and being available on demand. The identified limitations of digital smoking cessation interventions included lack of access among those most economically disadvantaged, the need for high levels of self-motivation, and lack of human contact. Addressing pregnant smokers’ negative perceptions of smoking cessation support, providing rewarding experiences, and tailoring the intervention to smokers’ level of confidence were among HCPs’ recommendations.

Conclusions: HCPs indicated that digital interventions offer a range of potential benefits that could make them useful for pregnant smokers. Nonetheless, important limitations and recommendations regarding their design and delivery were identified and these need to be addressed in intervention development.

Keywords

digital behaviour change interventionssmoking cessationpregnancyhealthcare providers
Type
Articles
Information
Journal of Smoking Cessation , Volume 10 , Issue 2 , December 2015 , pp. 116 - 123
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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References

Abatemarco, D. J., Steinberg, M. B., & Delnevo, C. D. (2007). Midwives’ knowledge, perceptions, beliefs, and practice supports regarding tobacco dependence treatment. Journal of Midwifery & Women's Health, 52, 451–7.Google Scholar
Beenstock, J., Sniehotta, F. F., White, M., Bell, R., Milne, E. M. G., & Araujo-Soares, V. (2012). What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England. Implementation Science, 7 (6).Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.Google Scholar
Chen, Y.-F., Madan, J., Welton, N., Yahaya, I., Aveyard, P., Bauld, L., et al. (2012). Effectiveness and cost-effectiveness of computer and other electronic aids for smoking cessation: a systematic review and network meta-analysis. Health Technology Assessment, 16 (38), 1–205.CrossRefGoogle ScholarPubMed
Civljak, M., Sheikh, A., Stead, L. F., & Car, J. (2010). Internet-based interventions for smoking cessation. Cochrane Database of Systematic Reviews, 8 (9), CD007078.Google Scholar
Finch, H., & Lewis, J. (2003). Focus Groups. In Ritchie, J. & Lewis, J. (eds.), Qualitative Research Practice. A Guide for Social Science Students and Researchers. (pp. 170–98). London, Thousand Oaks, New Delhi: SAGE Publications.Google Scholar
Gao, L.-L., Larsson, M., & Luo, S.-Y. (2013). Internet use by Chinese women seeking pregnancy-related information. Midwifery, 29 (7), 730–5.Google Scholar
Herberts, C., & Sykes, C. (2012). Midwives’ perceptions of providing stop-smoking advice and pregnant smokers’ perceptions of stop-smoking services within the same deprived area of London. Journal of Midwifery & Women's Health, 57 (1), 67–73.CrossRefGoogle ScholarPubMed
Huberty, J., Dinkel, D., Beets, M. W., & Coleman, J. (2013). Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Maternal and Child Health Journal, 17 (8), 1363–72.Google Scholar
Ingall, G., & Cropley, M. (2010). Exploring the barriers of quitting smoking during pregnancy: a systematic review of qualitative studies. Women and Birth, 23 (2), 45–52.CrossRefGoogle ScholarPubMed
Krueger, R. A. (2002). Designing and conducting focus group interviews available from http://www.citeulike.org/user/higher_ed/article/10453546 Google Scholar
Krueger, R. A., & Casey, M. A. (2009). Focus Groups: A Practical Guide for Applied Research – 4th ed.: SAGE Publications, USA.Google Scholar
Larsson, M. (2009). A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery, 25 (1), 14–20.CrossRefGoogle ScholarPubMed
Laz, T. H., & Berenson, A. B. (2013). Racial and ethnic disparities in internet use for seeking health information among young women. Journal of Health Communication: International Perspectives, 18 (2), 250–60.Google Scholar
Lorencatto, F., West, R., & Michie, S. (2012). Specifying evidence-based behaviour change techniques to aid smoking cessation in pregnancy. Nicotine & Tobacco Research, 14 (9), 1019–26.CrossRefGoogle ScholarPubMed
Madill, A., Jordan, A., & Shirley, C. (2000). Objectivity and reliability in qualitative analysis: Realist, contextualist and radical constructionist epistemologies. British Journal of Psychology, 91, 1–20.Google Scholar
Michie, S., Brown, J., Geraghty, A.W. A., Miller, S., Yardley, L., Gardner, B., et al. (2012). Development of StopAdvisor. A theory-based interactive internet-based smoking cessation intervention. Translational Behavioral Medicine: Practice, Policy and Research, 2 (3), 263–75.Google Scholar
Michie, S., Hyder, N., Walia, A., & West, R. (2011). Development of a taxonomy of behaviour change techniques used in individual behavioural support for smoking cessation. Addictive Behaviors, 36 (4), 315–19.Google Scholar
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., et al. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46 (1), 81–95.CrossRefGoogle ScholarPubMed
Myung, S. K., McDonnell, D. D., Kazinets, G., Seo, H. G., & Moskowitz, J. M. (2009). Effects of Web- and computer-based smoking cessation programs: meta-analysis of randomized controlled trials. Archives of International Medicine, 169 (10), 929–37.Google Scholar
Naughton, F., Jamison, J., & Sutton, S. (2013). Attitudes towards SMS text message smoking cessation support: a qualitative study of pregnant smokers. Health Education Research, 28 (5), 911–22.Google Scholar
Naughton, F., Prevost, A. T., Gilbert, H., & Sutton, S. (2012). Randomized controlled trial evaluation of a tailored leaflet and SMS text message self-help intervention for pregnant smokers (MiQuit). Nicotine & Tobacco Research, 14 (5), 569–77.CrossRefGoogle ScholarPubMed
NICE. (2010a). Antenatal Care. London: NHS National Institute for Health and Clinical Excellence.Google Scholar
NICE. (2010b). Quitting smoking in pregnancy and following childbirth. London: NHS National Institute for Health and Clinical Excellence.Google Scholar
Pollak, K. I., Lyna, P., Bilheimer, A., Farrell, D., Gao, X., Swamy, G. K., et al. (2013). A pilot study testing SMS text delivered scheduled gradual reduction to pregnant smokers. Nicotine & Tobacco Research, 15 (10), 1773–6.Google Scholar
Price, J. H., Jordan, T. R., & Dake, J. A. (2006). Perceptions and Use of Smoking Cessation in Nurse-Midwives’ Practice. Journal of Midwifery & Women's Health, 51, 208–15.CrossRefGoogle ScholarPubMed
Shahab, L., & McEwen, A. (2009). Online support for smoking cessation: a systematic review of the literature. Addiction, 104 (11), 1792–804.Google Scholar
Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., & Woerkum, C. M. J. (2005). Nutrition-related information-seeking behaviours before and throughout the course of pregnancy: consequences for nutrition communication. European Journal of Clinical Nutrition, 59(Suppl 1), S57–S65.Google Scholar
Tappin, D. M., McAskill, S., Bauld, L., Eadie, D., Shipton, D., & Galbraith, L. (2010). Smoking prevalence and smoking services for pregnant women in Scotland. Substance Abuse Treatment, Prevention, and Policy, 5 (1).CrossRefGoogle ScholarPubMed
Thyrian, J. R., Hannöver, W., Röske, K., Scherbarth, S., Hapke, U., & John, U. (2006). Midwives’ attitudes to counselling women about their smoking behaviour during pregnancy and postpartum. Midwifery, 22, 32–9.CrossRefGoogle ScholarPubMed
Ussher, M., Etter, J. F., & West, R. (2006). Perceived barriers to and benefits of attending a stop smoking course during pregnancy. Patient Education and Counseling, 61 (3), 467–72.Google Scholar
West, R., Walia, A., Hyder, N., Shahab, L., & Michie, S. (2010). Behaviour change techniques used by the English Stop Smoking Services and their associations with short-term quit outcomes. Nicotine & Tobacco Research, 12 (7), 742–7.Google Scholar
Whittaker, R., Borland, R., Bullen, C., Lin, R. B., McRobbie, H., & Rodgers, A. (2009). Mobile phone-based interventions for smoking cessation. Cochrane Database of Systematic Reviews, 7 (4), CD006611.Google Scholar