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

Lisa McDaid, Ross Thomson, Joanne Emery, Tim Coleman, Sue Cooper, Lucy Phillips and Felix Naughton
Additional contact information
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

IJERPH, 2021, vol. 18, issue 9, 1-16

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.

Keywords: smoking cessation; pregnancy; nicotine replacement therapy (NRT); medication adherence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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