Skip to main content

Research Repository

See what's under the surface

Advanced Search

Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study

Thomson, Ross; McDaid, Lisa; Emery, Joanne; Dyas, Jane; Phillips, Lucy; Naughton, Felix; Cooper, Sue; Coleman, Tim

Authors

Ross Thomson ross.thomson1@nottingham.ac.uk

Lisa McDaid

Joanne Emery

Jane Dyas

Lucy Phillips

Felix Naughton

Sue Cooper

Tim Coleman



Abstract

Many countries, including the UK, recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy. However, adherence to NRT is generally low, smoking lapse or relapse is common and using NRT to reduce the harm from the number of cigarettes smoked is only advocated in non-pregnant smokers. Two focus groups were conducted with 13 professionals involved in antenatal stop smoking services (SSS). The data were analysed thematically. Two themes were extracted that describe health professionals’ attitudes towards using NRT either during lapses or to reduce smoking in women who cannot quit (harm reduction). These are presented around a social–ecological framework describing three hierarchical levels of influence within smoking cessation support: (1) Organizational: providing NRT during lapses could be expensive for SSS though harm reduction could result in services helping a wider range of clients. (2) Interpersonal: participants felt using NRT for harm reduction was not compatible with cessation-orientated messages practitioners conveyed to clients. (3) Individual: practitioners’ advice regarding using NRT during smoking lapses varied; many were generally uncomfortable about concurrent smoking and NRT use and had strong reservations about recommending NRT when smoking during all but the briefest lapses. Further evidence is required to guide policy and practice.

Journal Article Type Article
Publication Date Dec 1, 2019
Journal International Journal of Environmental Research and Public Health
Print ISSN 1660-4601
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 16
Issue 23
Article Number 4791
APA6 Citation Thomson, R., McDaid, L., Emery, J., Dyas, J., Phillips, L., Naughton, F., …Coleman, T. (2019). Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study. International Journal of Environmental Research and Public Health, 16(23), https://doi.org/10.3390/ijerph16234791
DOI https://doi.org/10.3390/ijerph16234791
Keywords smoking cessation; pregnancy; nicotine replacement therapy; NRT; stop smoking services; harm reduction
Publisher URL https://www.mdpi.com/1660-4601/16/23/4791/htm

Files

Thomson Int J Environ Res Pub Health 2019 (305 Kb)
PDF

Copyright Statement
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).





You might also like



Downloadable Citations

;