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

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

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.

Citation

McDaid, L., Thomson, R., Emery, J., Coleman, T., Cooper, S., Phillips, L., & Naughton, F. (2021). Agreement and Disparities between Women and Stop-Smoking Specialists about How to Promote Adherence to Nicotine Replacement Therapy in Pregnancy. International Journal of Environmental Research and Public Health, 18(9), Article 4673. https://doi.org/10.3390/ijerph18094673

• Journal Article Type: Article
• Acceptance Date: Apr 25, 2021
• Online Publication Date: Apr 28, 2021
• Publication Date: May 1, 2021
• Deposit Date: Apr 29, 2021
• Publicly Available Date: Apr 30, 2021
• Journal: International Journal of Environmental Research and Public Health
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 18
• Issue: 9
• Article Number: 4673
• DOI: https://doi.org/10.3390/ijerph18094673
• Keywords: smoking cessation; pregnancy; nicotine replacement therapy (NRT); medication adherence
• Public URL: https://nottingham-repository.worktribe.com/output/5503187
• Publisher URL: https://www.mdpi.com/1660-4601/18/9/4673/htm