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Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework

Campbell, Katarzyna; Fergie, Libby; Coleman-Haynes, Tom; Cooper, Sue; Lorencatto, Fabiana; Ussher, Michael; Dyas, Jane; Coleman, Tim

Authors

Tom Coleman-Haynes msatc5@exmail.nottingham.ac.uk

Fabiana Lorencatto

Michael Ussher mussher@sgul.ac.uk

Jane Dyas manerba.it@hotmail.co.uk

TIM COLEMAN tim.coleman@nottingham.ac.uk
Professor of Primary Care



Abstract

Behavioral support interventions are used to help pregnant smokers stop; however, of those tested, few are proven effective. Systematic research developing effective pregnancy-specific behavior change techniques (BCTs) is ongoing. This paper reports contributory work identifying potentially-effective BCTs relative to known important barriers and facilitators (B&Fs) to smoking cessation in pregnancy; to detect priority areas for BCTs development. A Nominal Group Technique with cessation experts (n = 12) elicited an expert consensus on B&Fs most influencing women’s smoking cessation and those most modifiable through behavioral support. Effective cessation interventions in randomized trials from a recent Cochrane review were coded into component BCTs using existing taxonomies. B&Fs were categorized using Theoretical Domains Framework (TDF) domains. Matrices, mapping BCT taxonomies against TDF domains, were consulted to investigate the extent to which BCTs in existing interventions target key B&Fs. Experts ranked “smoking a social norm” and “quitting not a priority” as most important barriers and “desire to protect baby” an important facilitator to quitting. From 14 trials, 23 potentially-effective BCTs were identified (e.g., information about consequences). Most B&Fs fell into “Social Influences”, “Knowledge”, “Emotions” and “Intentions” TDF domains; few potentially-effective BCTs mapped onto every TDF domain. B&Fs identified by experts as important to cessation, are not sufficiently targeted by BCT’s currently within interventions for smoking cessation in pregnancy.

Citation

Campbell, K., Fergie, L., Coleman-Haynes, T., Cooper, S., Lorencatto, F., Ussher, M., …Coleman, T. (2018). Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework. International Journal of Environmental Research and Public Health, 15(2), https://doi.org/10.3390/ijerph15020359

Journal Article Type Article
Acceptance Date Feb 13, 2018
Publication Date Feb 17, 2018
Deposit Date Feb 19, 2018
Publicly Available Date Feb 19, 2018
Journal International Journal of Environmental Research and Public Health
Electronic ISSN 1660-4601
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 15
Issue 2
Article Number 359
DOI https://doi.org/10.3390/ijerph15020359
Keywords Smoking cessation; Pregnancy; Behaviour change techniques; Intervention development; Theoretical Domains Framework
Public URL http://eprints.nottingham.ac.uk/id/eprint/49857
Publisher URL http://www.mdpi.com/1660-4601/15/2/359
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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