Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

The needs and preferences of pregnant smokers regarding tailored Internet-based smoking cessation interventions: a qualitative interview study

Authors: Aleksandra Herbec, Emma Beard, Jamie Brown, Benjamin Gardner, Ildiko Tombor, Robert West

Published in: BMC Public Health | Issue 1/2014

Login to get access

Abstract

Background

Internet-based Smoking Cessation Interventions (ISCIs) may help pregnant smokers who are unable, or unwilling, to access face-to-face stop smoking support. Targeting ISCIs to specific groups of smokers could increase their uptake and effectiveness. The current study explored the needs and preferences of pregnant women seeking online stop smoking support with an aim to identify features and components of ISCIs that might be most attractive to this population.

Methods

We conducted qualitative interviews with thirteen pregnant women who completed the intervention arm of a pilot randomized controlled trial of a novel ISCI for pregnant smokers (‘MumsQuit’). The interviews explored women’s views towards MumsQuit and online support with quitting smoking in general, as well as their suggestions for how ISCIs could be best targeted to pregnancy. Interview transcripts were analyzed using Framework Analysis.

Results

Participants expressed preferences for an accessible, highly engaging and targeted to pregnancy smoking cessation website, tailored to individuals’ circumstances as well as use of cessation medication, offering comprehensive and novel information on smoking and quitting smoking in pregnancy, ongoing support with cravings management, as well as additional support following relapse to smoking. Participants also viewed as important targeting of the feedback and progress reports to baby’s health and development, offering personal support from experts, and providing a discussion forum allowing for communication with other pregnant women wanting to quit .

Conclusions

The present study has identified a number of potential building blocks for ISCIs targeted to quitting smoking in pregnancy. Pregnant smokers willing to try using ISCI may particularly value an engaging intervention offering a high degree of targeting of comprehensive information to them as a group and tailoring support and advice to their individual needs, as well as one providing post-relapse support, peer-to-peer communication and personal support from experts.
Appendix
Available only for authorised users
Literature
1.
Einarson A, Riordan S: Smoking in pregnancy and lactation: a review of risks and cessation strategies. Eur J Clin Pharmacol. 2009, 65: 325-330. 10.1007/s00228-008-0609-0.CrossRefPubMed
2.
Hackshaw A, Rodeck C, Boniface S: Maternal smoking in pregnancy and birth defects: a systematic review based on 173 687 malformed cases and 11.7 million controls. Hum Reprod Update. 2011, 17: 589-604. 10.1093/humupd/dmr022.CrossRefPubMedPubMedCentral
3.
Tong VT, Dietz PM, Farr SL, D’Angelo DV, England LJ: Estimates of smoking before and during pregnancy, and smoking cessation during pregnancy: comparing two population-based data sources. Publ Health Re. 2013, 128: 179-188.
4.
Ekblad M, Gissler M, Korkeila J, Lehtonen L: Trends and risk groups for smoking during pregnancy in Finland and other Nordic countries. Eur J Publ Health. 2013, 24: 544-551.CrossRef
5.
The NHS Information Centre: Infant feeding survey 2010. Early Results. The Information Centre for Health and Social Care and the UK Health Departments. 2011
6.
Ussher M, West R, Hibbs N: A survey of pregnant smokers’ interest in different types of smoking cessation support. Patient Educ Couns. 2004, 54: 67-72. 10.1016/S0738-3991(03)00197-6.CrossRefPubMed
7.
Chamberlain C, O’Mara-Eves A, Oliver S, Caird JR, Perlen SM, Eades SJ, Thomas J: Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database Syst Rev. 2013, Art. No.: CD001055-doi:10.1002/14651858.CD001055.pub4, Issue 10
8.
9.
10.
Bryce A, Butler C, Gnich W, Sheehy C, Tappin DM: CATCH: development of a home-based midwifery intervention to support young pregnant smokers to quit. Midwifery. 2009, 25: 473-482. 10.1016/j.midw.2007.10.006.CrossRefPubMed
11.
Ussher M, Etter JF, West R: Perceived barriers to and benefits of attending a stop smoking course during pregnancy. Patient Educ Couns. 2006, 61: 467-472. 10.1016/j.pec.2005.06.021.CrossRefPubMed
12.
Naughton F, Prevost AT, Sutton S: Self-help smoking cessation interventions in pregnancy: a systematic review and meta-analysis. Addiction. 2008, 103: 566-579. 10.1111/j.1360-0443.2008.02140.x.CrossRefPubMed
13.
Naughton F, Prevost AT, Gilbert H, Sutton S: Randomized controlled trial evaluation of a tailored leaflet and SMS text message self-help intervention for pregnant smokers (MiQuit). Nicotine Tob Res. 2012, 14: 569-577. 10.1093/ntr/ntr254.CrossRefPubMed
14.
Naughton F, Jamison J, Sutton S: Attitudes towards SMS text message smoking cessation support: a qualitative study of pregnant smokers. Health Educ Res. 2013, 28: 911-922. 10.1093/her/cyt057.CrossRefPubMed
15.
Raupach T, West R, Brown J: The most "successful" method for failing to quit smoking is unassisted cessation. Nicotine Tob Res. 2013, 15: 748-749. 10.1093/ntr/nts164.CrossRefPubMed
16.
Marsch LA, Carroll KM, Kiluk BD: Technology-based interventions for the treatment and recovery management of substance use disorders: a JSAT special issue. J Subst Abuse Treat. 2014, 46: 1-4. 10.1016/j.jsat.2013.08.010.CrossRefPubMed
17.
Brown J, Michie S, Raupach T, West R: Prevalence and characteristics of smokers interested in internet-based smoking cessation interventions: cross-sectional findings from a national household survey. J Med Internet Res. 2013, 15: e50-10.2196/jmir.2342.CrossRefPubMedPubMedCentral
18.
19.
Te Poel F, Bolman C, Reubsaet A, de Vries H: Efficacy of a single computer-tailored e-mail for smoking cessation: results after 6 months. Health Educ Res. 2009, 24: 930-940. 10.1093/her/cyp036.CrossRefPubMed
20.
Myung SK, McDonnell DD, Kazinets G, Seo HG, Moskowitz JM: Effects of Web- and computer-based smoking cessation programs: meta-analysis of randomized controlled trials. Arch Intern Med. 2009, 169: 929-937. 10.1001/archinternmed.2009.109.CrossRefPubMed
21.
Noar SM, Benac CN, Harris MS: Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007, 133: 673-693.CrossRefPubMed
22.
Shahab L, McEwen A: Online support for smoking cessation: a systematic review of the literature. Addiction. 2009, 104: 1792-1804. 10.1111/j.1360-0443.2009.02710.x.CrossRefPubMed
23.
Michie S, van Stralen MM, West R: The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011, 6: 42-10.1186/1748-5908-6-42.CrossRefPubMedPubMedCentral
24.
Kreuter MW, Skinner CS: Tailoring: what’s in a name?. Health Educ Res. 2000, 15: 1-4. 10.1093/her/15.1.1.CrossRefPubMed
25.
Strecher VJ: Computer-tailored smoking cessation materials: a review and discussion. Patient Educ Couns. 1999, 36: 107-117. 10.1016/S0738-3991(98)00128-1.CrossRefPubMed
26.
Meis T, Gaie M, Pingree S, Boberg EW, Patten CA, Offord KP, Berry KL, Gustafson DH: Development of a tailored, internet-based smoking cessation intervention for adolescents. J Comput Mediat Commun. 2002, 7: 0-CrossRef
27.
Swartz LH, Noell JW, Schroeder SW, Ary DV: A randomised control study of a fully automated internet based smoking cessation programme. Tob Control. 2006, 15: 7-12. 10.1136/tc.2003.006189.CrossRefPubMedPubMedCentral
28.
Herbec A, Brown J, Tombor I, Michie S, West R: Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers (‘MumsQuit’). Drug Alcohol Depend. 2014, 140: 130-136.CrossRefPubMedPubMedCentral
29.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008, 337: a1655-10.1136/bmj.a1655.CrossRefPubMedPubMedCentral
30.
Brown J, Michie S, Geraghty AW, Miller S, Yardley L, Gardner B, Shahab L, Stapleton JA, West R: A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum. Addict Behav. 2012, 37: 1365-1370. 10.1016/j.addbeh.2012.05.016.CrossRefPubMed
31.
Michie S, Brown J, Geraghty AW, Miller S, Yardley L, Gardner B, Shahab L, McEwen A, Stapleton JA, West R: Development of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention. Transl Behav Med. 2012, 2: 263-275. 10.1007/s13142-012-0135-6.CrossRefPubMedPubMedCentral
32.
West R: The multiple facets of cigarette addiction and what they mean for encouraging and helping smokers to stop. COPD. 2009, 6: 277-283. 10.1080/15412550903049181.CrossRefPubMed
33.
Michie S, Hyder N, Walia A, West R: Development of a taxonomy of behaviour change techniques used in individual behavioural support for smoking cessation. Addict Behav. 2011, 36: 315-319. 10.1016/j.addbeh.2010.11.016.CrossRefPubMed
34.
Ritchie J, Lewis J: Qualitative Research Practice: A Guide for Social Science Students and Researchers. 2003, London: Sage Publications
35.
Beard E, Vangeli E, Michie S, West R: The use of nicotine replacement therapy for smoking reduction and temporary abstinence: an interview study. Nicotine Tob Res. 2012, 14: 849-856. 10.1093/ntr/ntr297.CrossRefPubMed
36.
Srivastava A, Thomson SB: Framework analysis: a qualitative methodology for applied policy research. JOAGG. 2009, 4: 72-79.
37.
Madill A, Jordon A, Shirley C: Objectivity and reliability in qualitative analysis: realist, contextualist and radical constructionist epistemologies. Br J Psychol. 2000, 90: 1-20.CrossRef
38.
39.
Rimer BK, Orleans CT, Fleisher L, Cristinzio S, Resch N, Telepchak J, Keintz MK: Does tailoring matter? The impact of a tailored guide on ratings and short-term smoking-related outcomes for older smokers. Health Educ Res. 1994, 9: 69-84. 10.1093/her/9.1.69.CrossRefPubMed
40.
Strecher VJ, McClure J, Alexander G, Chakraborty B, Nair V, Konkel J, Greene S, Couper M, Carlier C, Wiese C, Little R, Pomerleau C, Pomerleau O: The role of engagement in a tailored web-based smoking cessation program: randomized controlled trial. J Med Internet Res. 2008, 10: e36-10.2196/jmir.1002.CrossRefPubMedPubMedCentral
41.
Strecher VJ, McClure JB, Alexander GL, Chakraborty B, Nair VN, Konkel JM, Greene SM, Collins LM, Carlier CC, Wiese CJ, Little RJ, Pomerleau CS, Pomerleau OF: Web-based smoking-cessation programs: results of a randomized trial. Am J Prev Med. 2008, 34: 373-381. 10.1016/j.amepre.2007.12.024.CrossRefPubMedPubMedCentral
42.
Secker-Walker RH, Solomon LJ, Flynn BS, Skelly JM, Mead PB: Smoking relapse prevention during pregnancy. Am J Prev Med. 1998, 15: 25-31. 10.1016/S0749-3797(98)00029-4.CrossRefPubMed
43.
Kirchner TR, Shiffman S, Wileyto EP: Relapse dynamics during smoking cessation: recurrent abstinence violation effects and lapse-relapse progression. J Abnorm Psychol. 2012, 121: 187-197.CrossRefPubMed
44.
Newman MG, Szkodny LE, Llera SJ, Przeworski A: A review of technology-assisted self-help and minimal contact therapies for drug and alcohol abuse and smoking addiction: is human contact necessary for therapeutic efficacy?. Clin Psychol Rev. 2011, 31: 178-186. 10.1016/j.cpr.2010.10.002.CrossRefPubMed
45.
Harrington KF, McDougal JA, Pisu M, Zhang B, Sadasivam RS, Houston TK, Bailey WC, Group CC: Web-based smoking cessation intervention that transitions from inpatient to outpatient: study protocol for a randomized controlled trial. Trials. 2012, 13: 123-10.1186/1745-6215-13-123.CrossRefPubMedPubMedCentral
46.
Cobb NK, Graham AL, Byron MJ, Niaura RS, Abrams DB, Workshop P: Online social networks and smoking cessation: a scientific research agenda. J Med Internet Res. 2011, 13: e119-10.2196/jmir.1911.CrossRefPubMedPubMedCentral
47.
Brouwer W, Kroeze W, Crutzen R, de Nooijer J, de Vries NK, Brug J, Oenema A: Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? A systematic review. J Med Internet Res. 2011, 13: e2-10.2196/jmir.1639.CrossRefPubMedPubMedCentral
48.
Cobb NK, Graham AL, Bock BC, Papandonatos G, Abrams DB: Initial evaluation of a real-world Internet smoking cessation system. Nicotine Tob Res. 2005, 7: 207-216. 10.1080/14622200500055319.CrossRefPubMedPubMedCentral
49.
White M, Dorman SM: Receiving social support online: implications for health education. Health Educ Res. 2001, 16: 693-707. 10.1093/her/16.6.693.CrossRefPubMed
50.
Mohr DC, Cuijpers P, Lehman K: Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. J Med Internet Res. 2011, 13: e30-10.2196/jmir.1602.CrossRefPubMedPubMedCentral
51.
Lorencatto F, West R, Michie S: Specifying evidence-based behavior change techniques to aid smoking cessation in pregnancy. Nicotine Tob Res. 2012, 14: 1019-1026. 10.1093/ntr/ntr324.CrossRefPubMed
52.
Pike KJ, Rabius V, McAlister A, Geiger A: American Cancer Society’s QuitLink: randomized trial of Internet assistance. Nicotine Tob Res. 2007, 9: 415-420. 10.1080/14622200701188877.CrossRefPubMed
53.
Ashwin C, Watts K: Exploring the views of women on using nicotine replacement therapy in pregnancy. Midwifery. 2010, 26: 401-406. 10.1016/j.midw.2008.11.001.CrossRefPubMed
54.
Ritterband LM, Thorndike FP, Cox DJ, Kovatchev BP, Gonder-Frederick LA: A behavior change model for internet interventions. Ann Behav Med. 2009, 38: 18-27.CrossRefPubMedPubMedCentral
55.
Crutzen R, Cyr D, de Vries NK: The role of user control in adherence to and knowledge gained from a website: randomized comparison between a tunneled version and a freedom-of-choice version. J Med Internet Res. 2012, 14: e45-10.2196/jmir.1922.CrossRefPubMedPubMedCentral
56.
Lehto T, Oinas-Kukkonen H: Persuasive features in web-based alcohol and smoking interventions: a systematic review of the literature. J Med Internet Res. 2011, 13: e46-10.2196/jmir.1559.CrossRefPubMedPubMedCentral
57.
Ondersma SJ, Chase SK, Svikis DS, Schuster CR: Computer-based brief motivational intervention for perinatal drug use. J Subst Abuse Treat. 2005, 28: 305-312. 10.1016/j.jsat.2005.02.004.CrossRefPubMed
58.
Ondersma SJ, Svikis DS, Thacker LR, Beatty JR, Lockhart N: Computer-delivered screening and brief intervention (e-SBI) for postpartum drug use: a randomized trial. J Subst Abuse Treat. 2014, 46: 52-59. 10.1016/j.jsat.2013.07.013.CrossRefPubMed
59.
Park ER, Quinn VP, Chang Y, Regan S, Loudin B, Cummins S, Perry K, Rigotti NA: Recruiting pregnant smokers into a clinical trial: using a network-model managed care organization versus community-based practices. Prev Med. 2007, 44: 223-229. 10.1016/j.ypmed.2006.10.008.CrossRefPubMed
60.
Pollak KI, Oncken CA, Lipkus IM, Peterson BL, Swamy GK, Pletsch PK, Lyna P, Namenek Brouwer RJ, Fish LJ, Myers ER: Challenges and solutions for recruiting pregnant smokers into a nicotine replacement therapy trial. Nicotine Tob Res. 2006, 8: 547-554. 10.1080/14622200600789882.CrossRefPubMed
61.
Sandelowski M: Sample size in qualitative research. Res Nurs Health. 1995, 18: 179-183. 10.1002/nur.4770180211.CrossRefPubMed
Metadata
Title
The needs and preferences of pregnant smokers regarding tailored Internet-based smoking cessation interventions: a qualitative interview study
Authors
Aleksandra Herbec
Emma Beard
Jamie Brown
Benjamin Gardner
Ildiko Tombor
Robert West
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-1070

Other articles of this Issue 1/2014

BMC Public Health 1/2014 Go to the issue

Research article

Accelerometer-determined physical activity and self-reported health in a population of older adults (65–85 years): a cross-sectional study

Research article

Low birth weight and environmental tobacco smoke increases the risk of wheezing in adolescents: a retrospective cohort study

Research article

Parents’ preferences for vaccinating daughters against human papillomavirus in the Netherlands: a discrete choice experiment

Research article

Knowledge and perceptions about the health impact of climate change among health sciences students in Ethiopia: a cross-sectional study

Erratum

Erratum to: Consequences of hypertension and chronic obstructive pulmonary disease, healthcare-seeking behaviors of patients, and responses of the health system: a population-based cross-sectional study in Bangladesh

Research article

Be smart against cancer! A school-based program covering cancer-related risk behavior