scholarly journals Qualitative systematic review: barriers and facilitators to smoking cessation experienced by women in pregnancy and following childbirth

2014 ◽  
Vol 71 (6) ◽  
pp. 1210-1226 ◽  
Author(s):  
Kate Flemming ◽  
Dorothy McCaughan ◽  
Kathryn Angus ◽  
Hilary Graham
2019 ◽  
Vol 9 ◽  
pp. 100164
Author(s):  
Libby Fergie ◽  
Katarzyna A. Campbell ◽  
Tom Coleman-Haynes ◽  
Michael Ussher ◽  
Sue Cooper ◽  
...  

Author(s):  
Ross Thomson ◽  
Lisa McDaid ◽  
Joanne Emery ◽  
Felix Naughton ◽  
Sue Cooper ◽  
...  

Smoking during pregnancy is a leading cause of negative pregnancy and perinatal outcomes. While UK guidelines recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy, adherence to NRT is generally low and may partially explain why NRT appears less effective in pregnancy compared to non-pregnant smokers. This study aimed to identify and describe factors associated with NRT adherence from a health professional’s perspective. Two focus groups and one expert group were conducted with 26 professionals involved in antenatal stop smoking services and the data were analysed thematically using a template methodology. From our analyses, we extracted two main themes: (i) ‘Barriers to NRT use in pregnancy’ explores the issues of how misinformation and unrealistic expectations could discourage NRT use, while (ii) ‘Facilitators to NRT use in pregnancy’ describes the different information, and modes of delivery, that stop smoking professionals believe will encourage correct and sustained NRT use. Understanding the barriers and facilitators to improve NRT adherence may aid the development of educational interventions to encourage NRT use and improve outcomes for pregnant women wanting to stop smoking.


2017 ◽  
Vol 23 (3) ◽  
pp. 232-248 ◽  
Author(s):  
Ra’d Almestahiri ◽  
Sharyn Rundle-Thiele ◽  
Joy Parkinson ◽  
Denni Arli

This study provides a qualitative systematic review of social marketing tobacco cessation programs identify the extent to which seven major components of social marketing are used in social marketing programs targeting tobacco cessation and to classify them according to social marketing stream: downstream midstream or upstream. Sixteen databases were examined to identify studies reporting the use of social marketing to address cigarette smoking cessation. Fourteen empirical studies were classified. Only one of 14 interventions used all seven of the major components of social marketing. The review identified that downstream ( n = 11) interventions remain the dominant focus in social marketing interventions targeting tobacco, despite calls for social marketers to move upstream during this time. The current review was restricted to studies that self-identified as social marketing and studies published in peer-reviewed journals in the English language which is limiting. This study included all empirical studies published from 2002 to January, 2016; however only using published studies may bias results. The results indicate that social marketing interventions targeting tobacco cessation can be successful even when some of seven distinguishing and mutually exclusive features of social marketing are applied. This article presents the first attempt to review the extent that social marketing principles are used in interventions targeting tobacco intake cessation and to classify social marketing interventions into social marketing streams.


2018 ◽  
Vol 12 (4) ◽  
pp. 333-356 ◽  
Author(s):  
Sarah Ellen Griffiths ◽  
Joanne Parsons ◽  
Felix Naughton ◽  
Emily Anne Fulton ◽  
Ildiko Tombor ◽  
...  

2020 ◽  
Vol 15 (2) ◽  
pp. 94-108 ◽  
Author(s):  
Kirstie Soar ◽  
Lynne Dawkins ◽  
Deborah Robson ◽  
Sharon Cox

AbstractBackgroundTo date, there has been no review of the research evidence examining smoking cessation among homeless adults. The current review aimed to: (i) estimate smoking prevalence in homeless populations; (ii) explore the efficacy of smoking cessation and smoking reduction interventions for homeless individuals; and (iii) describe the barriers and facilitators to smoking cessation and smoking reduction.MethodSystematic review of peer-reviewed research. Data sources included electronic academic databases. Search terms: ‘smoking’ AND ‘homeless’ AND ‘tobacco’, including adult (18+ years) smokers accessing homeless support services.ResultsFifty-three studies met the inclusion criteria (n = 46 USA). Data could not be meta-analysed due to large methodological inconsistencies and the lack of randomised controlled trials. Smoking prevalence ranged from 57% to 82%. Although there was no clear evidence on which cessation methods work best, layered approaches with additions to usual care seemed to offer modest enhancements in quit rates. Key barriers to cessation exist around the priority of smoking, beliefs around negative impact on mental health and substance use, and environmental influences.ConclusionsHomeless smokers will benefit from layered interventions which support many of their competing needs. To best understand what works, future recommendations include the need for consensus on the reporting of cessation outcomes.


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