Healthcare professionals’ beliefs, attitudes, knowledge and behaviour around vaping in pregnancy and postpartum: A qualitative study

Hunter, Abby, Yargawa, Judith, Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304, Ussher, Michael, Bobak, Alex, Murray, Rachael L., Nath, Srabani and Cooper, Sue (2021) Healthcare professionals’ beliefs, attitudes, knowledge and behaviour around vaping in pregnancy and postpartum: A qualitative study. Nicotine and Tobacco Research, 23 (3). 471–478. ISSN 1462-2203

[thumbnail of Accepted_Manuscript]
Preview
PDF (Accepted_Manuscript) - Accepted Version
Download (803kB) | Preview

Abstract

Introduction: Finding effective ways to help pregnant women quit smoking and maintain long-term abstinence is a public health priority. Electronic cigarettes (i.e., vaping) could be a suitable cessation tool in pregnancy for those who struggle to quit, however, healthcare professionals (HCP) must be informed about these devices to offer appropriate advice. This study used the Capability, Opportunity, Motivation and Behaviour (COM-B) model and Theoretical Domains Framework (TDF) to explore HCP attitudes towards vaping in pregnancy and postpartum; beliefs about the health risks of vaping; perceived barriers and facilitators of vaping in pregnancy; knowledge of current guidelines and policies; and training needs. Methods: Interviews (n=60) were conducted with midwives (n=17), health visitors (n=10), general practitioners (GPs) (n=15) and stop smoking specialists (n=18) across the UK. Interview transcriptions were analysed thematically using the framework approach and the COM-B. Results: Discussing vaping as a tool for quitting smoking in pregnancy was prevented by a lack of capability (limited knowledge of ECs, lack of training in smoking cessation); lack of opportunity (restricted by organisational policies and guidelines, lack of time and financial issues impacting on training), and negative social influences (sensationalist media and stigma associated with vaping in pregnancy); and lack of motivation (fear of future litigation and comebacks should adverse effects from vaping arise). Conclusions: Factors related to capability, opportunity and motivation were identified that influence HCPs attitudes and behaviours towards vaping in pregnancy. Gaps in knowledge and training needs were identified, which could inform the development of targeted vaping training.

Item Type: Article
Uncontrolled Keywords: sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 24 Jun 2020 00:02
Last Modified: 25 Oct 2023 01:17
URI: https://ueaeprints.uea.ac.uk/id/eprint/75756
DOI: 10.1093/ntr/ntaa126

Downloads

Downloads per month over past year

Actions (login required)

View Item View Item