A qualitative study of factors influencing adherence among pregnant women taking part in a trial of e-cigarettes for smoking cessation

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Ford, Allison, Uny, Isabelle, Lowes, Judith, Naughton, Felix, Cooper, Sue, Coleman, Tim, Hajek, Peter, Przulj, Dunja, Myers Smith, Katie, Bauld, Linda, Sinclair, Lesley, Walton, Robert, Clark, Miranda and Ussher, Michael (2021) A qualitative study of factors influencing adherence among pregnant women taking part in a trial of e-cigarettes for smoking cessation. International Journal of Environmental Research and Public Health, 18. ISSN 1660-4601

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Abstract

Use of e-cigarettes (vaping) has potential to help pregnant women stop smoking. This study explored factors influencing adherence among participants in the vaping arm of the first trial of vaping for smoking cessation in pregnancy. We conducted semi-structured telephone interviews (n=28) with women at three-months postpartum. Interviews were analysed using thematic analysis, informed by the Theoretical-Domains Framework, Necessity-Concerns Framework and Perceptions and Practicalities Approach. Interviewees generally reported high levels of vaping. We found that: (1) intervention adherence was driven by four necessity beliefs - stopping smoking for the baby, and vaping for harm reduction, smoking cessation or as a last resort; (2) necessity beliefs outweighed vaping concerns, such as dependence and safety; (3) adherence was linked to four practicalities themes, acting as barriers and facilitators to vaping - device and e-liquid perceptions, resources and support, whether vaping became habitual, and social and environmental factors; and (4) intentional non-adherence was rare; unintentional non-adherence was due to device failures, forgetting to vape, and personal circumstances and stress. Pregnant smokers provided with e-cigarettes, and with generally high levels of vaping, had positive beliefs about the necessity of vaping for smoking cessation which outweighed concerns about vaping. Non-adherence was mainly due to unintentional factors.

Item Type: Article
Uncontrolled Keywords: e-cigarettes,interviews,necessity-concerns framework,perceptions and practicalities approach,pregnancy,qualitative,vaping,public health, environmental and occupational health,health, toxicology and mutagenesis,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2739
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 08 Jan 2021 01:07
Last Modified: 19 Oct 2023 02:52
URI: https://ueaeprints.uea.ac.uk/id/eprint/78104
DOI: 10.3390/ijerph18020430

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