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Ward, Emma 
ORCID: https://orcid.org/0000-0002-7579-3215, Varley, Anna, Wright, Melissa, Pope, Ian ORCID: https://orcid.org/0000-0002-5623-4178 and Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304
(2024)
Theoretically framing views of people who smoke in understanding what might work to support smoking cessation in coastal communities: Adapting the TIDieR checklist to qualitative analysis for complex intervention development.
BMC Public Health, 24.
ISSN 1471-2458
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Abstract
Introduction: People living in coastal communities have some of the worst health outcomes in the UK, driven in part by high smoking rates. Deprived coastal communities include socially disadvantaged groups that struggle to access traditional stop smoking services. The study aimed to seek the views of people who smoke living in coastal communities, to assess the optimal smoking cessation intervention for this population. In addition, the Template for Intervention Description Replication (TIDieR) checklist was adapted as an analytical framework for qualitative data to inform intervention design. Methods: Current or recent ex-smokers (n = 25) were recruited to participate in qualitative interviews from a range of community locations in a deprived English seaside town. A thematic analysis of the interview data was undertaken adapting the TIDieR framework. This analysis was triangulated with relevant literature and notes from stakeholder meetings and observations to map onto the TIDieR checklist to describe the optimal intervention. Results: Barriers to quitting smoking in the target population included low motivation to quit, high anxiety/boredom, normalisation of smoking and widespread illicit tobacco use. There was broad support for combining behavioural support, e-cigarettes and financial incentives, with a strong preference for the intervention to be delivered opportunistically and locally within (non-healthcare) community settings, in a non-pressurising manner, ideally by a community worker specially trained to give stop smoking support. Conclusions: An intensive community-based smoking cessation intervention was acceptable to the target population. Adapting the TIDieR checklist as a deductive qualitative analytical framework offered a systematic approach to intervention development. Combined with other intervention development activities, this ensured that the intervention design process was transparent and the proposed intervention was well defined. It is recommended that prior to intervention development researchers speak to members of the target population who may give valuable insight into the optimal intervention.
| Item Type: | Article |
|---|---|
| Additional Information: | Data availability: The datasets generated and/or analysed during the current study are not publicly available due consent to participate being obtained verbally but are available from the corresponding author on reasonable request. Funding information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute for Health Research (NIHR) Research Capability Funding (RCF) administered by the Norfolk and Waveney Integrated Care Board [NWICB RCF2022/23]. |
| Uncontrolled Keywords: | behavioural support,coastal communities,community intervention,e-cigarette,finanicial incentives,health inequalities,intervention development,nicotine replacement therapy,qualitative,smoking,smoking cessation,tidier checklist,public health, environmental and occupational health ,/dk/atira/pure/subjectarea/asjc/2700/2739 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Social Sciences > Research Centres > Centre for Research on Children and Families Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health |
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| Depositing User: | LivePure Connector |
| Date Deposited: | 05 Sep 2024 11:34 |
| Last Modified: | 25 Sep 2024 18:07 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96574 |
| DOI: | 10.1186/s12889-024-18923-x |
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