Division of Primary Care, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK.
Int J Environ Res Public Health. 2020 Oct 22;17(21):7729. doi: 10.3390/ijerph17217729.
Smoking during pregnancy is a global health problem which has devastating health implications. Behavioural support is an important part of smoking cessation support for pregnant women. Research has identified barriers and facilitators (B&Fs) and effective behaviour change techniques (BCTs) to aid women's quit attempts. However, the extent to which and how these BCTs are used in practice is unclear. The research aimed to establish experts' views on how behavioural support can be optimised and techniques operationalised in clinical practice, by identifying ways to address known B&Fs for smoking cessation in pregnancy. A focus group discussion took place with six experts, which highlighted how BCTs can be used in practice to support women in their quit attempts. A thematic analysis was conducted to elicit overarching themes. Five themes were found: involving the family, empowering women, using incentives to boost motivation, using practical techniques to help women with their quit attempts and managing expectations about nicotine replacement therapy. Empowering women to make their own decisions and encouraging small positive changes in smoking habits, using visual aids (e.g., growth charts) to inform women of the harms of smoking to the baby and treating families holistically were deemed important.
孕期吸烟是一个全球性的健康问题，对健康有极大的危害。行为支持是孕妇戒烟支持的重要组成部分。研究已经确定了帮助女性戒烟尝试的障碍和促进因素（B&Fs）以及有效的行为改变技术（BCTs）。然而，这些 BCTs 在实践中被使用的程度和方式尚不清楚。本研究旨在通过确定解决孕期戒烟中已知 B&Fs 的方法，确定如何优化行为支持并将技术付诸实践，以确定专家对如何优化行为支持的看法。通过六名专家的焦点小组讨论，突出了如何在实践中使用 BCT 来支持女性戒烟尝试。通过主题分析得出了总体主题。发现了五个主题：让家庭参与、赋予女性权力、使用激励措施来提高动机、使用实用技术帮助女性戒烟尝试以及管理对尼古丁替代疗法的期望。赋予女性做出自己决定的权力，并鼓励她们在吸烟习惯上做出微小的积极改变，使用视觉辅助工具（例如生长图表）告知女性吸烟对婴儿的危害，并全面治疗家庭，被认为是很重要的。
