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Cited by 47Smoking Behavior and CessationPrenatal Substance Exposure EffectsPregnancy and Medication Impact

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Understanding Pregnant Smokers’ Adherence to Nicotine Replacement Therapy During a Quit Attempt: A Qualitative Study

Open access
Bowker, Katharine, Campbell, Katarzyna A., Coleman, Tim, Lewis, Sarah, Naughton, Felix, Cooper, Sue·2016·Nicotine & Tobacco Research
DOI 10.1093/ntr/ntv205PMC PMC5942617
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Abstract

BACKGROUND: Pregnant smokers may be offered nicotine replacement therapy (NRT) alongside behavioral support to assist with a quit attempt. Yet trials of NRT have found adherence to be low among pregnant women, and this has made it difficult to determine the efficacy of NRT. The aim of this study is to understand the experience of pregnant women who use NRT but discontinue this early or do not use the medication as recommended. METHODS: Semi-structured telephone interviews were conducted with 14 pregnant smokers who had recently been prescribed NRT, but self-reported poor NRT adherence or discontinuing treatment prematurely. Data were transcribed and analyzed using inductive thematic analysis RESULTS: There were four main themes identified; expectations of NRT, experience of using NRT, safety concerns and experience of using e-cigarettes. Some women intentionally used NRT to substitute a proportion of their cigarette intake and smoked alongside. Most women smoked while using NRT. Women who underutilized NRT did so as they experienced side effects, or were concerned that using NRT instead of smoking could actually increase their nicotine exposure and potential for increased nicotine dependence or fetal harm. Most women spoke about the use of e-cigarettes as a smoking cessation method but only a few had actually experienced using them during pregnancy. CONCLUSION: Many women underused NRT but simultaneously smoked. Challenging negative perceptions about NRT and educating women further about the risks of smoking may encourage them to use NRT products as recommended. IMPLICATIONS: These findings add to the research surrounding the efficacy of NRT during pregnancy by providing insight into how pregnant women use NRT during a quit attempt and how this may influence adherence. It may assist health professionals to support pregnant smokers by increasing their understanding about the differing ways in which women use NRT and help them address concerns women may have about the safety of NRT.

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  • Pregnant women who sought support from NHS Stop Smoking Services often reported using NRT intermittently or stopping courses early due to safety concerns.

    “Qualitative interviews with pregnant women who sought support from NHS Stop Smoking Services demonstrated that they often reported using NRT intermittently or stopping courses early due to safety concerns [14].”

    From Fetal safety of nicotine replacement therapy in pregnancy: systematic review and meta-analysis. (2021) · cites this paper as [14]

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Metadata

Authors
Bowker, K., Campbell, K. A., Coleman, T., Lewis, S., Naughton, F., & Cooper, S.
Affiliations
  • University of Nottingham (GB)
  • Nottingham City Hospital (GB)
  • University of Cambridge (GB)
ORCID
Venue
Nicotine & Tobacco Research
Publisher
Oxford University Press (OUP)
Published
2015-09-21
Volume
18
Issue
5
Pages
906-912
ISSN
  • 1462-2203 (ISSN-L)
  • 1469-994X
DOI
10.1093/ntr/ntv205
PMC
PMC5942617
OpenAlex
W2320574266
Cited by
47
References
29
Citations by year
2024: 3 · 2023: 4 · 2022: 2 · 2021: 11 · 2020: 11 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 4
FWCI
2.70
Type
journal article
Language
en
Open access
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
  • Apollo (University of Cambridge) (submittedVersion)
  • Nottingham ePrints (University of Nottingham) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
Funders
  • National Institute for Health and Care Research (RP-PG-0109-10020)
  • University of Nottingham
  • Medical Research Council (MR/K023195/1)
  • Economic and Social Research Council (ES/G007489/1)
  • Programme Grants for Applied Research (RP-PG-0109-10020)
  • NIHR School for Primary Care Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords
nicotine replacement therapy, pregnancy, smoking cessation, medication adherence, pregnant smokers, electronic cigarettes, nicotine dependence, adverse effects, patient experience
MeSH terms
Assessment of Medication Adherence, Female, Humans, Nicotine, Pregnancy, Pregnancy Complications, Tobacco Use Disorder, Smoking Cessation, Drug Monitoring, Medication Adherence, Tobacco Use Cessation Devices

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