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Open AccessArticle

Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals

1
Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK
2
School of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(10), 1814; https://doi.org/10.3390/ijerph16101814
Received: 18 April 2019 / Revised: 17 May 2019 / Accepted: 20 May 2019 / Published: 22 May 2019
(This article belongs to the Special Issue Smoking Cessation)
Smoking during pregnancy is a leading cause of negative pregnancy and perinatal outcomes. While UK guidelines recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy, adherence to NRT is generally low and may partially explain why NRT appears less effective in pregnancy compared to non-pregnant smokers. This study aimed to identify and describe factors associated with NRT adherence from a health professional’s perspective. Two focus groups and one expert group were conducted with 26 professionals involved in antenatal stop smoking services and the data were analysed thematically using a template methodology. From our analyses, we extracted two main themes: (i) ‘Barriers to NRT use in pregnancy’ explores the issues of how misinformation and unrealistic expectations could discourage NRT use, while (ii) ‘Facilitators to NRT use in pregnancy’ describes the different information, and modes of delivery, that stop smoking professionals believe will encourage correct and sustained NRT use. Understanding the barriers and facilitators to improve NRT adherence may aid the development of educational interventions to encourage NRT use and improve outcomes for pregnant women wanting to stop smoking. View Full-Text
Keywords: smoking cessation; pregnancy; nicotine replacement therapy; NRT; stop smoking services smoking cessation; pregnancy; nicotine replacement therapy; NRT; stop smoking services
MDPI and ACS Style

Thomson, R.; McDaid, L.; Emery, J.; Naughton, F.; Cooper, S.; Dyas, J.; Coleman, T. Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals. Int. J. Environ. Res. Public Health 2019, 16, 1814.

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