Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework
Behavioral support interventions are used to help pregnant smokers stop; however, of those tested, few are proven effective. Systematic research developing effective pregnancy-specific behavior change techniques (BCTs) is ongoing. This paper reports contributory work identifying potentially-effectiv...
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| Format: | Article |
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MDPI
2018
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| Online Access: | https://eprints.nottingham.ac.uk/49857/ |
| _version_ | 1848798094937817088 |
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| author | Campbell, Katarzyna Fergie, Libby Coleman-Haynes, Tom Cooper, Sue Lorencatto, Fabiana Ussher, Michael Dyas, Jane Coleman, Tim |
| author_facet | Campbell, Katarzyna Fergie, Libby Coleman-Haynes, Tom Cooper, Sue Lorencatto, Fabiana Ussher, Michael Dyas, Jane Coleman, Tim |
| author_sort | Campbell, Katarzyna |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Behavioral support interventions are used to help pregnant smokers stop; however, of those tested, few are proven effective. Systematic research developing effective pregnancy-specific behavior change techniques (BCTs) is ongoing. This paper reports contributory work identifying potentially-effective BCTs relative to known important barriers and facilitators (B&Fs) to smoking cessation in pregnancy; to detect priority areas for BCTs development. A Nominal Group Technique with cessation experts (n = 12) elicited an expert consensus on B&Fs most influencing women’s smoking cessation and those most modifiable through behavioral support. Effective cessation interventions in randomized trials from a recent Cochrane review were coded into component BCTs using existing taxonomies. B&Fs were categorized using Theoretical Domains Framework (TDF) domains. Matrices, mapping BCT taxonomies against TDF domains, were consulted to investigate the extent to which BCTs in existing interventions target key B&Fs. Experts ranked “smoking a social norm” and “quitting not a priority” as most important barriers and “desire to protect baby” an important facilitator to quitting. From 14 trials, 23 potentially-effective BCTs were identified (e.g., information about consequences). Most B&Fs fell into “Social Influences”, “Knowledge”, “Emotions” and “Intentions” TDF domains; few potentially-effective BCTs mapped onto every TDF domain. B&Fs identified by experts as important to cessation, are not sufficiently targeted by BCT’s currently within interventions for smoking cessation in pregnancy. |
| first_indexed | 2025-11-14T20:14:19Z |
| format | Article |
| id | nottingham-49857 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:14:19Z |
| publishDate | 2018 |
| publisher | MDPI |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-498572020-05-04T19:32:40Z https://eprints.nottingham.ac.uk/49857/ Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework Campbell, Katarzyna Fergie, Libby Coleman-Haynes, Tom Cooper, Sue Lorencatto, Fabiana Ussher, Michael Dyas, Jane Coleman, Tim Behavioral support interventions are used to help pregnant smokers stop; however, of those tested, few are proven effective. Systematic research developing effective pregnancy-specific behavior change techniques (BCTs) is ongoing. This paper reports contributory work identifying potentially-effective BCTs relative to known important barriers and facilitators (B&Fs) to smoking cessation in pregnancy; to detect priority areas for BCTs development. A Nominal Group Technique with cessation experts (n = 12) elicited an expert consensus on B&Fs most influencing women’s smoking cessation and those most modifiable through behavioral support. Effective cessation interventions in randomized trials from a recent Cochrane review were coded into component BCTs using existing taxonomies. B&Fs were categorized using Theoretical Domains Framework (TDF) domains. Matrices, mapping BCT taxonomies against TDF domains, were consulted to investigate the extent to which BCTs in existing interventions target key B&Fs. Experts ranked “smoking a social norm” and “quitting not a priority” as most important barriers and “desire to protect baby” an important facilitator to quitting. From 14 trials, 23 potentially-effective BCTs were identified (e.g., information about consequences). Most B&Fs fell into “Social Influences”, “Knowledge”, “Emotions” and “Intentions” TDF domains; few potentially-effective BCTs mapped onto every TDF domain. B&Fs identified by experts as important to cessation, are not sufficiently targeted by BCT’s currently within interventions for smoking cessation in pregnancy. MDPI 2018-02-17 Article PeerReviewed Campbell, Katarzyna, Fergie, Libby, Coleman-Haynes, Tom, Cooper, Sue, Lorencatto, Fabiana, Ussher, Michael, Dyas, Jane and Coleman, Tim (2018) Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework. International Journal of Environmental Research and Public Health, 15 (2). 359/1-359/19. ISSN 1660-4601 Smoking cessation; Pregnancy; Behaviour change techniques; Intervention development; Theoretical Domains Framework http://www.mdpi.com/1660-4601/15/2/359 doi:10.3390/ijerph15020359 doi:10.3390/ijerph15020359 |
| spellingShingle | Smoking cessation; Pregnancy; Behaviour change techniques; Intervention development; Theoretical Domains Framework Campbell, Katarzyna Fergie, Libby Coleman-Haynes, Tom Cooper, Sue Lorencatto, Fabiana Ussher, Michael Dyas, Jane Coleman, Tim Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title | Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title_full | Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title_fullStr | Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title_full_unstemmed | Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title_short | Improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| title_sort | improving behavioral support for smoking cessation in pregnancy: what are the barriers to stopping and which behavior change techniques can influence these?: application of theoretical domains framework |
| topic | Smoking cessation; Pregnancy; Behaviour change techniques; Intervention development; Theoretical Domains Framework |
| url | https://eprints.nottingham.ac.uk/49857/ https://eprints.nottingham.ac.uk/49857/ https://eprints.nottingham.ac.uk/49857/ |