scholarly journals Characterising smoking cessation smartphone applications in terms of behaviour change techniques, engagement and ease-of-use features

2015 ◽  
Vol 6 (3) ◽  
pp. 410-417 ◽  
Author(s):  
Harveen Kaur Ubhi ◽  
Susan Michie ◽  
Daniel Kotz ◽  
Onno C. P. van Schayck ◽  
Abiram Selladurai ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Ease Of Use ◽  
Behaviour Change Techniques ◽  
Smartphone Applications

scholarly journals Improving Implementation of Smoking Cessation Guidelines in Pregnancy Care: Development of an Intervention to Address System, Maternity Service Leader and Clinician Factors

2020 ◽  
Author(s):  
Megan Passey ◽  
Catherine Adams ◽  
Christine Paul ◽  
Lou Atkins ◽  
Jo M. Longman
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Feasibility Study ◽  
Complex Interventions ◽  
Primary Data ◽  
Advisory Group ◽  
Behaviour Change Techniques ◽  
Smoking During Pregnancy ◽  
Maternity Services ◽  
Stakeholder Input

Abstract BackgroundSmoking during pregnancy increases the risk of multiple serious adverse infant, child and maternal outcomes, yet nearly 10% of Australian women still smoke during pregnancy. Despite evidence-based guidelines that recommend routine and repeated smoking cessation support (SCS) for all pregnant women, the provision of recommended SCS remains poor. Guidance on developing complex interventions to improve health care recommends drawing on existing theories, reviewing evidence, undertaking primary data collection, attending to future real-world implementation, and designing and refining interventions using iterative cycles with stakeholder input throughout. Here we describe using the Behaviour Change Wheel (BCW) to apply these principles in developing an intervention to improve provision of SCS in Australian maternity services.MethodsWorking closely with key stakeholders in the New South Wales (NSW) health system, we applied the steps of the BCW method then undertook a small feasibility study in one service to further refine the intervention. Stakeholders were engaged in multiple ways – as a core research team member, through a project Advisory Group, targeted meetings with policy makers, a large workshop to review potential components and the feasibility study. ResultsBarriers to and enablers of providing SCS were identified in five of six components described in the BCW method (psychological capability, physical opportunity, social opportunity, and in reflective and automatic motivation). These were mapped to intervention types and we selected education, training, enablement, environmental restructuring, persuasion, incentivisation and modelling as suitable in our context. Through application of the APEASE criteria (Affordability, Practicability, Effectiveness, Acceptability, Side effects, and Equity) in the stakeholder workshop, behaviour change techniques were selected and applied in developing the intervention which includes systems, clinician and leadership elements. The feasibility study confirmed feasibility and acceptability of the midwifery component and the need to further strengthen the leadership component. ConclusionsUsing the BCW method combined with strong stakeholder engagement from inception resulted in transparent development of the MOHMQuit intervention, which targets identified barriers to and enablers of the provision of SCS and is developed specifically for the context in which it will be implemented. The intervention is being trialed in eight public maternity services in NSW.

scholarly journals Feasibility of Audio-Recording Consultations with Pregnant Australian Indigenous Women to Assess Use of Smoking Cessation Behaviour Change Techniques

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yael Bar-Zeev ◽  
Eliza Skeleton ◽  
Michelle Bovill ◽  
Maree Gruppetta ◽  
Billie Bonevski ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Future Research ◽  
Behaviour Change Techniques ◽  
Health Providers ◽  
Post Intervention ◽  
Audio Recording ◽  
Smoking Cessation Counselling ◽  
Audio Recordings

Introduction. Behavioural counselling is an effective method to improve smoking cessation during pregnancy. Audio recordings of consultations have been used previously to assess fidelity in specialized smoking cessation services, but not in primary care. Aims. The study is aimed at assessing the feasibility of audio-recording smoking cessation counselling as part of an intervention in primary care settings and exploring the number and type of behaviour change techniques (BCTs) delivered. Methods. This study was a nested feasibility study within a larger trial. Health providers (HPs) and pregnant women were asked to agree or decline audio recording their smoking-related consultations. Data collected included percentage providing consent, number of recordings performed, HP type, and date (pre/post intervention). Interviews were conducted to assess the trial procedures’ acceptability. Results. Two services provided seven recordings, all pre-intervention. Of the 22 recruited women, 14 consented to being audio recorded (64%) and five provided recordings; of the 23 recruited HPs, 16 agreed (69%), and two provided recordings. Qualitative data suggest that HPs found audio recording difficult to remember. HPs spent on average two minutes discussing smoking and used few BCTs. Conclusions. Audio recordings of smoking-related counselling were not feasible as planned. Future research will need to explore acceptable methods to assess BCT use in primary care.

scholarly journals Improving implementation of smoking cessation guidelines in pregnancy care: development of an intervention to address system, maternity service leader and clinician factors

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Megan E. Passey ◽  
Catherine Adams ◽  
Christine Paul ◽  
Lou Atkins ◽  
Jo M. Longman
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Feasibility Study ◽  
Complex Interventions ◽  
Theoretical Domains Framework ◽  
Primary Data ◽  
Advisory Group ◽  
Behaviour Change Techniques ◽  
Smoking During Pregnancy ◽  
Maternity Services

Abstract Background Smoking during pregnancy increases the risk of multiple serious adverse infant, child and maternal outcomes, yet nearly 10% of Australian women still smoke during pregnancy. Despite evidence-based guidelines that recommend routine and repeated smoking cessation support (SCS) for all pregnant women, the provision of recommended SCS remains poor. Guidance on developing complex interventions to improve health care recommends drawing on existing theories, reviewing evidence, undertaking primary data collection, attending to future real-world implementation and designing and refining interventions using iterative cycles with stakeholder input throughout. Here, we describe using the Behaviour Change Wheel (BCW) and the Theoretical Domains Framework to apply these principles in developing an intervention to improve the provision of SCS in Australian maternity services. Methods Working closely with key stakeholders in the New South Wales (NSW) health system, we applied the steps of the BCW method then undertook a small feasibility study in one service to further refine the intervention. Stakeholders were engaged in multiple ways—as a core research team member, through a project Advisory Group, targeted meetings with policymakers, a large workshop to review potential components and the feasibility study. Results Barriers to and enablers of providing SCS were identified in five of six components described in the BCW method (psychological capability, physical opportunity, social opportunity and reflective and automatic motivation). These were mapped to intervention types and we selected education, training, enablement, environmental restructuring, persuasion, incentivisation and modelling as suitable in our context. Through application of the APEASE criteria (Affordability, Practicability, Effectiveness, Acceptability, Side effects and Equity) in the stakeholder workshop, behaviour change techniques were selected and applied in developing the intervention which includes systems, clinician and leadership elements. The feasibility study confirmed the feasibility and acceptability of the midwifery component and the need to further strengthen the leadership component. Conclusions Using the BCW method combined with strong stakeholder engagement from inception resulted in transparent development of the MOHMQuit intervention, which targets identified barriers to and enablers of the provision of SCS and is developed specifically for the context in which it will be implemented. The intervention is being trialled in eight public maternity services in NSW.

scholarly journals Experts’ Views on Behaviour Change Techniques for Smoking Cessation in Pregnancy: A Qualitative Study

2020 ◽  
Vol 17 (21) ◽  
pp. 7729
Author(s):  
Fizzah B. Abidi ◽  
Libby Laing ◽  
Sue Cooper ◽  
Tim Coleman ◽  
Katarzyna A. Campbell
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Group Discussion ◽  
Behaviour Change Techniques ◽  
Visual Aids ◽  
Smoking During Pregnancy ◽  
Behavioural Support ◽  
Quit Attempts ◽  
The Family ◽  
In Pregnancy

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.

scholarly journals Characterising the ‘Txt2Stop’ Smoking Cessation Text Messaging Intervention in Terms of Behaviour Change Techniques

2012 ◽  
Vol 7 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Susan Michie ◽  
Caroline Free ◽  
Robert West
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Text Messaging ◽  
Self Regulation ◽  
Text Message ◽  
Behaviour Change Techniques ◽  
Rater Reliability ◽  
Communication Techniques ◽  
Regulatory Capacity ◽  
Text Messaging Intervention

The ‘Txt2Stop’ SMS messaging programme has been found to double smokers’ chances of stopping. It is important to characterise the content of this information in terms of specific behaviour change techniques (BCTs) for the purpose of future development. This study aimed to (i) extend a proven system for coding BCTs to text messaging and (ii) characterise Txt2Stop using this system. A taxonomy previously used to specify BCTs in face-to-face behavioural support for smoking cessation was adapted for the Txt2Stop messages and inter-rater reliability for the adapted system assessed. The system was then applied to all the messages in the Txt2Stop programme to determine its profile in terms of BCTs used. The text message taxonomy comprised 34 BCTs. Inter-rater reliability was moderate, reaching a ceiling of 61% for the core program messages with all discrepancies readily resolved. Of 899 texts delivering BCTs, 218 aimed to maintain motivation to remain abstinent, 870 to enhance self-regulatory capacity or skills, 39 to promote use of adjuvant behaviours such as using stop-smoking medication, 552 to maintain engagement with the intervention and 24 were general communication techniques. The content of Txt2Stop focuses on helping smokers with self-regulation and maintaining engagement with the intervention. The intervention focuses to a lesser extent on boosting motivation to remain abstinent; little attention is given to promoting effective use of adjuvant behaviours such as use of nicotine replacement therapy. As new interventions of this kind are developed it will be possible to compare their effectiveness and relate this to standardised descriptions of their content using this system.

scholarly journals Supporting smoking cessation and preventing relapse following a stay in a smokefree setting: A meta‐analysis and investigation of effective behaviour change techniques

Addiction ◽  
2021 ◽  
Author(s):  
Emily Shoesmith ◽  
Lisa Huddlestone ◽  
Fabiana Lorencatto ◽  
Lion Shahab ◽  
Simon Gilbody ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Behaviour Change ◽  
Meta Analysis ◽  
Behaviour Change Techniques

scholarly journals SmokefreeTXT Behaviour Change Technique Analysis

2016 ◽  
Vol 12 (4) ◽  
pp. 231-243 ◽  
Author(s):  
Iva Stoyneva ◽  
Kisha Coa ◽  
Jillian Pugatch ◽  
Amy Sanders ◽  
Mary Schwarz ◽  
...  
Keyword(s):  
Social Support ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Text Messaging ◽  
Behavioural Change ◽  
Building Blocks ◽  
Behaviour Change Techniques ◽  
Behaviour Change Technique ◽  
Frequency Of Use ◽  
Over Time

Mobile text-messaging smoking cessation interventions have demonstrated their efficacy in increasing cessation rates. These interventions tend to be multifaceted and there is a need to specify their building blocks. The purpose of this study was to use the Behavioural Change Techniques Taxonomy V1 (BCTTv1) to systematically analyse the behaviour change techniques present in the SmokefreeTXT (SFTXT) adult programme. The entire SFTXT library was coded using the BCTTv1. Frequencies were calculated to assess the presence of BCT groups and unique BCTs in the entire programme. The mix of BCTs was also examined by programme week and during periods of high user dropout. Of the 16 groups of behavioural techniques, 14 were present in SFTXT. Of the 93 distinct BCTs, 41 were present in the full SFTXT message library. The most prevalent BCT groups were Feedback and Monitoring, Natural Consequences, Social Support, and Shaping Knowledge. There were differences in the mix of BCTs across the duration of the intervention. The results will enable us to test how changes in the use of specific BCTs and their frequency of use over time, impact (1) engagement with the programme (particularly during the days with high dropout rates), and (2) smoking cessation outcomes over time.

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