scholarly journals Factors Influencing Smoking Cessation Counselling: A Qualitative Study of Medical Residents

2013 ◽  
Vol 10 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Stasi Lubansky ◽  
Corrine Y. Jurgens ◽  
Carla Boutin-Foster
Keyword(s):  
Smoking Cessation ◽  
Qualitative Study ◽  
Focus Groups ◽  
Qualitative Interviews ◽  
Perceived Barriers ◽  
Medical Residents ◽  
Practical Skills ◽  
Smoking Cessation Counselling ◽  
Continuous Care ◽  
Factors Influencing

Introduction: Physicians in training must be able to counsel their patients on smoking cessation, however, little is known about the barriers that they face to counselling their patients.Aims: The study sought to identify barriers to smoking cessation counselling specific to physicians in training.Methods: Qualitative interviews in the form of focus groups were conducted with 30 medical residents. Focus groups were audio taped, transcribed verbatim and coded by two independent reviewers. Similar codes were grouped to form categories and then aggregated to form themes.Results: Seven themes emerged describing resident barriers to provision of smoking cessation counselling : (1) Lack of self-efficacy for providing counselling; (2) their perception that patients are not willing to change; (3) a lack of available resources/information for providers and patients; (4) differences in supervising physician's recommendations; (5) perceived lack of time; (6) a perception of lack of continuous care; and (7) a lack of practical skills in counselling.Conclusions: This study highlighted residents’ perceived barriers to providing smoking cessation counselling. These barriers are similar to those encountered by other providers. Additional barriers specific to residency exist and more training is necessary.Practice Implications: The barriers that physicians encounter to smoking cessation counselling must be addressed early on in residency training.

Brief preoperative smoking cessation counselling in relation to breast cancer surgery: A qualitative study

2009 ◽  
Vol 13 (5) ◽  
pp. 344-349 ◽  
Author(s):  
Thordis Thomsen ◽  
Bente Appel Esbensen ◽  
Susanne Samuelsen ◽  
Hanne Tønnesen ◽  
Ann M. Møller
Keyword(s):  
Breast Cancer ◽  
Smoking Cessation ◽  
Qualitative Study ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Smoking Cessation Counselling

scholarly journals Gender differences within the barriers to smoking cessation and the preferences for interventions in primary care a qualitative study using focus groups in The Hague, The Netherlands

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e042623
Author(s):  
Lieke Agathe Dieleman ◽  
Petra G van Peet ◽  
Hedwig M M Vos
Keyword(s):  
Primary Care ◽  
Gender Differences ◽  
Smoking Cessation ◽  
Qualitative Study ◽  
The Netherlands ◽  
Focus Groups ◽  
Group Intervention ◽  
Future Research ◽  
The Hague ◽  
Gender Specific

ObjectivesThis research aimed to provide a deeper insight into the gender-specific barriers to smoking cessation and gender-specific preferences for interventions in primary care, in order to contribute to better aligned cessation care for women.DesignQualitative study using focus groups.SettingRegularly smoking female and male adults were recruited from four different general practices in The Hague (The Netherlands).ParticipantsA total of 11 women and nine men participated. Participants included were regular smokers with a minimum age of 18 and sufficient command of the Dutch language, who were willing to talk about smoking cessation. Inclusion ended when saturation was reached for both women and men. Participants were selected by means of purposeful sampling, whereby looking at age, educational level and experience with quitting.ResultsThe main barriers to smoking cessation in women were psychological factors, such as emotion and stress, compared with environmental factors in men. Women indicated they were in need of support and positivity, and both women and men expressed the desire for assistance without judgement. Contrary to men, women were not drawn to restrictions and (dis)incentives.ConclusionWhen counselling smokers, in women the focus should be on perceived internal problems, as opposed to more external obstacles in men. Contrary to men, female smokers seem to prefer non-coercive interventions, such as a group intervention offering support and positivity. Future research should focus on these gender differences, and how they could improve treatment in primary care.

scholarly journals Exploring the Perceived Barriers to Following a Mediterranean Style Diet in Childbearing Age: A Qualitative Study

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1694 ◽  
Author(s):  
Harriet Kretowicz ◽  
Vanora Hundley ◽  
Fotini Tsofliou
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Mediterranean Diet ◽  
Maternal Obesity ◽  
Information Source ◽  
Perceived Barriers ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Nulliparous Women ◽  
Practical Factors

A considerable amount of research has focused on interventions in pregnancy to promote health in current and future generations. This has yielded inconsistent results and focus has turned towards improving health in the preconception period. Promotion of healthy dietary patterns similar to a Mediterranean diet in the preconception years has been suggested as a dietary strategy to prevent maternal obesity and optimize offspring health. However, it is uncertain whether adoption is acceptable in women of childbearing age. This qualitative study aims to investigate the perceived barriers to following a Mediterranean diet in women of childbearing age. Semi-structured focus groups were used to generate deep insights to be used to guide the development of a future intervention. Nulliparous women aged between 20 and 47 years were recruited (n = 20). Six focus groups were digitally audio recorded and transcribed verbatim by the researcher. Thematic analysis was used to analyze data, which occurred in parallel with data collection to ascertain when data saturation was reached. Five core themes were identified: Mediterranean diet features, perceived benefits, existing dietary behavior and knowledge, practical factors, and information source. The present study highlights that a Mediterranean diet is acceptable to childbearing-aged women, and the insights generated will be helpful in developing an intervention to promote Mediterranean diet adoption.

scholarly journals Exploring Community Smokers’ Perspectives for Developing a Chat-Based Smoking Cessation Intervention Delivered Through Mobile Instant Messaging: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Tzu Tsun Luk ◽  
Sze Wing Wong ◽  
Jung Jae Lee ◽  
Sophia Siu-Chee Chan ◽  
Tai Hing Lam ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Hong Kong ◽  
Qualitative Study ◽  
Psychosocial Support ◽  
Instant Messaging ◽  
Qualitative Interviews ◽  
Smoking Cessation Intervention ◽  
Communication Tool ◽  
Cessation Intervention ◽  
Current Cigarette

BACKGROUND Advances in mobile communication technologies provide a promising avenue for the delivery of tobacco dependence treatment. Although mobile instant messaging (IM) apps (eg, WhatsApp, Facebook messenger, and WeChat) are an inexpensive and widely used communication tool, evidence on its use for promoting health behavior, including smoking cessation, is scarce. OBJECTIVE This study aims to explore the perception of using mobile IM as a modality to deliver a proposed chat intervention for smoking cessation in community smokers in Hong Kong, where the proportion of smartphone use is among the highest in the world. METHODS We conducted 5 focus group, semistructured qualitative interviews on a purposive sample of 15 male and 6 female current cigarette smokers (age 23-68 years) recruited from the community in Hong Kong. All interviews were audiotaped and transcribed. Two investigators independently analyzed the transcripts using thematic analyses. RESULTS Participants considered mobile IM as a feasible and acceptable platform for the delivery of a supportive smoking cessation intervention. The ability to provide more personalized and adaptive behavioral support was regarded as the most valued utility of the IM–based intervention. Other perceived utilities included improved perceived psychosocial support and identification of motivator to quit. In addition, participants provided suggestions on the content and design of the intervention, which may improve the acceptability and usability of the IM–based intervention. These include avoiding health warning information, positive messaging, using former smokers as counselors, and adjusting the language style (spoken vs written) according to the recipients’ preference. CONCLUSIONS This qualitative study provides the first evidence that mobile IM may be an alternative mobile health platform for the delivery of a smoking cessation intervention. Furthermore, the findings inform the development of a chat-based, IM smoking cessation program being evaluated in a community trial.

scholarly journals Cancer survivors’ views on digital support for smoking cessation and alcohol moderation: a survey and qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ajla Mujcic ◽  
Matthijs Blankers ◽  
Dilara Yildirim ◽  
Brigitte Boon ◽  
Rutger Engels
Keyword(s):  
Smoking Cessation ◽  
Qualitative Study ◽  
Focus Groups ◽  
Cancer Survivors ◽  
Structured Interviews ◽  
Digital Interventions ◽  
Framework Approach ◽  
Expert Meeting ◽  
Tone Of Voice ◽  
Multi Method Approach

Abstract Background Digital interventions may provide low-threshold support for smoking cessation (SC) and alcohol moderation (AM) to the growing population of cancer survivors. The objective was to explore preconditions of successful AM and SC digital interventions for cancer survivors. Methods Using a multi-method approach we conducted a survey (n = 240), a qualitative study consisting of four focus groups (n = 15) and semi-structured interviews with Dutch cancer survivors (n = 8). To help interpretation of our results we interviewed experts in the field of eHealth and cancer survivors (n = 6) and we organized an expert meeting (n = 7). Qualitative data were analysed using the Framework approach and were double-coded by two coders. Results Survey results show the majority of drinkers had not previously considered AM (n = 158, 84.9%), often because they deemed their alcohol use to be non-problematic. All current smokers in the survey had considered SC before. In focus groups and interviews it became clear that SC efforts did not always stem from their own willingness to quit smoking, but originated from a wish to please their social environment. Main themes to be addressed in digital SC and AM that emerged from the interviews and focus groups, centred on the different ways of identification as cancer survivors, need for autonomy, differential beliefs about SC and AM, and the importance of a positive, non-patronizing tone-of-voice. Several specific preferences for digital interventions were formulated, although some cancer survivors prefer no support or face-to-face contact. Conclusions Cancer survivors are a diverse group with diverse preferences for AM and SC support. Digital AM and SC interventions for cancer survivors are perceived to be of value by some, especially when they incorporate a positive, non-judgemental and non-patronizing tone-of-voice, address concerns specifically relevant to cancer survivors, offer possibilities for personalization, and emphasize autonomy throughout. To encourage AM specifically, problem recognition and awareness of the health benefits of AM should be improved.

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