Evidence map›Paper›PMID 31795347›Full record

ArticleInternational journal of environmental research and public health2019

Practitioners' Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study.

Ross Thomson, Lisa McDaid, Joanne Emery, Lucy Phillips, Felix Naughton, Sue Cooper, Jane Dyas, Tim Coleman

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Development of "Baby, Me, & NRT": A Behavioral Intervention to Improve the Effectiveness of Nicotine Replacement Therapy in Pregnancy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  5. Development and Content Validation of a Questionnaire for Measuring Beliefs About Using Nicotine Replacement Therapy for Smoking Cessation in Pregnancy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  6. Article
  7. Healthcare Professionals' Beliefs, Attitudes, Knowledge, and Behavior Around Vaping in Pregnancy and Postpartum: A Qualitative Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ross ThomsonDivision of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK.ORCID 0000-0003-4078-0657
Lisa McDaidSchool of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK.
Joanne EmerySchool of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK.
Lucy PhillipsDivision of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK.ORCID 0000-0002-3574-6561
Felix NaughtonSchool of Health Sciences, University of East Anglia, Norwich NR4 7UL, UK.
Sue CooperDivision of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK.ORCID 0000-0002-1994-6395
Jane DyasDivision of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK.
Tim ColemanDivision of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, UK.ORCID 0000-0002-7303-4805
University of Nottingham · GBUniversity of East Anglia · GB

Funding

Department of Health RP-PG-0615-20003
6 · The paper itself

Abstract

Many countries, including the UK, recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy. However, adherence to NRT is generally low, smoking lapse or relapse is common and using NRT to reduce the harm from the number of cigarettes smoked is only advocated in non-pregnant smokers. Two focus groups were conducted with 13 professionals involved in antenatal stop smoking services (SSS). The data were analysed thematically. Two themes were extracted that describe health professionals' attitudes towards using NRT either during lapses or to reduce smoking in women who cannot quit (harm reduction). These are presented around a social-ecological framework describing three hierarchical levels of influence within smoking cessation support: (1) Organizational: providing NRT during lapses could be expensive for SSS though harm reduction could result in services helping a wider range of clients. (2) Interpersonal: participants felt using NRT for harm reduction was not compatible with cessation-orientated messages practitioners conveyed to clients. (3) Individual: practitioners' advice regarding using NRT during smoking lapses varied; many were generally uncomfortable about concurrent smoking and NRT use and had strong reservations about recommending NRT when smoking during all but the briefest lapses. Further evidence is required to guide policy and practice.

Indexed as

Attitude of Health PersonnelAdultEnglandFemaleFocus GroupsHarm ReductionHumansMiddle AgedPregnancySmoking CessationSmoking PreventionTobacco Use Cessation Devicesharm reductionnicotine replacement therapyNRTpregnancysmoking cessationstop smoking services

Identifiers

PMID31795347
PMCPMC6926779
OpenAlexW2991518268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.