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Difficulties Quitting for Smokers with and without a Respiratory Disease and Use of a Tailored Intervention for Smoking Cessation – A Qualitative Study

Published online by Cambridge University Press:  27 March 2017

Camille Alexis-Garsee ,
Hazel Gilbert ,
Martha Burton  and
Olga van den Akker
Camille Alexis-Garsee*
Affiliation:
Faculty of Science and Technology, Department of Psychology, Middlesex University,The Burroughs, Hendon, London, UK
Hazel Gilbert
Affiliation:
Research Department of Primary Care and Population Health, University College Medical School, Royal Free Campus, Rowland Hill Street, London, UK
Martha Burton
Affiliation:
Faculty of Science and Technology, Department of Psychology, Middlesex University,The Burroughs, Hendon, London, UK
Olga van den Akker
Affiliation:
Faculty of Science and Technology, Department of Psychology, Middlesex University,The Burroughs, Hendon, London, UK
*
Address for correspondence: Dr Camille Alexis-Garsee, PhD, Senior Lecturer, Faculty of Science and Technology, Department of Psychology, Middlesex University, The Burroughs, Hendon, London, NW4 4BT. Email: c.alexis-garsee@mdx.ac.uk
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Abstract

Introduction: Smokers with respiratory diseases are less likely to quit than those without impaired lung function, yet few studies have investigated the effectiveness of smoking cessation interventions with this population, and none have used a computer-tailored approach.

Aims: This paper aims to fill this gap in the literature by exploring smokers’ experiences when trying to quit and their perceptions of a computer-tailored intervention.

Methods: Semi-structured interviews were conducted with 26 smokers recruited from six general practises in North London. Thematic analysis was conducted to examine participants’ previous experiences of quitting and their perceptions of receiving personal tailored feedback reports to aid smoking cessation.

Results: Participants discussed how their positive smoking experiences coupled with their negative cessation experiences led to conflicts with quitting smoking. Although the computer-tailored intervention was key in prompting quit attempts and participants valued its personal approach; it was not sufficient as a stand-alone intervention.

Conclusions: The results highlight the difficulties that smokers experience when quitting and the need for a more personalised stop smoking service in smokers with respiratory diseases. The study also demonstrates the application and potential for computer-tailored intervention as part of a wider programme of long-term smoking cessation.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 2 , June 2018 , pp. 63 - 71
Copyright
Copyright © The Author(s) 2017 

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References

Bancroft, A., Wiltshire, S., Parry, O., & Amos, A. (2003). It's like an addiction first thing..afterwards it's like a habit: Smoking patterns among people living in areas of deprivation. Social Science and Medicine, 56, 1261–1267. DOI: 10.1016/S0277-9536(02)00124-7.CrossRefGoogle Scholar
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. In Bandura, A. (Ed.), Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ, US: Prentice Hall, 1–617.Google Scholar
Baron, K. (2003). To smoke or not to smoke: Predictors of smoking behaviour in people with head and neck cancer and chronic obstructive pulmonary disease. Dissertation Abstract International: Section B: The Sciences and Engineering, 64, 954.Google Scholar
Bestall, J. C., Paul, E. A., Garrod, R., Garnham, R., Jones, P. W., & Wedzicha, J. A. (1999). Usefulness of the medical research council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax, 54 (7), 581–586.CrossRefGoogle ScholarPubMed
Borland, R., Balmford, J., & Hunt, D. (2004). The effectiveness of personally tailored computer-generated advice letters for smoking cessation. Addiction, 99, 369–377.CrossRefGoogle ScholarPubMed
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRefGoogle Scholar
Burchfiel, C., Marcus, E., Curb, J., & Maclean, C. (1995). Effects of smoking and smoking cessation on longitudinal decline in pulmonary function. American Journal of Respiratory Critical Care Medicine, 151, 1778–1785.CrossRefGoogle ScholarPubMed
Copeland, L. (2003). An exploration of the problems faced by young women living in disadvantaged circumstances if they want to give up smoking: Can more be done at general practice level? Family Practice, 20 (4), 393–400.CrossRefGoogle ScholarPubMed
Dijkstra, A., De Vries, H., Roijackers, J., & Van Breukelen, G. V. (1998). Tailoring information to enhance quitting in smokers with low motivation to quit: Three basis efficacy questions. Health Psychology, 17, 513–519.CrossRefGoogle Scholar
Eklund, B., Nillsson, S., Hedman, L., & Lindberg, I. (2012). Why do smokers diagnosed with COPD not quit smoking? A qualitative study. Tobacco Induced Diseases, 10 (1), 17.CrossRefGoogle Scholar
Gilbert, H., Leurent, B., Sutton, S., Morris, R., Alexis-Garsee, C., & Nazareth, I. (2011). An exploration of general practice factors predicting recruitment to a UK wide primary care smoking cessation study. Family Practice, 29, 110–117. DOI: 10.1093/fampra/cmr030.CrossRefGoogle Scholar
Gilbert, H. M., Sutton, S. R., Leurent, B., Alexis-Garsee, C., Morris, R. W., & Nazareth, I. (2012). Characteristics of a population-wide sample of smokers recruited proactively for the ESCAPE trial. Public Health, 126 (4), 308–316.Google ScholarPubMed
Gilbert, H., Nazareth, I., Sutton, S., Alexis-Garsee, C., Morris, R., & Nazareth, I. (2013). ESCAPE: A randomised controlled trial of computer-tailored smoking cessation advice in primary care. Addiction, 108 (4), 811–819.CrossRefGoogle ScholarPubMed
Gritz, E. E., Vidrine, D. J., & Fingeret, M. C. (2007). Smoking cessation: A critical component of medical management in chronic disease populations. American Journal of Preventive Medicine, 33 (6S), S414–S422.CrossRefGoogle ScholarPubMed
Hylkema, M., Sterk, P., Boer, W. d., & Postma, D. (2007). Tobacco use in relation to COPD and asthma. European Respiratory Journal, 29, 438–445.CrossRefGoogle ScholarPubMed
Jiménez-Ruiz, C., Andreas, S., Lewis, K., Tonnesen, P., van Schayck, C. P., Hajek, P. et al. (2015). Statement on smoking cessation in COPD and other pulmonary diseases and in smokers with comorbidities who find it difficult to quit. European Respiratory Journal, 46, 61–79.CrossRefGoogle ScholarPubMed
Junghans, C., Feder, G., Hemmingway, H., Timmis, A., & Jones, M. (2005). Recruiting patients to medical research: Double blind randomised trial of ‘opt-in’ versus ‘opt-out’ strategies. BMJ, 331, 940–943.CrossRefGoogle ScholarPubMed
Luker, K. A., Chalmers, K. I., Caress, A. L., & Salmon, M. P. (2007). Smoking cessation interventions in chronic obstructive pulmonary disease and the role of the family: A systematic literature review. Journal of Advanced Nursing, 59 (6), 559–568.CrossRefGoogle ScholarPubMed
Michie, S., Jochelson, K., Markham, W. A., & Bridle, C. (2009). Low-income groups and behaviour change interventions: A review of intervention content, effectiveness and theoretical frameworks. Journal of Epidemiology and Community Health, 63 (8), 0–13.CrossRefGoogle Scholar
NHS. (2006). Stop smoking start living. Retrieved from http://smokefree.nhs.uk/downloads/108281_main_guide_double.pdf. Accessed 19 September 2012.Google Scholar
Noar, S. M., Benac, C. N., & Harris, M. (2007). Does tailoring matter? A meta-analytic review of tailored print health behavior change interventions. Psychology Bulletin, 133 (4), 673–693.CrossRefGoogle Scholar
Piresyfantouda, R., Absalom, G., & Clemens, F. (2013). Smoking cessation interventions for chronic obstructive pulmonary disease – a review of the literature. Respiratory Care, 58 (11), 1955–1962. DOI: 10.4187/respcare.01923.CrossRefGoogle ScholarPubMed
Rothman, A. J., Salovey, P., Antone, C., Keough, K., & Martin, C. D. (1993). The influence of message framing on intentions to perform health behaviors. Journal of Experimental Social Psychology, 29, 408–433.CrossRefGoogle Scholar
Shahab, L., Jarvis, M. J., Britton, J., & West, R. (2006). Prevalence, diagnosis and relation to tobacco dependence of chronic obstructive pulmonary disease in a nationally representative population sample. Thorax, 61, 1043–1047.CrossRefGoogle Scholar
Stead, L. F., Berguson, G., & Lancaster, T. (2008). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, 2, 1–74.Google Scholar
Stead, M., MacAskill, S., MacKintosh, A. M., Reece, J., & Eadie, D. (2001). It's as if you're locked in: Qualitative explanations for area effects on smoking in disadvantaged communities. Health and Place, 7 (4), 333–343.CrossRefGoogle ScholarPubMed
Strecher, V. J., Kreuter, M., Den Boer, D. J., Kobrin, S., Hospers, H. J., & Skinner, C. S. (1994). The effect of computer-tailored smoking cessation messages in family practice settings. Journal of Family Practice, 39, 262–268.Google ScholarPubMed
Strecher, V. J., & Velicer, W. F. (2001). Tailoring smoking cessation programmes to the specific needs and interests of the patient. British Medical Journal, 1, 434–436.Google Scholar
Sutton, S., & Gilbert, H. (2007). Effectiveness of individually tailored smoking cessation advice letters as an adjunct to telephone counselling and generic self-help materials: Arandomised controlled trial. Addiction, 102 (6), 994–1000.CrossRefGoogle ScholarPubMed
Tønnesen, P. (2013). Smoking cessation and chronic obstructive pulmonary disease. European Respiratory Review, 22 (127), 37–43.Google Scholar
Tønnesen, P., Carrozzi, L., Fagerstrom, K. O., Gratziou, C., Jimenez-Ruiz, C., Nadini, S. et al. (2007). Smoking cessation in patients with respiratory diseases: A high priority, integral component of therapy. European Respiratory Journal, 29 (2), 390–417.CrossRefGoogle ScholarPubMed
van der Meer, R. M., Wagena, E., Ostelo, R. W., Jacobs, A. J., & van Schayck, O. P. (2001, Updated 2003). Smoking cessation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 1, 1–28.Google Scholar
Wagena, E. J., van der Meer, R. M., Ostelo, R. J., Jacobs, J. E., & van Schayck, C. P. (2004). The efficacy of smoking cessation strategies in people with chronic obstructive pulmonary disease: Results from a systematic review. Respiratory Medicine, 98, 805–815.CrossRefGoogle ScholarPubMed
Wagner, J., Heapy, A., Frantsve, L., Abbott, G., & Brug, M. M. (2006). Transtheoretical model constructs in smokers with and without medical illness: A second look at the medical effect. Addictive Behaviors, 31 (7), 1283–1289.CrossRefGoogle ScholarPubMed