Background
Methods
Feasibility study
Phase 1: acceptability
Phase 2: composing a pilot study
Phase 3: execution pilot study
Phase 4: evaluation of pilot study
Results
Phase 1: acceptability
RESPONDENTS CHARACTERISTICS | Total population N = 328, 100% N (%) |
---|---|
Gender | |
Male | 62 (18.9) |
Female | 266 (81.1) |
Age (years) | |
< 20 | 22 (6.7) |
20–29 | 133 (40.5) |
30–39 | 52 (15.9) |
40–49 | 66 (20.1) |
50–59 | 36 (11.0) |
≥ 60 | 19 (5.8) |
Education1 | |
Low | 13 (4.0) |
Medium | 102 (31.1) |
High | 213 (64.9) |
Pregnancy status | |
I/my partner is pregnant | 3 (0.9) |
I/my partner has been pregnant | 131 (39.9) |
I/my partner have never been pregnant | 194 (59.1) |
Smoking status | |
I smoke | 40 (12.2) |
My partner smokes | 24 (7.3) |
We both smoke | 22 (6.7) |
I have smoked | 36 (11.0) |
My partner smoked | 18 (5.5) |
We both smoked | 26 (7.9) |
No, I do not smoke | 65 (19.8) |
No, we both do not smoke | 97 (29.6) |
Stopped smoking during pregnancy | N = 87 |
Stopped during pregnancy | 34 (39.1) |
Permanently stopped after pregnancy | 12 (13.8) |
Did not completely stop during pregnancy | 23 (26.4) |
Did not stop at all | 18 (20.7) |
Phase 2: composing a pilot study
Phase 3: execution pilot study
INCLUSION | VISIT 1 | VISIT 2 | VISIT 3 | VISIT 4 | VISIT 5 | TOTAL | |
---|---|---|---|---|---|---|---|
Interview | Urine Test | Urine Test | Urine Test | Urine Test | |||
Participating women (N) | 9 | 7 | 6 | 3 | 2 | 1 | NA1 |
Women dropped out (N) | 0 | 2 | 1 | 3 | 1 | 1 | 8 |
Negative Urine Test (N) | NA | NA | 2 | 1 | 0 | 1 | 4 |
Positive Urine Test (N) | NA | NA | 4 | 2 | 2 | 0 | 8 |
CHARACTERISTICS PREGNANT WOMEN | N (%) |
---|---|
Age (years) | |
20–25 | 3 (42.9) |
26–30 | 1 (14.3) |
31–35 | 2 (28.6) |
36–40 | 1 (14.3) |
Pregnancy | |
First | 2 (28.6) |
Second | 3 (42.9) |
Third | 2 (28.6) |
Gestation (weeks) | |
8 + 0–10 + 6 | 2 (28.6) |
11 + 0–13 + 6 | 2 (28.6) |
14 + 0–16 + 6 | 1 (14.3) |
17 + 0–19 + 6 | 0 (0.0) |
20 + 0–22 + 6 | 1 (14.3) |
23 + 0–25 + 6 | 1 (14.3) |
Employment | |
Yes | 0 (0.0) |
No | 7 (100.0) |
Years of smoking | |
< 5 years | 0 (0.0) |
5–10 years | 1 (14.3) |
10–15 years | 4 (57.1) |
> 15 years | 2 (28.6) |
Previous smoking cessation attempt | |
Yes | 7 (100.0) |
No | 0 (0.0) |
Private problems | |
Relational issues (with partner and/or family) | 5 (71.4) |
Financial issues | 5 (71.4) |
Health issues1 | |
Yes | 6 (85.7) |
No | 1 (14.3) |
CODE TREE - THEMES (CATEGORY) | SUBCATEGORY | CODE | QUOTE | PARTICIPANT ID1 |
---|---|---|---|---|
Smoking | ||||
Positive influence on smoking cessation | Activity | Distraction | “Usually, I get up and then I know if I, when I get up and I have breakfast and do my things first, then um, I don’t have to smoke anymore” | U08 |
Taking distance | “... I’ve also decided not to go to friends for a while, this week anyway, so that I won’t be tempted either.” | U08 | ||
Eating | “… well in the first week you just have to try to distract yourself that way ...” | U11 | ||
Focus | “... when I have the ultrasound, that you can hear the heartbeat that I will become more aware of oh yes I really have something in my belly …” | M02 | ||
Hobby’s | “… hobby is photography, but uh, that’s also paused at the moment. But I plan to do that again.” | U05 | ||
Household | “Cleaning up, tidying up.” | U04 | ||
Avoidance | “Yes, especially with my boyfriend, when I, um, know that there is really nothing in the house. That there is nothing to look for ...” | U11 | ||
Aid with smoking cessation | Social | “Yes indeed, and my best friend also has 2 children, so you spend a lot of time together” | M02 | |
Sport | “… pregnancy yoga first and I want to continue that later, …, you will fully relax yourself ...” | U05 | ||
Approach | “... without there being, um, a pointing finger ...” | S12 | ||
External support | “… because you have to stop (…) not only my environment but eeh, also people in the hospital ...” | U05 | ||
Request for help | “And now I wonder, maybe it would be like this (…) if I had perhaps had, then it might have been that I would have stopped longer” | U04 | ||
Internal support | “... my friend gets angry if I smoke. But the rest of the environment is not so judgmental and angry.” | U04 | ||
Nicotine replacements | “... I would like to use nicotine patches. But then if I do urine test you still have that, it still has, uh, nicotine in it.” | U04 | ||
Self | “I’m really like eeh, yes I want it myself and I really support it so ehm, I can do that ...” | U05 | ||
Negative influence on smoking cessation | Counteractions | Barrier | “... after that there was no sympathy for the fact that I did smoke ... he reacted so angry that we got into a fight.” | U04 |
Perseverance | “... not motivated enough to ...” | U04 | ||
To deny | “And then you no longer assume things that can go wrong.” | U08 | ||
Rushed | “... I’m already doing really well and then I’m going to seven milligrams, well and then I’m done with it and I overestimated myself in that.” | U04 | ||
Temptation | “... then I was with friends again and then, yes, give me a cigarette too, yes then you start again.” | U11 | ||
Reasons to smoke | Reward | “... because I no longer smoke weed, I still smoke, because it is so good that I did stop smoking weed. That’s my reward.” | U04 | |
Relaxation | “... now let’s relax through ...” | U08 | ||
Smoking thoughts | “And then it was really every day that I still thought, I have to, I have to, I have to, I have to.” | U04 | ||
Routine | “Yes, really dinner … I used to have, did I have in the morning that I thought now I’m going to have a cup of coffee and a cigarette ...” | U05 | ||
Peace | “When I smoke a cigarette, I calm down too.” | U05 | ||
Stress | “Then I ended up in a stressful situation again, so yes. Then you soon reach for a cigarette again.” | U05 | ||
Addiction | “... because I have smoked now and then in between, you still have the taste for a bit ...” | M02 | ||
Boredom | “... when you are home alone … I found it very difficult not to smoke because it was so quiet.” | U08 | ||
Fancy | “... every now and then you just feel like a cigarette.” | U05 | ||
Smoking behaviour | Location | Inside | “… usually in the kitchen with a window open, but not in the room.” | U08 |
Outside | “Not even on the balcony, … just go outside.” | U05 | ||
Tobacco products | E-cigarette | “... electric. I did that for a while.” | U04 | |
Cigarette | “I actually smoke cigarettes.” | U08 | ||
Weed | “... before my pregnancy, um, I smoked weed too ….” | U04 | ||
Smoking cessation | Attempt to quit | Fed up | “It is, yes, just a shame …” | S01 |
Easy | “... it’s okay (...) I actually stopped quite easily.” | U04 | ||
Failed attempt | “... I did smoke a few times again, when I faced difficult times during my life, I started smoking again” | U05 | ||
Hard | “... it is very difficult for me to quit smoking.” | U08 | ||
Period | “... I quit on my own for 3 months.” | U05 | ||
Regret | “Because then I have those side effects and now, I also like well, I should have done this much sooner actually ...” | U04 | ||
Date of stopping | “... I have something like (...) I’m going to start quitting today ...” | U05 | ||
Successful attempt | “I pretty much stopped together with him, actually.” | M02 | ||
Proud | “... I am kind of proud but it doesn’t feel um, I am not very proud. Because I (...) now also like, well, I should have done this much earlier actually ...” | U04 | ||
Consequences | Used to | “... now that was really after 3 days that I really didn’t have that anymore.” | U04 | |
Withdrawal symptoms | “Uh, yeah the first few days it was just that I was um, really cranky.” | U04 | ||
Symptomatic aid | “Yes, I still got a prescription from the midwife, um, yes, the midwife gave me, um, something.” | U04 | ||
Pregnancy | ||||
Pregnancy | Uncomplicated pregnancy | “Yes, I am happy to have a new pregnancy. (…) But if I hear more and more things are going well, then, um, I am more relaxed myself.” | U08 | |
Preparations | “... well at home I’m still busy with the nursery of course and buying clothes and things like that, so I’m preparing well, yes.” | U05 | ||
Pregnancy ailments | “If something makes you nauseous all at once and then all at once, you’ve just eaten, well everything will come out again.” | U08 | ||
Social | ||||
Economic situation | Financial | “... because I have a benefit, after about two or 3 weeks (...) my money is normal, so low that I cannot, um, spend 20 euros on it because I still have 50 euros for groceries ...” | U04 | |
Preliminary education | “... lower vocational education, but I have been working since I was 18...” | U05 | ||
Employment | “I just got back to work,so I’m going to work for the first time today.” | U08 | ||
Unemployed | “... and now I stopped working again ...” | U08 | ||
Person | Health | “Yes and eeh, then I got eeh, Crohn’s disease …, so I have to gradually rebuild everything a bit.” | U05 | |
Deceased child | “... I also had a miscarriage before at 11 weeks ...” | M02 | ||
Personal | “And, well, I found those telephone contacts, um, that I found it really difficult to be open to others” | U04 | ||
Research | ||||
Test | Negative test | “... it is indeed negative ...” | U04 | |
Positive test | “... we had expected it a bit, unfortunately, …, but there was no second line to be seen and that actually means that there is still cotinine in the urine” | U08 | ||
Reason to stop smoking | Purpose | “... I just know there is, a creature living inside me, a daughter, … that stands up, really number one for me, so that’s what I’m doing it for.” | U05 | |
Child | “... then you also realize it more, there is something in my belly. There’s a creature in my belly.” | U05 | ||
Other | Interest | “I think it is very important, after all I have been through ...” | U08 | |
Aim | “I was already looking at second-hand but now I’m like oh, maybe I can get a new one.” | U04 | ||
Feedback | “... that also feels good, I have also been in conversations that one is only talking and the other is just sitting around, so this is, I just like this.” | U05 |