Cargando…

Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study

Exposure to second-hand smoke (SHS) in the home is largely associated with socio-economic disadvantage. Disadvantaged parents face specific challenges creating a smoke-free home, often caring for children in accommodation without access to outdoor garden space. Existing smoke-free home interventions...

Descripción completa

Detalles Bibliográficos
Autores principales: O’Donnell, Rachel, Lewis, Grace, Lumsdaine, Colin, Di Tano, Giovanna, Swanston, Liz, Amos, Gillian, Finnie, Anne, Rowa-Dewar, Neneh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579591/
https://www.ncbi.nlm.nih.gov/pubmed/33036327
http://dx.doi.org/10.3390/ijerph17197305
_version_ 1783598625916452864
author O’Donnell, Rachel
Lewis, Grace
Lumsdaine, Colin
Di Tano, Giovanna
Swanston, Liz
Amos, Gillian
Finnie, Anne
Rowa-Dewar, Neneh
author_facet O’Donnell, Rachel
Lewis, Grace
Lumsdaine, Colin
Di Tano, Giovanna
Swanston, Liz
Amos, Gillian
Finnie, Anne
Rowa-Dewar, Neneh
author_sort O’Donnell, Rachel
collection PubMed
description Exposure to second-hand smoke (SHS) in the home is largely associated with socio-economic disadvantage. Disadvantaged parents face specific challenges creating a smoke-free home, often caring for children in accommodation without access to outdoor garden space. Existing smoke-free home interventions largely fail to accommodate these constraints. Innovative approaches are required to address this inequality. In this two-phase study, we engaged with parents living in disadvantaged areas of Edinburgh, Scotland, to explore tailored approaches to creating a smoke-free home and develop and pilot-test an intervention based on their views and preferences. In Phase 1, qualitative interviews with 17 parents recruited from Early Years Centres explored alternative approaches to smoke-free home interventions. In Phase 2, an intervention based on parents’ views and preferences was pilot-tested with parents recruited through Early Years and Family Nurse Partnership centres. Seventeen parents took part in an interview to share their views/experiences of the intervention. Data from both study phases were thematically analysed. Phase 1 findings suggested that parents associated nicotine replacement therapy (NRT) with quit attempts but supported the idea of NRT use for temporary abstinence to create a smoke-free home, viewing this as a safer option than using e-cigarettes indoors. In Phase 2, 54 parents expressed an interest in accessing NRT to create a smoke-free home, 32 discussed NRT product choice during a home visit from a smoking adviser, and 20 collected their free NRT prescription from the pharmacy. NRT was used for up to 12 weeks in the home, with ongoing advice available from pharmacy staff. During qualitative interviews (n = 17), parents self-reported successfully creating a smoke-free home, quitting smoking, and reduced cigarette consumption, often exceeding their expectations regarding changes made. The intervention was acceptable to parents, but the multi-step process used to access NRT was cumbersome. Some participants were lost to this process. Parents living in disadvantaged circumstances may benefit from access to NRT for temporary abstinence in the home to assist them to protect their children from SHS exposure. Further research using a more streamlined approach to NRT access is required to determine the feasibility and cost-effectiveness of this approach.
format Online
Article
Text
id pubmed-7579591
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75795912020-10-29 Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study O’Donnell, Rachel Lewis, Grace Lumsdaine, Colin Di Tano, Giovanna Swanston, Liz Amos, Gillian Finnie, Anne Rowa-Dewar, Neneh Int J Environ Res Public Health Article Exposure to second-hand smoke (SHS) in the home is largely associated with socio-economic disadvantage. Disadvantaged parents face specific challenges creating a smoke-free home, often caring for children in accommodation without access to outdoor garden space. Existing smoke-free home interventions largely fail to accommodate these constraints. Innovative approaches are required to address this inequality. In this two-phase study, we engaged with parents living in disadvantaged areas of Edinburgh, Scotland, to explore tailored approaches to creating a smoke-free home and develop and pilot-test an intervention based on their views and preferences. In Phase 1, qualitative interviews with 17 parents recruited from Early Years Centres explored alternative approaches to smoke-free home interventions. In Phase 2, an intervention based on parents’ views and preferences was pilot-tested with parents recruited through Early Years and Family Nurse Partnership centres. Seventeen parents took part in an interview to share their views/experiences of the intervention. Data from both study phases were thematically analysed. Phase 1 findings suggested that parents associated nicotine replacement therapy (NRT) with quit attempts but supported the idea of NRT use for temporary abstinence to create a smoke-free home, viewing this as a safer option than using e-cigarettes indoors. In Phase 2, 54 parents expressed an interest in accessing NRT to create a smoke-free home, 32 discussed NRT product choice during a home visit from a smoking adviser, and 20 collected their free NRT prescription from the pharmacy. NRT was used for up to 12 weeks in the home, with ongoing advice available from pharmacy staff. During qualitative interviews (n = 17), parents self-reported successfully creating a smoke-free home, quitting smoking, and reduced cigarette consumption, often exceeding their expectations regarding changes made. The intervention was acceptable to parents, but the multi-step process used to access NRT was cumbersome. Some participants were lost to this process. Parents living in disadvantaged circumstances may benefit from access to NRT for temporary abstinence in the home to assist them to protect their children from SHS exposure. Further research using a more streamlined approach to NRT access is required to determine the feasibility and cost-effectiveness of this approach. MDPI 2020-10-07 2020-10 /pmc/articles/PMC7579591/ /pubmed/33036327 http://dx.doi.org/10.3390/ijerph17197305 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
O’Donnell, Rachel
Lewis, Grace
Lumsdaine, Colin
Di Tano, Giovanna
Swanston, Liz
Amos, Gillian
Finnie, Anne
Rowa-Dewar, Neneh
Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title_full Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title_fullStr Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title_full_unstemmed Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title_short Supporting Parents Living in Disadvantaged Areas of Edinburgh to Create a Smoke-Free Home Using Nicotine Replacement Therapy (NRT): A Two-Phase Qualitative Study
title_sort supporting parents living in disadvantaged areas of edinburgh to create a smoke-free home using nicotine replacement therapy (nrt): a two-phase qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579591/
https://www.ncbi.nlm.nih.gov/pubmed/33036327
http://dx.doi.org/10.3390/ijerph17197305
work_keys_str_mv AT odonnellrachel supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT lewisgrace supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT lumsdainecolin supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT ditanogiovanna supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT swanstonliz supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT amosgillian supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT finnieanne supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy
AT rowadewarneneh supportingparentslivingindisadvantagedareasofedinburghtocreateasmokefreehomeusingnicotinereplacementtherapynrtatwophasequalitativestudy