Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies
Abstract Background In Scotland, and in several other countries, most second-hand smoke exposure now occurs in low-income households, where housing constraints and sole parenting often make it harder to create a smoke-free home. This pilot study provided people who smoke with a free 12-week supply o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-17488-5 |
| _version_ | 1797376783250620416 |
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| author | Rebecca Howell Stephen McBurney Giovanna Di Tano Aileen Boags Neneh Rowa-Dewar Ruaraidh Dobson Rachel O’Donnell |
| author_facet | Rebecca Howell Stephen McBurney Giovanna Di Tano Aileen Boags Neneh Rowa-Dewar Ruaraidh Dobson Rachel O’Donnell |
| author_sort | Rebecca Howell |
| collection | DOAJ |
| description | Abstract Background In Scotland, and in several other countries, most second-hand smoke exposure now occurs in low-income households, where housing constraints and sole parenting often make it harder to create a smoke-free home. This pilot study provided people who smoke with a free 12-week supply of nicotine replacement therapy through local community pharmacies to reduce smoking indoors. Methods Twenty-five parents/caregivers who smoked in the home and cared for children at least weekly were recruited via Facebook during the COVID-19 pandemic. Air quality (PM2.5) was monitored in participant homes for seven days before their first pharmacy visit and 12 weeks later. Qualitative interviews (N = 14) were conducted with 13 participants who completed the study and one who withdrew part-way through. The interviews explored views/experiences of using nicotine replacement therapy to help create a smoke-free home. Another participant took part in a shorter telephone discussion at their request, with detailed notes taken by the interviewer, because of their speech disorder. Results Three participants reported smoking outdoors only, one of whom subsequently quit smoking. Six participants reported reduced cigarette consumption by 50% in the home, four reported no (sustained) reduction and one reported increased smoking indoors. Self-reported outcomes were not always consistent with PM2.5 readings. Participants’ experiences of accessing nicotine replacement therapy through community pharmacies varied. Some suggested ongoing support to use nicotine replacement products could better assist behavioural change, and that access could be streamlined by posting products to the home. Several suggested that focusing on changing home smoking behaviours using nicotine replacement therapy might facilitate a future quit attempt. Conclusion Access to free nicotine replacement therapy for temporary use indoors may support some people who smoke to reduce children’s exposure to second-hand smoke. Our findings confirm the need to modify the intervention before undertaking a definitive trial to assess the effectiveness of this approach. This work is now underway. |
| first_indexed | 2024-03-08T19:43:34Z |
| format | Article |
| id | doaj.art-9537ed5ad09a4f858586a28a8ef46ce4 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T19:43:34Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-9537ed5ad09a4f858586a28a8ef46ce42023-12-24T12:31:25ZengBMCBMC Public Health1471-24582023-12-0123111110.1186/s12889-023-17488-5Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmaciesRebecca Howell0Stephen McBurney1Giovanna Di Tano2Aileen Boags3Neneh Rowa-Dewar4Ruaraidh Dobson5Rachel O’Donnell6Institute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of StirlingNHS LothianNHS LothianNHS LothianUsher Institute, University of EdinburghInstitute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of StirlingInstitute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of StirlingAbstract Background In Scotland, and in several other countries, most second-hand smoke exposure now occurs in low-income households, where housing constraints and sole parenting often make it harder to create a smoke-free home. This pilot study provided people who smoke with a free 12-week supply of nicotine replacement therapy through local community pharmacies to reduce smoking indoors. Methods Twenty-five parents/caregivers who smoked in the home and cared for children at least weekly were recruited via Facebook during the COVID-19 pandemic. Air quality (PM2.5) was monitored in participant homes for seven days before their first pharmacy visit and 12 weeks later. Qualitative interviews (N = 14) were conducted with 13 participants who completed the study and one who withdrew part-way through. The interviews explored views/experiences of using nicotine replacement therapy to help create a smoke-free home. Another participant took part in a shorter telephone discussion at their request, with detailed notes taken by the interviewer, because of their speech disorder. Results Three participants reported smoking outdoors only, one of whom subsequently quit smoking. Six participants reported reduced cigarette consumption by 50% in the home, four reported no (sustained) reduction and one reported increased smoking indoors. Self-reported outcomes were not always consistent with PM2.5 readings. Participants’ experiences of accessing nicotine replacement therapy through community pharmacies varied. Some suggested ongoing support to use nicotine replacement products could better assist behavioural change, and that access could be streamlined by posting products to the home. Several suggested that focusing on changing home smoking behaviours using nicotine replacement therapy might facilitate a future quit attempt. Conclusion Access to free nicotine replacement therapy for temporary use indoors may support some people who smoke to reduce children’s exposure to second-hand smoke. Our findings confirm the need to modify the intervention before undertaking a definitive trial to assess the effectiveness of this approach. This work is now underway.https://doi.org/10.1186/s12889-023-17488-5Smoke-free homeNicotine replacement therapiesPharmaciesSecond-hand smokeQualitativePublic health |
| spellingShingle | Rebecca Howell Stephen McBurney Giovanna Di Tano Aileen Boags Neneh Rowa-Dewar Ruaraidh Dobson Rachel O’Donnell Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies BMC Public Health Smoke-free home Nicotine replacement therapies Pharmacies Second-hand smoke Qualitative Public health |
| title | Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies |
| title_full | Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies |
| title_fullStr | Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies |
| title_full_unstemmed | Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies |
| title_short | Use of nicotine replacement therapy to reduce children’s exposure to second-hand smoke in the home: a qualitative pilot study involving local community pharmacies |
| title_sort | use of nicotine replacement therapy to reduce children s exposure to second hand smoke in the home a qualitative pilot study involving local community pharmacies |
| topic | Smoke-free home Nicotine replacement therapies Pharmacies Second-hand smoke Qualitative Public health |
| url | https://doi.org/10.1186/s12889-023-17488-5 |
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