A qualitative approach exploring the experiences of smoking and quitting attempts in type 1 diabetes

Abstract

Strategies and resources, such as staff training, to increase delivery of smoking cessation support to patients with diabetes are needed.

Exploring attitudes towards smoking behaviour and cessation among hospitalised smokers via a socio-ecological framework: A scoping review

“…Participants' perceptions about benefits of smoking included socialisation (Fallin-Bennett et al, 2018;Shopik et al, 2012), enticing effects of tobacco taste and inhalation process (Ghazaleh et al, 2018), habit (Ratschen et al, 2010Wilson et al, 2016), and emotional support during stress (Ghazaleh et al, 2018;Li et al, 2019;Shopik et al, 2012). The fear of nicotine withdrawal or cravings was associated with continued smoking (Ghazaleh et al, 2018;Li et al, 2019). Moreover, some participants expressed their concerns that healthcare professionals may misinterpret nicotine withdrawal symptoms as signs or symptoms of their mental illness (Hehir et al, 2012).…”

“…Some patients believed that nicotine replacement therapy was just as harmful as smoking and unhelpful for smoking cessation (Kelly et al, 2018;McQueen et al, 2014). Others believed that therapy increased cigarette consumption and caused allergic skin reactions from nicotine patches (Ghazaleh et al, 2018;Ratschen et al, 2010). Although, McQueen et al (2014) found that many patients perceived nicotine replacement therapy as less harmful than cigarettes, and they believed it could increase cessation.…”

“…Intrapersonal factors also suggested that individuals may be aware of smoking risks but lack the self-efficacy to stop smoking, and the comorbid health conditions either motivated or hindered smoking cessation. Most patients were aware of smoking's health risks, and some stopped or reduced cigarette consumption whilst in a smoke-free healthcare setting (Bhuiyan et al, 2017;Buczkowski et al, 2014;Ghazaleh et al, 2018;Li et al, 2019;Wilson et al, 2016) This manuscript version is made available under the CC-BY-NC-ND 4.0 patients did not plan to quit smoking in the next twelve months as many of them were in a precontemplation or contemplation stage of change.. Having prior knowledge of a facility's smokefree policies helped patients prepare for their stay at the facility and enhanced patients' selfefficacy regarding smoking cessation (Hehir et al, 2012). Many individuals were aware of the risks of smoking for themselves and their family and believed in the advantages of cessation.…”

“…However, they believed they did not have the control and self-efficacy to commit and make it happen (Bhuiyan et al, 2017;Buczkowski et al, 2014;Ghazaleh et al, 2018;Li et al, 2019;Wilson et al, 2016). Ghazaleh et al (2018) found that diabetic patients stopped or reduced the number of cigarettes consumed daily after diagnosis…”

“…Social support was found to be a key driver of cessation. Wilson et al (2016) and Ghazaleh et al (2018) reported that most patients intended to quit due to the support and encouragement from their families and friends. Findings from the focus group discussions conducted by Wilson et al (2016) indicated that anti-smoking television advertisements empowered family members to challenge a smoker to stop smoking.…”