Wanting to attend isn’t just wanting to quit: why some disadvantaged smokers regularly attend smoking cessation behavioural therapy while others do not: a qualitative study

BMC Public Health

Vera Nierkens⁴  Nina MM Bogaerts³  Marc C Willemsen¹  Karien Stronks²  Fiona E Benson² 

[1] Department Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, Minderbroedersberg 4-6, 6211 LK, Maastricht, The Netherlands;Department Public Health, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands;Present address: VUMC, Department Public and Occupational Health, EMGO+Institute, Van Der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands;Present address: LUMC, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands

关键词: Low socioeconomic status;    Attendance;    Telephone counselling;    Group therapy;    Smoking cessation;   

Others  :  866301
DOI  :  10.1186/1471-2458-14-695

 received in 2014-02-13, accepted in 2014-06-26,  发布年份 2014

【 摘 要 】

Background

Attendance of a behavioural support programme facilitates smoking cessation. Disadvantaged smokers have been shown to attend less than their more affluent peers. We need to gain in-depth insight into underlying reasons for differing attendance behaviour in disadvantaged smokers, to better address this issue. This study aims to explore the underlying motivations, barriers and social support of smokers exhibiting different patterns of attendance at a free smoking cessation behavioural support programme in a disadvantaged neighbourhood of The Netherlands.

Methods

In 29 smokers undertaking smoking cessation group therapy or telephone counselling in a disadvantaged neighbourhood, qualitative interviews were completed, coded and analysed. Major themes were motivations, barriers to attend and social support. Motivations and social support were analysed with reference to the self-determination theory.

Results

Two distinct patterns of attendance emerged: those who missed up to two sessions (“frequent attenders”), and those who missed more than two sessions (“infrequent attenders”). The groups differed in their motivations to attend, barriers to attendance, and in the level of social support they received. In comparison with the infrequent attenders, frequent attenders more often had intrinsic motivation to attend (e.g. enjoyed attending), and named more self-determined extrinsic motivations to attend, such as commitment to attendance and wanting to quit. Most of those mentioning intrinsic motivation did not mention a desire to quit as a motivation for attendance. No organizational barriers to attendance were mentioned by frequent attenders, such as misunderstandings around details of appointments. Frequent attenders experienced more social support within and outside the course.

Conclusion

Motivation to attend behavioural support, as distinct from motivation to quit smoking, is an important factor in attendance of smoking cessation courses in disadvantaged areas. Some focus on increasing motivation to attend may help to prevent participants missing sessions.

【 授权许可】

   
2014 Benson et al.; licensee BioMed Central Ltd.

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