Table 1 Behavior change techniques (BCTs) used in the smoking-cessation consultations in this study
Week | Session number | Session content | BCTs used (Michie categoriesa) |
|---|---|---|---|
1 | Session 1 (1 week before quit day) | Explain the treatment, including timing of quit | RC4, BS4 |
Measure expired CO and explain purpose | RC3 | ||
Assess and discuss current and past smoking behavior | RI1 | ||
Identify reasons for wanting and not wanting to quit | BM9 | ||
Assess current motivation/confidence for quitting | R12 | ||
Discuss past attempts at quitting | R13 | ||
Prepare for the quit attempt | BM6, BS3 | ||
Discuss use of social support | A2 | ||
Advise on reducing smoking cues | BS8 | ||
Advise subject to note the times when they are likely to lapse | BS6 | ||
Facilitate relapse prevention planning and coping | BS2 | ||
Identify barriers to quitting and address these barriers | BS1 | ||
Emphasize choice (for example, when the participants take their final smoke) | RD2 | ||
Provide information about the consequences of smoking during pregnancy | BM1, RC5 | ||
Explain about quitting abruptly, rather than cutting down | BM10 | ||
For all sessions: | Â | ||
Allow time for questions | RC2 | ||
Summarize | RC9 | ||
Use reflective listening | RC7 | ||
Elicit participant’s views | RC8 | ||
Build a general rapport | RC1 | ||
Give praise for progress | BM7 | ||
Tailor the interactions | RD1 | ||
2 | Session 2 (quit day) | Look for reasons why the woman is a good prospect | BM2, BM3 |
Explain about cigarette withdrawal symptoms and strategies for dealing with them | RC6 | ||
Identify barriers to quitting and address these barriers | BS1 | ||
Advise on avoiding social cues for smoking | BS11 | ||
Advise on changing routine | BS7 | ||
Advise on conserving mental resources | BS10 | ||
Set graded tasks (for example, take 1 hour/day at a time) | BS9 | ||
3 | Session 3 (1 week after quit day) | Check smoking status | BS5 |
Assess withdrawal symptoms | R14 | ||
Reassure about the norms for these symptoms | RC10, BM5 | ||
Advise subject to monitor when they want to smoke | BS6 | ||
Assess CO and give feedback about whether reading has reduced | BM11, BM3 | ||
Discuss planning and coping strategies to prevent relapse | BS2 | ||
If they, have relapsed ask them to commit to a new quit date | BM6 | ||
Advise about use of NRT | A1 | ||
Liaise with PCT about obtaining NRT | A3 | ||
Encourage subject to see themselves as a non-smoker | BM8 | ||
Remind them of lottery prize for attending all sessions | BM7 | ||
4 | Session 4 (2 weeks after quit day) onwards | Assess CO | BM11 |
Check smoking status | BS5 | ||
If they are struggling offer further support from PCT | A5 | ||
Discuss relapse prevention planning and coping strategies for after birth | BS2, BM8 | ||
Emphasize importance of not having a single puff | BM6 | ||
If subject has relapsed, set a new quit date, and review use of NRT | A4 |