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Table 1 ISCI feature and the core needs of pregnant smokers that may be underlying them

From: The needs and preferences of pregnant smokers regarding tailored Internet-based smoking cessation interventions: a qualitative interview study

ISCI features and components:

Underlying core needs:

 

To be well-informed

To be understood

To be motivated

To be engaged with ISCI

To be assisted in abstinence

Engaging ISCI

     

Engaging intervention

     

  Frequently updated and novel advice and information

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  Numerous interactive resources, games and discussion forums

   

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Accessible support

     

  User-friendly navigation and log-in procedures

   

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  Additional modes of delivery (e.g. "apps" for mobile devices)

   

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Comprehensive and motivating content

     

Reasons to quit

     

  Benefits of quitting for the fetus and the mother

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  Risk of continued smoking to the fetus and pregnancy

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  Framing the information positively

 

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  Comprehensive, detailed and novel information

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Quit process and methods

     

  Planning a quit in pregnancy

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  Quit methods, support and medication for pregnant women

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  Withdrawal symptoms, and their expected duration, intensity

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Testimonials

     

  Women’s experiences of the impact of smoking on babies

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  Women’s stories of how they quit successfully

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  Experiences of women who quit smoking using ISCI

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Features supporting quit

     

Craving management

     

  Relaxation activities, e.g. meditation

    

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  Tips and advice, also for those reporting low cravings

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  Environment rich in resources aiding distraction, e.g. games

   

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Monitoring and feedback

     

  Interactive progress reports on benefits of quitting

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  Diaries to record progress and successes

  

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Appraisal and encouragement

     

  Frequent encouragement to continue with the quit

  

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  Frequent appraisal of successful abstinence

  

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E-mail reminders

     

  Newsletters with information, advice and encouragement

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  Prompts to re-visit the website; information on updates

   

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Support in relapse

     

  Consoling and reassuring messages following relapse

 

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  Option to re-visiting earlier modules and re-set quit date

   

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  Providing support and advice addressing the causes of relapse

 

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Targeting to pregnancy

     

Focus on pregnancy

     

  Use of imagery related to pregnancy and motherhood

  

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  Linking progress and advice to baby’s health and pregnancy

  

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Non-judgmental advice targeted to quitting in pregnancy

     

  Advice on quitting methods during pregnancy

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  Advice addressing additional challenges of quitting in pregnancy

 

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  Non-judgmental, non-preachy, and understanding approach

 

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Structure and advice tailoring

     

Flexible intervention structure

     

  Accounting for the needs and preferences for pace of support

   

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  Tailoring to stage and experience with quit at the start

 

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  Flexibility in setting up the quit date, e.g. on the day of signing up

   

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Stop smoking medication

     

  Advice tailored to attitudes towards medication use

 

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  Extended support and advice for women using medication

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Personal support

     

  Discussion forums only for other pregnant women trying to quit

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  Proactive or reactive support from experts (calls, chat or e-mail)

 

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BMC Public Health

ISSN: 1471-2458

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