Journal
INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Volume 17, Issue -, Pages 1107-1120Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/COPD.S356935
Keywords
chronic obstructive pulmonary disease; smoking cessation; tobacco; qualitative research; acupuncture
Categories
Funding
- National Key Research and Development Project: Adding Chinese herbal medicine to antibiotic treatment for acute exacerbation of chronic obstructive pulmonary disease [2018YFE0102300]
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This study explored the barriers and facilitators for smoking cessation among smokers with COPD in China. The study found that motivation, capability, and opportunity were key factors for successful smoking cessation. COPD-related symptoms served as a strong motivation for quitting, while physical benefits and strong willpower facilitated maintenance of quitting. Exposure to smoking environment and nicotine addiction were common barriers for relapse. Few participants had experienced professional smoking cessation interventions and preferred alternative methods like auricular acupressure.
Background: Smoking cessation is recommended as a key intervention for chronic obstructive pulmonary disease (COPD) smokers. However, in China, few COPD smokers quit successfully. The aim of this study was to explore in depth the barriers and facilitators for smoking cessation among smokers with COPD in China. Methods: A purposive sample of 32 hospitalized smokers with COPD were included, 17 ex-smokers and 15 current smokers, participated in the semi-structured interviews. Interviews were analyzed thematically and using a deductive approach guided by Capability, Opportunity, Motivation-Behavior (COM-B) framework. Results: Three inter-related themes were generated: smokers' motivation was a prerequisite for quitting, maintaining capability to quit smoking, and opportunities that facilitated smokers to quit. Motivation to quit for most participants was activated by COPD-related symptoms, although they had a limited knowledge of COPD. Physical benefits from quitting and strong willpower were facilitators for maintaining quitting, while exposure to smoking environment and strong addiction to nicotine were frequent reasons for relapse. Most ex-smokers quit smoking by their own willpower rather than professionally delivered smoking cessation interventions. Smokers' attitudes toward these interventions depended on their effectiveness and convenience. Very few participants had experienced pharmacotherapy or behavioral support from physicians. However, interviewees preferred auricular acupressure to pharmacotherapy. Conclusion: Motivation to quit among smokers with COPD was usually initiated by COPD-related symptoms. Physical benefits observed by quitting and strong willpower facilitated smoking cessation, while exposure to smoking environment and strong addiction to nicotine led to COPD smokers in China auricular to
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