Table 3.
Comments From Smoker and Family Member Participants: Selected Themes and Quotes Related to Acceptability of the Social Network Family-Focused Intervention
| Positive comments: “likes” about the program | Sample quotations from | |
|---|---|---|
| Smokers (selected from 67 comments) | Family participants (selected from 72 comments) | |
| 1. Participation format (dyads and small groups) | ||
| a. Smokers and family members could participate together | “Two people (smoker and family member) attended the learning session together helped to encourage each other to learn.” | “Two people (smoker and family) attended the educational sessions together would support each other. Two people having the same level of knowledge about tobacco was very useful.” |
| b. Presence of other participants in the group | “This Project was practical and learning was fun because there were many other people attending.” | “This Project was good because…I could listen to the opinions and experiences from other smokers and family members.” |
| 2. Intervention delivery and teaching materials | ||
| a. Intervention led by lay health workers | “The steps of teaching in educational sessions were orderly and reasonable…. the LHW presented clearly and concisely so it helped me to understand more about the topic.” | “…if the smoker and his family member had different points of view, there were other participants or the lay health worker who would explain the issues clearly… the lay health worker presented the information clearly, and orderly.” |
| b. Materials were easy to follow, practical, and helpful | “The Project was very helpful for the Vietnamese because the educational materials were in Vietnamese and were easy to understand.” | “The Project had a teaching program that was very easy to understand. It was useful for smokers and family members.” |
| 3. Knowledge gains in tobacco-related health risks, how to quit or smoking cessation resources | “My mother learned about the harm so she could give her son (me) the advice. My mom knew about secondhand smoke and third hand smoke.” “This Project was very good… I have learned… using NRT over the counter was very helpful…” | “I learned about the harmful effects of tobacco, and how to quit, so that I can give advice to my husband to get him quit.” “…I learned about the harmful effects of tobacco, to get help from the doctor to quit…” |
| 4. Increased self-efficacy | “Family members reminded us to quit smoking. The Action Plan helped smokers figure out goals to achieve. That helped smokers quit more easily.” | “Attending educational sessions gave family members the chance to share different experiences to understand each other, and gave me more strength. Being there, I could encourage my husband to quit smoking easily.” |
| 5. Motivated smokers to reduce or quit smoking | “I liked the Project very much because it helped me and my family talk together about tobacco. I realized the harm of tobacco toward my family’s health so I decided to quit smoking.” | “After joining this Project, my husband said that he could not hold our child when he was smoking. So that he reduced smoking. He said he would quit gradually. Thanks the Project very much to help us understand the harm of tobacco.” |
| Negative comments: “dislikes” about the program | Quotations from | |
| Smokers (all three comments) | Family participants (all three comments) | |
| 6. Areas that intervention did not address | “This Project only helped smokers who had no will. I think smoking is based on my will…I do not have an addiction to tobacco, I smoke because I have the need for my brain to work.” “This Project should refer smokers to a pharmacy where smokers can buy over-the-counter NRT with a special discount or 50% off the price.” | None |
| 7. Duration; timing of the call | None | “I did not like to receive phone calls at night” |
| 8. Incentives | “The program should send the $25 incentive (for completing the survey) to me quickly.” | “The program should give gas cards instead of cash, so smoker participants cannot use it to buy cigarettes. I’m helping him (the smoker) to quit by not giving him any money to buy cigarettes. Receiving cash incentives can undermine this effort.” |
| 9. Project duration | None | “Project duration was too long. Participants started taking their actions soon after the first session, so we didn’t need to wait this long.” |
LHW = lay health worker; NRT = nicotine replacement therapy.