“It Was All Tailored Around Me”: Qualitative Evaluation of Clinical Effort Against Smoke Exposure in Cystic Fibrosis (CEASE‐CF)

ABSTRACT Background Our prior work revealed multilevel barriers to smoking cessation interventions among cystic fibrosis (CF) families and clinical providers. Here, we assess qualitatively the implementation of CEASE‐CF, a multicomponent smoking cessation intervention tailored to the needs of CF caregivers and delivered by a tobacco treatment specialist (TTS) integrated into the CF care team (NCT04777344). Methods We conducted interviews with CF caregivers in the CEASE‐CF intervention arm and with CF clinical care providers. Interviews were recorded and transcribed. Data analysis was completed by two independent coders using NVivo. Themes were generated using a content analysis approach with a constant comparative method. Results In 22 interviews with caregivers ( n = 12) and providers ( n = 10), four overarching themes emerged: (1) Increased caregiver awareness about the sources and harms of smoke exposure; (2) Increased caregiver self‐efficacy for quitting; (3) Caregiver endorsement of the effectiveness of counseling by TTS; and (4) Provider endorsement of the integration of TTS in the CF care team. Conclusion CEASE‐CF positively impacted caregivers by increasing their awareness of the sources and harms of smoke exposure, equipping them with tools to change habits, and enhancing their self‐reported confidence and self‐efficacy for quitting. Consistent and multifaceted cessation support provided by a trained TTS is practice‐changing and can be successfully integrated in CF care delivery.