Introduction:
During pregnancy only half of women quit tobacco smoking despite the recommendations and strategies implemented. The consumption of cannabis and binge drinking seems to be rising in the last years. The objective of this study was to explore the perception of the main actors regarding the development and implementation of an enhanced intervention for tobacco, alcohol and cannabis cessation in Spain.

Material and Methods:
A qualitative study was conducted using a phenomenological approach. The target population was: 1) policy and decision makers 2) health professionals involved in cessation and, 3) pregnant women-couples using tobacco, alcohol or cannabis. The information was collected in 2022, through 2 focus groups and 8 in-depth interviews. Data were collected until discourse saturation was reached and accurately transcribed. Exploratory analysis and inductive open coding were performed, codes were grouped into categories and subcategories were identified.

Results:
Eight policy and decision makers, 9 health professionals and 8 pregnant women/couples took part. The analysis identified 5 categories and 20 subcategories Among the categories identified are the preferences of participants regarding interventions, the information provided or the acceptable cessation goals were identified. Decision makers & health professionals agreed on a brief motivational intervention and pregnant women preferred interventions combined with counseling, leaflets or social support. Women were against digital interventions and shocking messages. They also considered that at least the first intervention should be face-toface and the information provided should focus on the real risks that consumption implies for mother and partner.

Conclusions:
The key considerations identified regarding the preferences and expectations of the participants on smoking, alcohol and cannabis interventions should be taken into consideration whilst acknowledging that some of these considerations might be context-dependent.