Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Hotlines* ; Referral and Consultation*/organization & administration; Patient Satisfaction/*statistics & numerical data ; Primary Health Care/*organization & administration ; Smoking Cessation/*methods; Adult ; Aged ; Counseling/organization & administration ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Ohio/epidemiology ; Qualitative Research ; Smoking Cessation/psychology ; Tobacco Smoking
    • Abstract:
      Background: The use of electronic referrals (eReferrals) to state quitlines (QLs) for tobacco-using patients is a promising approach for addressing smoking cessation on a large scale. However, QL contact, enrollment, and completion rates are low. The purpose of this study was to examine the eReferral to QL process from the patient's perspective in order to inform strategies for improving QL engagement.
      Methods: We conducted interviews with 55 patients who agreed to an eReferral at a primary care visit to 1 of 8 safety-net community health centers in Cuyahoga County, Ohio (September 2017-August 2018). Interviews were designed to explore the experiences of three subgroups of patients who subsequently: 1) declined participation in the QL; 2) were unreachable by the QL; or 3) were enrolled in or had completed the QL program. Analysis was guided by a phenomenological approach designed to identify emergent themes.
      Results: Reasons for QL program non-completion included changing life circumstances and events making cessation unviable; misunderstandings about the QL; discomfort with telephonic counseling; perceived lack of time for counseling; cell phone barriers; and having already quit smoking. We found that some individuals who were no longer engaged with the QL still desired continued support from the QL.
      Conclusions: Participants intentionally and unintentionally disengage from the QL for a wide variety of reasons, several of which are mediated by low socioeconomic status. Integrating QL care with community-based resources that address these mediators could be a promising strategy.
    • References:
      Natl Health Stat Report. 2009 Mar 11;(14):1-13, 16. (PMID: 19418704)
      Prev Med. 2016 Oct;91:70-75. (PMID: 27496395)
      Am J Manag Care. 2006 Apr;12(4):235-43. (PMID: 16610925)
      JAMA Intern Med. 2015 Feb;175(2):218-26. (PMID: 25506771)
      MMWR Morb Mortal Wkly Rep. 2018 Jan 19;67(2):53-59. (PMID: 29346338)
      J Subst Abuse Treat. 2016 Dec;71:58-62. (PMID: 27776679)
      Contemp Clin Trials. 2019 May;80:40-47. (PMID: 30904596)
      MMWR Morb Mortal Wkly Rep. 2017 Jan 06;65(52):1457-1464. (PMID: 28056007)
      Qual Health Res. 2011 Aug;21(8):1075-85. (PMID: 21464470)
      Transl Behav Med. 2014 Sep;4(3):324-32. (PMID: 25264471)
      Cochrane Database Syst Rev. 2017 Sep 04;9:CD007078. (PMID: 28869775)
      JAMA Intern Med. 2013 Mar 25;173(6):458-64. (PMID: 23440173)
      PLoS One. 2013 Oct 07;8(10):e73373. (PMID: 24116000)
      Appl Clin Inform. 2019 Aug;10(4):735-742. (PMID: 31578046)
      Am J Prev Med. 2012 Dec;43(6 Suppl 5):S425-34. (PMID: 23157761)
      Health Educ Behav. 2016 Apr;43(2):201-7. (PMID: 26293458)
      Health Educ Behav. 2012 Oct;39(5):596-602. (PMID: 22247219)
      Am J Prev Med. 2013 Dec;45(6):737-41. (PMID: 24237916)
      Nicotine Tob Res. 2017 Nov 07;19(12):1473-1481. (PMID: 29121347)
      JMIR Mhealth Uhealth. 2016 May 20;4(2):e49. (PMID: 27207211)
      PLoS One. 2018 Oct 24;13(10):e0204657. (PMID: 30356254)
      Am J Public Health. 2012 Mar;102(3):e8-16. (PMID: 22390525)
      J Am Med Inform Assoc. 2019 Aug 1;26(8-9):778-786. (PMID: 31089727)
      Public Health Nurs. 2014 Jan-Feb;31(1):44-54. (PMID: 24387774)
      MMWR Morb Mortal Wkly Rep. 2019 Nov 15;68(45):1013-1019. (PMID: 31725711)
      Prev Med Rep. 2019 Jan 17;13:262-267. (PMID: 30723660)
      Am J Prev Med. 2001 Feb;20(2 Suppl):8-9. (PMID: 11173213)
      J Public Health Manag Pract. 2016 Sep-Oct;22(5):E36-46. (PMID: 27479313)
      Cochrane Database Syst Rev. 2016 Apr 10;4:CD006611. (PMID: 27060875)
      Am J Med Sci. 2003 Oct;326(4):201-5. (PMID: 14557735)
      Nicotine Tob Res. 2020 Aug 24;22(9):1640-1643. (PMID: 31811295)
      Cochrane Database Syst Rev. 2013 Aug 12;(8):CD002850. (PMID: 23934971)
      Prev Chronic Dis. 2015 Oct 22;12:E179. (PMID: 26491814)
      Am J Public Health. 2011 Apr;101(4):699-706. (PMID: 21330593)
      BMC Public Health. 2018 Jan 10;18(1):123. (PMID: 29321008)
      Nicotine Tob Res. 2016 Aug;18(8):1791-3. (PMID: 26920647)
      JAMA Intern Med. 2014 May;174(5):671-7. (PMID: 24615217)
      Am J Public Health. 2014 Aug;104(8):e76-84. (PMID: 24922165)
      Am J Prev Med. 2006 Oct;31(4):293-9. (PMID: 16979453)
      BMC Public Health. 2012 Jul 06;12:507. (PMID: 22768793)
    • Grant Information:
      IHS-1503-29879 United States PCORI Patient-Centered Outcomes Research Institute
    • Contributed Indexing:
      Keywords: Primary care; Program use; Qualitative research; Tobacco cessation; Tobacco quitlines
    • Publication Date:
      Date Created: 20200711 Date Completed: 20201125 Latest Revision: 20240329
    • Publication Date:
      20240329
    • Accession Number:
      PMC7350715
    • Accession Number:
      10.1186/s12889-020-09185-4
    • Accession Number:
      32646397