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Predictors of Patient Engagement in Telehealth-Delivered Tobacco Cessation Treatment during the COVID-19 Pandemic

Author

Listed:
  • Annemarie D. Jagielo

    (PGSP-Stanford PsyD Consortium, Palo Alto University, Palo Alto, CA 94304, USA
    Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Amy Chieng

    (Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Cindy Tran

    (Health Education, Engagement and Promotion, Stanford Healthcare, Menlo Park, CA 94025, USA)

  • Amy Pirkl

    (Health Education, Engagement and Promotion, Stanford Healthcare, Menlo Park, CA 94025, USA)

  • Ann Cao-Nasalga

    (Health Education, Engagement and Promotion, Stanford Healthcare, Menlo Park, CA 94025, USA)

  • Ashley Bragg

    (Health Education, Engagement and Promotion, Stanford Healthcare, Menlo Park, CA 94025, USA)

  • Rachelle Mirkin

    (Health Education, Engagement and Promotion, Stanford Healthcare, Menlo Park, CA 94025, USA)

  • Judith J. Prochaska

    (Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA)

Abstract

Smoking causes one in three cancer deaths and may worsen COVID-19 outcomes. Telehealth tobacco cessation treatment is offered as a covered benefit for patients at the Stanford Cancer Center. We examined predictors of engagement during the COVID-19 pandemic. Data were abstracted from the Electronic Health Record between 3/17/20 (start of pandemic shelter-in-place) and 9/20/22, including patient tobacco use, demographics, and engagement in cessation treatment. Importance of quitting tobacco was obtained for a subset (53%). During the first 2.5 years of the pandemic, 2595 patients were identified as recently using tobacco, and 1571 patients were contacted (61%). Of the 1313 patients still using tobacco (40% women, mean age 59, 66% White, 13% Hispanic), 448 (34%) enrolled in treatment. Patient engagement was greater in pandemic year 1 (42%) than in year 2 (28%) and year 3 (19%). Women (41%) engaged more than men (30%). Patients aged 36–45 (39%), 46–55 (43%), 56–65 (37%), and 66–75 (33%) engaged more than patients aged 18–35 (18%) and >75 (21%). Hispanic/Latinx patients (42%) engaged more than non-Hispanic/Latinx patients (33%). Engagement was not statistically significantly related to patient race. Perceived importance of quitting tobacco was significantly lower in pandemic year 1 than year 2 or 3. Nearly one in three cancer patients engaged in telehealth cessation treatment during the COVID-19 pandemic. Engagement was greater earlier in the pandemic, among women, Hispanic/Latinx individuals, and patients aged 36 to 75. Sheltering-in-place, rather than greater perceived risk, may have facilitated patient engagement in tobacco cessation treatment.

Suggested Citation

  • Annemarie D. Jagielo & Amy Chieng & Cindy Tran & Amy Pirkl & Ann Cao-Nasalga & Ashley Bragg & Rachelle Mirkin & Judith J. Prochaska, 2024. "Predictors of Patient Engagement in Telehealth-Delivered Tobacco Cessation Treatment during the COVID-19 Pandemic," IJERPH, MDPI, vol. 21(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:2:p:131-:d:1326026
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    References listed on IDEAS

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    1. Jessica M. Yingst & Nicolle M. Krebs & Candace R. Bordner & Andrea L. Hobkirk & Sophia I. Allen & Jonathan Foulds, 2021. "Tobacco Use Changes and Perceived Health Risks among Current Tobacco Users during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    2. Messer, K. & Trinidad, D.R. & Al-Delaimy, W.K. & Pierce, J.P., 2008. "Smoking cessation rates in the United States: A comparison of young adult and older smokers," American Journal of Public Health, American Public Health Association, vol. 98(2), pages 317-322.
    3. Kathleen Gali & Brittany Pike & Matthew S. Kendra & Cindy Tran & Priya Fielding-Singh & Kayla Jimenez & Rachelle Mirkin & Judith J. Prochaska, 2020. "Integration of Tobacco Treatment Services into Cancer Care at Stanford," IJERPH, MDPI, vol. 17(6), pages 1-10, March.
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