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

Jagielo, Annemarie D.; Chieng, Amy; Tran, Cindy; Pirkl, Amy; Cao-Nasalga, Ann; Bragg, Ashley; Mirkin, Rachelle; Prochaska, Judith J.

doi:10.3390/ijerph21020131

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…However, another study by Kim [ 37 ] indicated that exercise and alcohol use were associated with telehealth acceptance, whereas smoking status was not. A study by Jagielo et al [ 38 ] noted that during the COVID-19 pandemic, the stay-at-home order was more predictive of telehealth use than race or ethnicity among smokers. Among people with alcohol use disorders, researchers reported no differences in preference for telehealth or in-person treatment [ 39 40 ].…”

Section: Discussionmentioning

confidence: 99%

Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study

Shang,

Williams,

Culiqi

2024

JMIR Med Inform

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Background:The Hispanic community represents a sizeable community that experiences inequities in the United States healthcare system. As the system has moved toward digital health platforms, it is critical that evaluate the potential impact for Hispanic communities Objective:The study aimed to investigate demographic, socioeconomic, and behavioral factors that contribute to low telehealth utilization in Hispanic communities.Methods: A retrospective observation study design was employed to examine the study objectives. The COVID-19 Research Database Consortium provided the AnalyticsIQ Peoplecore Consumer data and Office Alley claims data. The study period was from March 2020 to April 2021. Multiple logistic regression was used to determine the odds of using telehealth services. Results:We examined 3,478,287 unique Hispanic patients, of whom 16.63% used telehealth. Results suggested that patients aged 18-44 were more likely to use telehealth [OR: 1.07 (C.I.: 1.05, 1.1); p<.001]) than patients aged 65+. Across all age groups, patients with high incomes were at least 20% more likely to use telehealth than patients with lower incomes (p <.001); patients who had a primary care physician, exhibited high medical utilization, or were interested in exercise were more likely to use telehealth (p < .05); patients who had unhealthy behaviors such as smoking and alcohol were less likely to use telehealth (p < .001). Male patients were less likely than females to use telehealth among patients aged 65 and above [OR: 0.94 (C.I.: 0.93, 0.95); p<.001], while male patients aged 18 to 44 were more likely to use telehealth [OR: 1.05 (C.I.: 1.03, 1.07); p < .001]. Among patients younger than 65, full-time employment was positively associated with telehealth use (p<.001). Patients aged 18-44 with high school or less education are 2% less likely to use telehealth [OR: 0.98 (C.I.: 0.97, 0.99); p = .005]. Results also revealed a positive association with using WebMD among patients above 44 years old (p<.001), while there was a negative association with online prescriptions among those who are under 65 years old (p< .01). Conclusions:To prevent exacerbation of the health inequities in telehealth, we recommend interventions to bolster education, income, employment, and health behaviors. We make the following recommendations: increase access to health insurance and primary care providers and provide fiscal and educational resources.

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Section: Discussionmentioning

confidence: 99%

Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study

Shang,

Williams,

Culiqi

2024

JMIR Med Inform

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Implementation of a Telehealth Smoking Cessation Program in Primarily Socioeconomically Disadvantaged Black Patients: Courage to Quit Rolling-Virtual (CTQ-RV)

Brett,

Fridberg,

Lee

et al. 2024

Annals of Behavioral Medicine

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Background Preliminary data indicate that smoking cessation offered in a rolling group format is feasible and effective. Purpose The current study evaluated the implementation and outcomes of the remote Courage to Quit-Rolling Virtual (CTQ-RV) smoking group treatment compared to its precursor in-person format (Courage to Quit-Rolling, CTQ-R). Methods Virtual materials for CTQ-RV were adapted from in-person evidence-based programming, thus content in both groups was similar but delivered via videoconference or in-person. We used an interrupted time series design to examine feasibility by comparing attendance, monthly enrollment, and program completion between those who attended CTQ-R (July 2018-March 2020) versus CTQ-RV (April 2020—December 2022). Results There were 611 patients enrolled in tobacco cessation (N = 221 CTQ-R, N = 390 CTQ-RV). The average age was 59.4 years and most patients reported Black/African American race (81%) and female sex (69.5%). CTQ-RV proved feasible relative to CTQ-R, with higher rates of attendance (5.5 vs. 2.7 sessions, respectively), program completion (39.4% vs. 19%) and increased enrollment across each year (from 44.6 sessions per month in CTQ-R vs. 72.3 in CTQ-RV). CTQ-RV patients requested nicotine replacement therapy (NRT) at substantially higher rates (81.4%) than CTQ-R members (42.1%). Self-reported smoking abstinence at final session was higher in CTQ-RV compared with CTQ-R (33.3% vs. 15.7%). Within CTQ-RV, more than half (57%) of patients attended by video format, with outreach improving rates of video attendance each year. Conclusions Results show that a transition to virtual rolling enrollment smoking group treatment is feasible and can augment treatment outcomes, such as engagement, NRT use, and self-reported cessation.

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Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

Shang,

Williams,

Culiqi

2024

Preprint

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BACKGROUND The Hispanic community represents a sizeable community that experiences inequities in the United States healthcare system. As the system has moved toward digital health platforms, it is critical that evaluate the potential impact for Hispanic communities OBJECTIVE The study aimed to investigate demographic, socioeconomic, and behavioral factors that contribute to low telehealth utilization in Hispanic communities. METHODS A retrospective observation study design was employed to examine the study objectives. The COVID-19 Research Database Consortium provided the AnalyticsIQ Peoplecore Consumer data and Office Alley claims data. The study period was from March 2020 to April 2021. Multiple logistic regression was used to determine the odds of using telehealth services. RESULTS We examined 3,478,287 unique Hispanic patients, of whom 16.63% used telehealth. Results suggested that patients aged 18-44 were more likely to use telehealth [OR: 1.07 (C.I.: 1.05, 1.1); p<.001]) than patients aged 65+. Across all age groups, patients with high incomes were at least 20% more likely to use telehealth than patients with lower incomes (p <.001); patients who had a primary care physician, exhibited high medical utilization, or were interested in exercise were more likely to use telehealth (p < .05); patients who had unhealthy behaviors such as smoking and alcohol were less likely to use telehealth (p < .001). Male patients were less likely than females to use telehealth among patients aged 65 and above [OR: 0.94 (C.I.: 0.93, 0.95); p<.001], while male patients aged 18 to 44 were more likely to use telehealth [OR: 1.05 (C.I.: 1.03, 1.07); p < .001]. Among patients younger than 65, full-time employment was positively associated with telehealth use (p<.001). Patients aged 18-44 with high school or less education are 2% less likely to use telehealth [OR: 0.98 (C.I.: 0.97, 0.99); p = .005]. Results also revealed a positive association with using WebMD among patients above 44 years old (p<.001), while there was a negative association with online prescriptions among those who are under 65 years old (p< .01). CONCLUSIONS To prevent exacerbation of the health inequities in telehealth, we recommend interventions to bolster education, income, employment, and health behaviors. We make the following recommendations: increase access to health insurance and primary care providers and provide fiscal and educational resources.

show abstract

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

Cited by 3 publications

References 42 publications

Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study

Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study

Implementation of a Telehealth Smoking Cessation Program in Primarily Socioeconomically Disadvantaged Black Patients: Courage to Quit Rolling-Virtual (CTQ-RV)

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

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