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Quit Experiences among Primary Care Patients Enrolled in a Smoking Cessation Pilot RCT Early in the COVID-19 Pandemic

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  • Andrea A. Joyce

    (Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Grace M. Styklunas

    (Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Public Health and Professional Degrees, Tufts University School of Medicine, Boston, MA 02111, USA)

  • Nancy A. Rigotti

    (Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
    Health Policy Research Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Jordan M. Neil

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
    Health Policy Research Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Elyse R. Park

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
    Health Policy Research Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Gina R. Kruse

    (Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
    Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Medicine, Harvard Medical School, Boston, MA 02115, USA)

Abstract

The impact of the COVID-19 pandemic on US adults’ smoking and quitting behaviors is unclear. We explored the impact of COVID-19 on smoking behaviors, risk perceptions, and reactions to text messages during a statewide stay-at-home advisory among primary care patients who were trying to quit. From May–June 2020, we interviewed smokers enrolled in a 12-week, pilot cessation trial providing text messaging and mailed nicotine replacement medication (NCT04020718). Twenty-two individuals (82% white, mean age 55 years), representing 88% of trial participants during the stay-at-home advisory, completed exit interviews; four (18%) of them reported abstinence. Interviews were thematically analyzed by two coders. COVID-19-induced environmental changes had mixed effects, facilitating quitting for some and impeding quitting for others. While stress increased for many, those who quit found ways to cope with stress. Generally, participants felt at risk for COVID-19 complications but not at increased risk of becoming infected. Reactions to COVID-19 and quitting behaviors differed across age groups, older participants reported difficulties coping with isolation (e.g., feeling disappointed when a text message came from the study and not a live person). Findings suggest that cessation interventions addressing stress and boredom are needed during COVID-19, while smokers experiencing isolation may benefit from live-person supports.

Suggested Citation

  • Andrea A. Joyce & Grace M. Styklunas & Nancy A. Rigotti & Jordan M. Neil & Elyse R. Park & Gina R. Kruse, 2021. "Quit Experiences among Primary Care Patients Enrolled in a Smoking Cessation Pilot RCT Early in the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1011-:d:486000
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    References listed on IDEAS

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    3. Vlahov, D. & Galea, S. & Ahern, J. & Resnick, H. & Kilpatrick, D., 2004. "Sustained Increased Consumption of Cigarettes, Alcohol, and Marijuana among Manhattan Residents after September 11, 2001," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 253-254.
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    2. Mansour Tobaiqy & Andrew MacLure & Dennis Thomas & Katie MacLure, 2021. "The Impact of COVID-19 on Smoking Behaviours and Support for Smoke-Free Zones in Saudi Arabia," IJERPH, MDPI, vol. 18(13), pages 1-10, June.

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