Implementation of a Telehealth Smoking Cessation Program in Primarily Socioeconomically Disadvantaged Black Patients
Courage to Quit Rolling-Virtual (CTQ-RV)
Bibliographic Data
| ID | 7146846 |
|---|---|
| Authors | Emma I Brett (0000-0001-9092-5207, University of Chicago, corresponding author), Daniel J Fridberg (0000-0003-3451-1418, University of Chicago), Zoe Lee (0000-0001-5256-6100, Fordham University), Abigayle R Feather (University of Kentucky), Andrea C King (0000-0001-5943-7109, University of Chicago) |
| Year | 2025 |
| Volume | 59 |
| Issue | 1 |
| Publication date | 2025-01-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Annals of Behavioral Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0883-6612 • E-ISSN: 1532-4796 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/abm/kaae061 |
| PMID | 39406509 |
| OpenAlex | W4403409776 |
| Language | EN |
| References cited | 35 |
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.
Abstinence · Attendance · CTQ tree · Poison control · Psychiatry · Smoking cessation · Diabetes Management and Education · Emergency Medicine · Human Factors and Ergonomics · Medicine · Smoking Behavior and Cessation · Telemedicine and Telehealth Implementation
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A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors
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| Citation velocity | historical |
|---|---|
| Highly cited | No |