Matthews Alicia K, Inwanna Suchanart, Akufo Jennifer, Duangchan Cherdsak, Elkefi Safa, Donenberg Geri
School of Nursing, Columbia University, New York, United States.
College of Nursing, University of Illinois, Chicago, United States.
Tob Prev Cessat. 2024 Nov 5;10. doi: 10.18332/tpc/193572. eCollection 2024.
Smoking rates among low-income smokers are significantly elevated. State tobacco quitlines offer free and evidence-based treatments for smokers living in that state. This study investigated knowledge, attitudes, and beliefs associated with engagement with the Illinois Tobacco Quitline among confirmed smoking patients at a Federally Qualified Health Center (FQHC). Further goals were to obtain recommendations for strategies to improve patient awareness and engagement.
Data for this study were collected from August to October 2021 from patients receiving care in an FQHC in a large midwestern city in the USA. Clinic-based recruitment was used to enroll a sample of adult current smokers. In-depth interviews and brief surveys were completed with a volunteer sample of patients recruited from an FQHC. The interviews took approximately 60 minutes. Data analysis used descriptive statistics to summarize the responses to the study and deductive thematic analysis to analyze the qualitative interviews.
Study participants (n=25) were primarily male, African American, and middle-aged (mean age: 52.5 years). The majority were daily smokers. Over half had heard about the Quitline from sources such as radio advertisements, but usage was low. Barriers to use included low motivation to quit, questions about effectiveness, and poor success with prior Quitline attempts. Participants described factors that would increase the appeal of the Quitline, including testimonials, personalization, and an empathetic approach. Participants were asked about the acceptability of receiving information about the Quitline via patient portals, and most were in support.
Interventions are needed to raise awareness and utilization of Quitlines among patients receiving care in FQHC settings. Distribution of Quitline information via patient portals is an acceptable strategy for increasing awareness of services.
低收入吸烟者的吸烟率显著升高。州戒烟热线为居住在该州的吸烟者提供免费且基于证据的治疗。本研究调查了一家联邦合格健康中心（FQHC）确诊吸烟患者中与参与伊利诺伊州戒烟热线相关的知识、态度和信念。进一步的目标是获取有关提高患者知晓度和参与度策略的建议。
本研究数据于2021年8月至10月从美国中西部一个大城市的FQHC接受治疗的患者中收集。采用基于诊所的招募方式，纳入成年现吸烟者样本。对从FQHC招募的患者志愿者样本进行了深入访谈和简短调查。访谈大约持续60分钟。数据分析使用描述性统计来总结对研究的回答，并使用演绎主题分析来分析定性访谈。
研究参与者（n = 25）主要为男性、非裔美国人且为中年（平均年龄：52.5岁）。大多数人是每日吸烟者。超过一半的人从广播广告等渠道听说过戒烟热线，但使用率较低。使用的障碍包括戒烟动力低、对有效性的疑问以及之前尝试戒烟热线的成功率低。参与者描述了会增加戒烟热线吸引力的因素，包括推荐、个性化和共情方法。询问了参与者通过患者门户网站接收戒烟热线信息的可接受性，大多数人表示支持。
需要采取干预措施来提高FQHC环境中接受治疗患者对戒烟热线的知晓度和利用率。通过患者门户网站分发戒烟热线信息是提高服务知晓度的一种可接受策略。
