Modeling Health Event Impact on Smoking Cessation

Overview

Journal J Smok Cessat

Date 2022 Mar 14

PMID 35284022

Authors

Edwin D Boudreaux

Erin OHea

Bo Wang

Eugene Quinn

Aaron L Bergman

Beth C Bock

Bruce M Becker

Affiliations

Soon will be listed here.

Abstract

Background: This study examined how cognitive and affective constructs related to an acute health event predict smoking relapse following an acute cardiac health event.

Methods: Participants were recruited from emergency departments and completed cognitive and emotional measures at enrollment and ecological momentary assessments (EMA) for 84 days postvisit.

Results: Of 394 participants, only 35 (8.9%) remained abstinent 84 days postvisit. Time to relapse was positively associated with age, actual illness severity, self-efficacy, and quit intentions.

Conclusions: Older, seriously ill patients with strong confidence and intentions to quit smoking remain abstinent longer after discharge, but most still relapse within three months.

References

Bernstein S, Boudreaux E, Cabral L, Cydulka R, Schwegman D, Larkin G . Nicotine dependence, motivation to quit, and diagnosis among adult emergency department patients who smoke: a national survey. Nicotine Tob Res. 2008; 10(8):1277-82. DOI: 10.1080/14622200802239272. View

Shiffman S, Waters A . Negative affect and smoking lapses: a prospective analysis. J Consult Clin Psychol. 2004; 72(2):192-201. DOI: 10.1037/0022-006X.72.2.192. View

Webber C, OHea E, Abar B, Bock B, Boudreaux E . Ecological momentary assessment and first smoking cessation lapse after an acute cardiac event: A pilot study. J Health Psychol. 2017; 25(8):1076-1081. DOI: 10.1177/1359105317746731. View

Schofield I, Kerr S, Tolson D . An exploration of the smoking-related health beliefs of older people with chronic obstructive pulmonary disease. J Clin Nurs. 2007; 16(9):1726-35. DOI: 10.1111/j.1365-2702.2007.01701.x. View

Boudreaux E, OHea E, Moon S, Tappe K, Bock B, Baumann B . Measuring cognitive and affective constructs in the context of an acute health event. Psychol Health Med. 2012; 18(4):398-411. PMC: 3979315. DOI: 10.1080/13548506.2012.720378. View

Zhu W, Yang L, Jiang C, Deng L, Lam T, Zhang J . Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China. J Public Health (Oxf). 2009; 32(2):267-76. DOI: 10.1093/pubmed/fdp107. View

Hughes J, Keely J, Naud S . Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction. 2003; 99(1):29-38. DOI: 10.1111/j.1360-0443.2004.00540.x. View

. Cigarette smoking among adults--United States, 2000. MMWR Morb Mortal Wkly Rep. 2002; 51(29):642-5. View

Boudreaux E, Bock B, OHea E . When an event sparks behavior change: an introduction to the sentinel event method of dynamic model building and its application to emergency medicine. Acad Emerg Med. 2012; 19(3):329-35. PMC: 3664550. DOI: 10.1111/j.1553-2712.2012.01291.x. View

10.

Abar B, Baumann B, Rosenbaum C, Boyer E, Ziedonis D, Boudreaux E . Profiles of importance, readiness and confidence in quitting tobacco use. J Subst Use. 2015; 18(2):75-81. PMC: 4470496. DOI: 10.3109/14659891.2011.606351. View

11.

Weinstein N . Perceived probability, perceived severity, and health-protective behavior. Health Psychol. 2000; 19(1):65-74. DOI: 10.1037//0278-6133.19.1.65. View

12.

Tzilos G, Strong D, Abrantes A, Ramsey S, Brown R . Quit intention as a predictor of quit attempts over time in adolescents with psychiatric disorders. Am J Addict. 2013; 23(1):84-89. PMC: 3818372. DOI: 10.1111/j.1521-0391.2013.12067.x. View

13.

Diemert L, Bondy S, Brown K, Manske S . Young adult smoking cessation: predictors of quit attempts and abstinence. Am J Public Health. 2013; 103(3):449-53. PMC: 3673495. DOI: 10.2105/AJPH.2012.300878. View

14.

Heckman C, Egleston B, Hofmann M . Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis. Tob Control. 2010; 19(5):410-6. PMC: 2947553. DOI: 10.1136/tc.2009.033175. View

15.

Boudreaux E, Abar B, OHea E, Sullivan A, Cydulka R, Bernstein S . Cognitive and affective predictors of smoking after a sentinel health event. Psychol Health Med. 2013; 19(4):402-9. PMC: 4467765. DOI: 10.1080/13548506.2013.832781. View

16.

McBride C, Emmons K, Lipkus I . Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res. 2003; 18(2):156-70. DOI: 10.1093/her/18.2.156. View

17.

Rigotti N, Munafo M, Stead L . Smoking cessation interventions for hospitalized smokers: a systematic review. Arch Intern Med. 2008; 168(18):1950-60. PMC: 4500120. DOI: 10.1001/archinte.168.18.1950. View

18.

. Smoking cessation during previous year among adults--United States, 1990 and 1991. MMWR Morb Mortal Wkly Rep. 1993; 42(26):504-7. View

19.

Boudreaux E, Moon S, Baumann B, Camargo Jr C, OHea E, Ziedonis D . Intentions to quit smoking: causal attribution, perceived illness severity, and event-related fear during an acute health event. Ann Behav Med. 2010; 40(3):350-5. PMC: 3532886. DOI: 10.1007/s12160-010-9227-z. View

20.

Jamal A, Phillips E, Gentzke A, Homa D, Babb S, King B . Current Cigarette Smoking Among Adults - United States, 2016. MMWR Morb Mortal Wkly Rep. 2018; 67(2):53-59. PMC: 5772802. DOI: 10.15585/mmwr.mm6702a1. View