{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T22:00:17Z","timestamp":1770156017752,"version":"3.49.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T00:00:00Z","timestamp":1640044800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["3P30CA016086-43S1"],"award-info":[{"award-number":["3P30CA016086-43S1"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>During the COVID-19 pandemic, many tobacco users increased their tobacco use, and calls to quitlines decreased. Among inpatients, the pandemic also necessitated a rapid transition of intensive tobacco use counseling to telehealth counseling. No data exist comparing the outcomes of telehealth inpatient counseling with in-person (pre-telehealth) counseling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims and Methods<\/jats:title>\n                  <jats:p>We examined inpatient data from a large tobacco treatment program (TTP) during two comparable time periods 04\/01\/2019\u201309\/30\/2019 (pre-telehealth) and 04\/01\/2020\u201309\/30\/2020 (telehealth). The pre-telehealth and telehealth populations were compared using Pearson\u2019s chi-square test for homogeneity on each populations\u2019 patient, visit, and medication acceptance characteristics. Reach to \u201ccurrent tobacco users\u201d was analyzed using TTP flowsheet and electronic health record (EHR) data in relation to aggregate EHR data in the data warehouse.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Mean monthly tobacco treatment inpatient counseling and outreach visits increased 38.9% in the telehealth period (M = 376, SD = 36.7) compared with the pre-telehealth period (M = 271, SD = 50.0) (t(10) = 3.8, p = .004). Reach significantly increased from 32.8% to 65.9% among all \u201ccurrent tobacco users\u201d admitted, including 31.8% to 66.6% in races at higher risk for COVID-19 severe disease. Pearson\u2019s chi-square tests for homogeneity showed significant differences in the pre-telehealth and telehealth population distributions for age, visit type, ethnicity, and medication acceptance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study offers the first understanding of characteristics of patients, visits, and medication acceptances in pre-telehealth and telehealth tobacco use treatment for inpatient populations. Larger reach and counseling were identified in the telehealth population. This study\u2019s findings on inpatient tobacco use treatment can inform future reach and engagement of large numbers of patients who use tobacco products.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Implications<\/jats:title>\n                  <jats:p>This study provides the first analysis of inpatient tobacco use treatment transition to telehealth delivery of care during the COVID-19 pandemic. The transition resulted in increases in reach and cessation counseling. These findings can inform efforts to improve reach, engagement, and research on telehealth delivery of inpatient tobacco use treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ntr\/ntab233","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T12:19:54Z","timestamp":1636114794000},"page":"794-798","source":"Crossref","is-referenced-by-count":3,"title":["An Analysis of Inpatient Tobacco Use Treatment Transition to Telehealth"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2693-638X","authenticated-orcid":false,"given":"Kimberly A","family":"Shoenbill","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA"},{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiman","family":"Newcomer","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celeslie","family":"Valcourt-Hall","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H","family":"Baca-Atlas","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caleb A","family":"Smith","sequence":"additional","affiliation":[{"name":"University of North Carolina School of Medicine, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam O","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA"},{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"key":"2022032913270469600_CIT0001","author":"Centers for Disease Control and Prevention (CDC)"},{"issue":"45","key":"2022032913270469600_CIT0002","first-page":"1013","article-title":"Tobacco product use and cessation indicators among adults\u2014United States, 2018","volume":"68","author":"Creamer","year":"2019","journal-title":"MMWR"},{"issue":"13","key":"2022032913270469600_CIT0003","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1056\/NEJMp1115176","article-title":"The Joint Commission\u2019s new tobacco-cessation measures\u2014will hospitals do the right 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