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Smoking, cardiac symptoms, and an emergency care visit: a mixed methods exploration of cognitive and emotional reactions
Open Access Articles
  • Karyn A. Tappe, University of Pennsylvania
  • Edwin D. Boudreaux, University of Massachusetts Medical School
  • Beth Bock, Brown University
  • Erin L. O'Hea, University of Massachusetts Medical School
  • Brigitte M. Baumann, Cooper University Hospital
  • Steven Hollenberg, UMDNJ-Robert Wood Johnson Medical School
  • Bruce M. Becker, Brown University
  • Gretchen B. Chapman, Rutgers University
UMMS Affiliation
Department of Emergency Medicine
Publication Date
Document Type
Smoking Cessation; Emergency Service, Hospital; Health Behavior

Emergency departments and hospitals are being urged to implement onsite interventions to promote smoking cessation, yet little is known about the theoretical underpinnings of behavior change after a healthcare visit.

This observational pilot study evaluated three factors that may predict smoking cessation after an acute health emergency: perceived illness severity, event-related emotions, and causal attribution. Fifty smokers who presented to a hospital because of suspected cardiac symptoms were interviewed, either in the emergency department (ED) or, for those who were admitted, on the cardiac inpatient units. Their data were analyzed using both qualitative and quantitative methodologies to capture the individual, first-hand experience and to evaluate trends over the illness chronology. Reported perceptions of the event during semistructured interview varied widely and related to the individual's intentions regarding smoking cessation. No significant differences were found between those interviewed in the ED versus the inpatient unit. Although the typical profile was characterized by a peak in perceived illness severity and negative emotions at the time the patient presented in the ED, considerable pattern variation occurred.

Our results suggest that future studies of event-related perceptions and emotional reactions should consider using multi-item and multidimensional assessment methods rated serially over the event chronology.

Rights and Permissions
Copyright © 2012 Karyn A. Tappe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI of Published Version
Emerg Med Int. 2012;2012:935139. Epub 2012 Sep 10. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Karyn A. Tappe, Edwin D. Boudreaux, Beth Bock, Erin L. O'Hea, et al.. "Smoking, cardiac symptoms, and an emergency care visit: a mixed methods exploration of cognitive and emotional reactions" Vol. 2012 (2012) ISSN: 2090-2840 (Linking)
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