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. 2021 Apr 30;5(4):e25541. doi: 10.2196/25541

Table 6.

Dominant themes and subthemes based on structured interviews with smoking cessation clinical trial participants (n=15) who completed both in-person and remote clinic visits.

Theme and subthemes n (%) Illustrative quotes
Benefits of remote clinic visits

No travel required 11 (73)
  • “I guess it saved a little time, didn't have to drive there. But, you know, so it's basically a little more time-consuming to actually go there.”

  • “Just saves the trip. Don't have to worry about trying to find a place to park or anything.”


Safer 3 (20)
  • “With COVID-19 being prevalent, it felt safer…”

  • “I'm just saying on my behalf, it was better for me to be at home, especially during the pandemic.”


Generally easier/more convenient 5 (33)
  • “Of course you got to take the time off to get there.”

  • “I didn’t have to wait to be seen or anything, when the call came I accepted the call and we went from there.” “It’s just far more easier and convenient.”


More comfortable 7 (47)
  • “You’re much more comfortable in your own environments. That’s the way I felt. It’s not that staged clinical setting…there’s comfort in your own home, your own environment is very comforting and calming.”

  • “You’re a little bit more comfortable with doing things because you know, you’re at home.”


Greater privacy at home 3 (20)
  • “Obviously it's more private being at home because you can control, even though I have no issues with privacy when I came to the office.”

  • “I live alone so nobody else was there. Nobody hearing my thoughts and it felt as if I could express myself a little better, for me.”

Challenges of remote clinic visits

Less personal/less supportive 6 (40)
  • “I think connecting with the counselor was easier in person.”

  • “It was more personal being there (in-person) compared to doing a Zoom meeting…”

  • “You lose that factor of like meeting staff and other people there, that was kind of nice you know. Like knowing there’s something behind the program you are in.”

  • “Sometimes it's easier just explaining things when you're there in person and you can show what kind of stuff.”


Distractions at home 2 (13)
  • “I have 3 dogs that are really loud so I have to make sure they are all locked up”

  • “People at home could, you know, hear my phone call…”


Technology challenges 5 (33)
  • “Zoom is new to me. Video conferencing is new to me….”

  • “I like it a lot better in person because I’m not a technology…”


Less self-confidence in ability to quit 4 (27)
  • “I’m at home and I might pick up a cigarette.”

  • “Probably a little less confident, but I did it. It was like, it's tough when you don't have friends or doctors and people that were rooting you on.”


Less accountability 5 (33)
  • “I was preparing a little bit more [for office visits] than I do when just the phone rings.”

  • “Driving there, part of me quitting is me thinking about quitting and I have spent half an hour to get there you know, and block out a portion of my day, hey, I can't wait to quit because when I do I won't have to do this anymore.”

  • “For me personally, I tended to work on the homework in between sessions. On days prior to my sessions when it was in-person. At-home visits, I just didn't feel the accountability to do that at the at-home visits.”