Learning objectives:

1. Discuss unique challenges of smoking cessation for people with diabetes mellitus type.
2. Illustrate how the COM-B model can inform smoking cessation interventions.
3. Presentation Handout.
4.  

Abstract:

Few targeted interventions are available to support smoking cessation for people living with type 2 diabetes (T2DM). This gap is problematic, as people with T2DM face unique challenges when they try to stop smoking. The purpose of this study was to a) understand patients needs and challenges in relation to smoking cessation with T2DM and b) assess the acceptability of a text message intervention to support smoking cessation in this population. People who smoke and have T2DM in the United States and the United Kingdom were recruited to participate in semi-structured interviews (n=20), guided by the COM-B (Capability, Opportunity, Motivation, and Behaviour) model. A combination of inductive and deductive approaches with Framework Analysis was used to analyse these data. Results indicated that the participants experiences related to the constructs of the COM-B model and the categories of mental health and diabetes distress were notable parts of their experiences suggesting that an intervention focusing on addressing diabetes distress in the context of smoking cessation may be a valuable approach. A text message intervention was acceptable to participants and could include material on general T2DM management as well as smoking cessation.