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Evaluation of an Intervention to Enhance the Delivery of Smoking Cessation Services to Patients with Cancer

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Abstract

We describe a brief staff training program to improve the delivery of tobacco cessation services to patients with head and neck cancers. This study utilized a quasi-experimental design to compare the delivery of smoking cessation components and outcomes among patients exposed to either usual care (UC) or an enhanced cessation (EC) program implemented following a 1-h staff education program. Of the 179 subjects enrolled, 112 were recontacted by phone 1 month after their clinic visit. More patients in EC compared to UC reported that they were asked about their smoking status (94.2% vs. 76.6%, p = 0.01), advised to quit (92.3% vs. 72.3%, p = 0.01), prescribed cessation medications (30.8% vs. 3.3%, p < 0.001), and received a support call (53.8% vs. 11.7%, p < 0.001) at the 1-month follow-up. Quit attempts and quit rates between groups were similar. The EC intervention improved the delivery of cessation services in a busy clinical setting, but this failed to increase cessation rates after 1 month.

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References

  1. US Department of Health and Human Services (1990) The health benefits of smoking cessation. US Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. DHHS Publication No. (CDC) 90–8416

  2. International Agency for Research on Cancer (2007) IARC handbooks of cancer prevention, tobacco control, vol 11: reversal of risk after quitting smoking. Lyon, France

  3. Parsons A, Daley A, Begh R, Aveyard P (2010) Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. BMJ 340:5569–5574

    Article  Google Scholar 

  4. Gritz ER, Dresler C, Sarna L (2005) Smoking, the missing drug interaction in clinical trials: ignoring the obvious. Cancer Epidemiol Biomark Prev 14:2287–2293

    Article  CAS  Google Scholar 

  5. Baser S, Shannon VR, Eapen GA, Jimenez CA, Onn A, Lin E et al (2006) Smoking cessation after diagnosis of lung cancer is associated with a beneficial effect on performance status. Chest 130:1784–1790

    Article  PubMed  Google Scholar 

  6. Tammemagi MC, Neslund-Dudas C, Simoff M, Kvale P (2004) Smoking and lung cancer survival: the role of co-morbidity and treatment. Chest 125:27–37

    Article  PubMed  Google Scholar 

  7. Browman GP, Wong G, Hodson I, Sathya J, Russell R, McAlpine L, Skingley P, Levine MN (1993) Influence of cigarette smoking on the efficacy of radiation therapy in head and neck cancer. N Engl J Med 328:159–163

    Article  PubMed  CAS  Google Scholar 

  8. Day G, Blot W, Shore RE, McLaughlin JK, Austin DF, Greenberg RS, Liff JM, Preston-Martin S, Sarkar S, Schoenberg JB, Fraumeni JF Jr (1994) Second cancers following oral and pharyngeal cancers: role of tobacco and alcohol. J Natl Cancer Inst 86:131–137

    Article  PubMed  CAS  Google Scholar 

  9. Demarck-Wahnefried W, Aziz NM, Rowland J, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830

    Article  Google Scholar 

  10. Gritz ER, Schacherer C, Koehly L, Nielson IR, Abemayor E (1999) Smoking withdrawal and relapse in head and neck cancer patients. Head Neck 21:420–427

    Article  PubMed  CAS  Google Scholar 

  11. Fiore MC et al (2008) Treating tobacco use and dependence: 2008 update. Clinical practice guideline. U.S. Department of Health and Human Services, Public Health Service, Rockville, MD

    Google Scholar 

  12. Bunn P, Pfister DG (2003) American Society of Clinical Oncology policy statement update: tobacco control-reducing cancer incidence and saving lives. J Clin Oncol 21:27777–27786

    Article  Google Scholar 

  13. Sabatino SA, Coates RJ, Uhler RJ, Pollack LA, Alley LG, Zauderer LJ (2007) Provider counseling about health behaviors among cancer survivors in the United States. J Clin Oncol 25:2100–2106

    Article  PubMed  Google Scholar 

  14. Gritz ER, Carr CR, Rapkin D, Abemayor E, Chang LJ, Wong WK, Belin KR, Calcaterra T, Robbins KT, Chonkich G (1993) Predictors of long term smoking cessation in head and neck cancer patients. Cancer Epidemiol Biomark Prev 2:262–270

    Google Scholar 

  15. Schnoll RA, Zhang B, Rue M, Krook JE, Spears WT, Marcus AC, Engstrom PF (2003) Brief physician-initiated quit smoking strategies for clinical oncology settings: a trial conducted by the European Cooperative Group. J Clin Oncol 21:355–365

    Article  PubMed  Google Scholar 

  16. Stansislaw AE, Wewers ME (1994) A smoking cessation intervention with hospitalized surgical cancer patients: a pilot study. Cancer Nurs 17:81–86

    Google Scholar 

  17. Wewers ME, Bowen JM, Stanislaw AE, Desimme UB (1994) A nurse-delivered smoking cessation intervention among hospitalized post-operative patients–influence of smoke-related diagnosis in a pilot study. Heart Lung 23:151–156

    PubMed  CAS  Google Scholar 

  18. Griebel B, Wewers ME, Baker CA (1998) The effectiveness of a nurse-managed minimal smoking-cessation intervention among hospitalized patients with cancer. Oncol Nurs Forum 25:897–902

    PubMed  CAS  Google Scholar 

  19. Schnoll RA, Rothman RL, Wielt DB, Lerman C, Pedri H, Wang H, Babb J, Miller SM, Movsas B, Sherman E, Ridge JA, Unger M, Langer C, Goldberg M, Scott W, Cheng J (2005) A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients. Ann Behav Med 30:1–11

    Article  PubMed  Google Scholar 

  20. Cox LS, Patten CA, Ebbert JO, Drews AA, Croghan GA, Clark MM, Wolter TD, Decker PA, Hurt RD (2002) Tobacco use outcomes among patients with lung cancer treated for nicotine dependence. J Clin Oncol 86:549–554

    Google Scholar 

  21. Cox LS, Africano NL, Tercyak KP, Taylor KL (2003) Nicotine dependence treatment for patients with cancer. Cancer 98:632–644

    Article  PubMed  Google Scholar 

  22. Meert A, Mayer C, Milani MM, Beckers J, Razavi D (2006) Smoking cessation interventions among cancer patients. Bull Cancer 93:363–369

    PubMed  Google Scholar 

  23. Gorin-Sheinfeld S, Heck JE (2004) Meta-analysis of the efficacy of tobacco counseling by health care providers. Cancer Epidemiol Biomark Prev 13:2012–2022

    Google Scholar 

  24. Cummings KM, Mahoney MC (2008) Strategies for smoking cessation: what is new and what works. Expert Rev Resp Med 2(2):201–203

    Article  CAS  Google Scholar 

  25. Stead LF, Bergson G, Lancaster T (2008) Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, issue 2. Art. no.: CD000165

  26. Garces YI, Hays JT (2003) Tobacco dependence: why should an oncologist care? J Clin Oncol 21:1884–1886

    Article  PubMed  Google Scholar 

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Acknowledgments

Funding for this project was provided by the Department of Health Behavior at Roswell Park Cancer Institute. The authors gratefully acknowledge the contributions from the health providers at the Dental/Maxillofacial and Head and Neck Surgical Clinics at Roswell Park Cancer Institute.

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Authors and Affiliations

  1. Division of Cancer Prevention and Population Sciences, Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Marie-Helene Gosselin, Martin C. Mahoney, K. Michael Cummings, Brian A. King & Andrew Hyland

  2. Department of Head & Neck Surgery, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Thom R. Loree

  3. Department of Dentistry & Maxillofacial Prosthetics, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Maureen Sullivan

  4. Department of Radiation Medicine, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Graham Warren

Authors
  1. Marie-Helene Gosselin
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  2. Martin C. Mahoney
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  3. K. Michael Cummings
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Correspondence to Martin C. Mahoney.

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Gosselin, MH., Mahoney, M.C., Cummings, K.M. et al. Evaluation of an Intervention to Enhance the Delivery of Smoking Cessation Services to Patients with Cancer. J Canc Educ 26, 577–582 (2011). https://doi.org/10.1007/s13187-011-0221-3

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