An Implementation Trial to Improve Tobacco Treatment for Cancer Patients: Patient Preferences, Treatment Acceptability and Effectiveness

Jennifer H. LeLaurin, Jesse Dallery, Natalie L. Silver, Merry-Jennifer Markham, Ryan P. Theis, Deandra K. Chetram, Stephanie A. Staras, Matthew J. Gurka, Graham W. Warren and Ramzi G. Salloum
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Jennifer H. LeLaurin: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Jesse Dallery: Department of Psychology, University of Florida, Gainesville, FL 32611, USA
Natalie L. Silver: Department of Otolaryngology, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Merry-Jennifer Markham: Division of Hematology/Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Ryan P. Theis: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Deandra K. Chetram: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Stephanie A. Staras: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Matthew J. Gurka: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Graham W. Warren: Department of Cell and Molecular Pharmacology and Department of Radiation Oncology, Medical University of South Carolina, Charleston, SC 29425, USA
Ramzi G. Salloum: Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32610, USA

IJERPH, 2020, vol. 17, issue 7, 1-12

Abstract: Continued smoking after a cancer diagnosis increases mortality, risk of recurrence, and negatively impacts treatment effectiveness. However, utilization of tobacco use cessation treatment among cancer patients remains low. We conducted a clinical trial assessing patient preferences, treatment acceptability, and preliminary effectiveness (7-day point prevalence at 12 weeks) of three tobacco treatment options among cancer patients at an academic health center. Implementation strategies included electronic referral and offering the choice of three treatment options: referral to external services, including the quitline (PhoneQuit) and in-person group counseling (GroupQuit), or an internal service consisting of 6-week cognitive behavioral therapy delivered via smartphone video conferencing by a tobacco treatment specialist (SmartQuit). Of 545 eligible patients, 90 (16.5%) agreed to enroll. Of the enrolled patients, 39 (43.3%) chose PhoneQuit, 37 (41.1%) SmartQuit, and 14 (15.6%) GroupQuit. Of patients reached for 12-week follow-up (n = 35), 19 (54.3%) reported receiving tobacco treatment. Of all patients referred, 3 (7.7%) PhoneQuit, 2 (5.4%) SmartQuit, and 2 (14.3%) GroupQuit patients reported 7-day point prevalence abstinence from smoking at 12 weeks. Participants rated the SmartQuit intervention highly in terms of treatment acceptability. Results indicate that more intensive interventions may be needed for this population, and opportunities remain for improving reach and utilization.

Keywords: cancer; oncology; smoking cessation; tobacco dependence; implementation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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