Feasibility of Patient Navigation-Based Smoking Cessation Program in Cancer Patients

Tongyao Fan, Jessica M. Yingst, Rebecca Bascom, Leonard Tuanquin, Susan Veldheer, Steven Branstetter, Jonathan Foulds and Joshua E. Muscat
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Tongyao Fan: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA
Jessica M. Yingst: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA
Rebecca Bascom: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA
Leonard Tuanquin: Department of Radiation Oncology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA
Susan Veldheer: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA
Steven Branstetter: Department of Biobehavioral Health, Penn State University, University Park, PA 16802, USA
Jonathan Foulds: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA
Joshua E. Muscat: Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA 17033, USA

IJERPH, 2022, vol. 19, issue 7, 1-16

Abstract: Continued smoking after a cancer diagnosis is causally associated with increased risks of all-cause and cancer-specific mortality, and of smoking-related second primary cancers. Patient navigation provides individualized assistance to address barriers to smoking cessation treatment and represents a promising bridge to smoking cessation in persons with cancer who smoke cigarettes. We conducted a single-arm interventional cohort study of current smokers identified through prospective health record screening and recruited from Penn State Cancer Institute outpatient clinics. Consented participants received two telephone intervention sessions and gain-framed messaging-based smoking cessation educational materials designed for persons with cancer. The primary study outcome was the feasibility of the patient navigation-based intervention; the secondary outcome was the engagement in smoking cessation treatment at the two-month follow-up. Of 1168 unique screened Cancer Institute patients, 134 (11.5%) were identified as current cigarette smokers. Among 67 patients approached at outpatient clinics, 24 (35.8%) were interested in participating, 12 (17.9%) were enrolled, eight (11.9%) completed the intervention sessions and study assessments, and six engaged in smoking cessation treatment. The participants expressed satisfaction with the intervention sessions (median = 8.5, scale 0–10). The low recruitment rates preclude patient navigation as a feasible method for connecting cancer patients to smoking cessation treatment resources.

Keywords: cancer; smoking cessation treatment; patient navigation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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