Training oncology care providers in the assessment and treatment of tobacco use and dependence

Ostroff, Jamie S.; Gaffney, Kemi; O'Brien, Maureen; deLeon-Sanchez, Suhana T.; Whitlock, C. Will; Kotsen, Chris; Carter‐Harris, Lisa; Banerjee, Smita C.; Schofield, Elizabeth

doi:10.1002/cncr.33545

Cited by 8 publications

(14 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, tobacco training has been recognized as a driving force in changing health care providers’ knowledge and attitudes, heightening its benefit in any setting [ 39 ]. Moreover, unlike hard stops in the EHRs, training can happen in all health care settings, including those with paper patient records that preclude electronic hard stops, and is recommended to improve care delivery regardless of whether specific health care practices are mandated or not [ 34 , 96 ].…”

Section: Discussionmentioning

confidence: 99%

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Siddiqi

Britton

Chen

et al. 2022

IJERPH

View full text Add to dashboard Cite

Tobacco use, and thus tobacco-related morbidity, is elevated amongst patients with behavioral health treatment needs. Consequently, it is important that centers providing health care to this group mandate providers’ use of tobacco screenings to inform the need for tobacco use disorder intervention. This study examined the prevalence of mandated tobacco screenings in 80 centers providing health care to Texans with behavioral health needs, examined key factors that could enhance screening conduct, and delineated providers’ perceived barriers to tobacco use intervention provision. The results indicated that 80% of surveyed centers mandated tobacco use screenings; those that did were significantly more likely than those that did not to have a hard stop for tobacco use status in health records and were marginally more likely to make training on tobacco screening available to providers. The most widespread barriers to tobacco use disorder care provision were relative perceived importance of competing diagnoses, lack of community resources to refer patients, perceived lack of time, lack of provider knowledge or confidence, and belief that patients do not comply with cessation treatment. Overall, the results suggest that there are opportunities for centers providing care to Texans with behavioral health needs to bolster their tobacco screening and intervention capacity to better address tobacco-related health disparities in this group. Health care centers can support their providers to intervene in tobacco use by mandating screenings, streamlining clinical workflows with hard stops in patient records, and educating providers about the importance of treating tobacco with brief evidence-based intervention strategies while providing accurate information about patients’ interest in quitting and providers’ potential impacts on a successful quit attempt.

show abstract

Section: Discussionmentioning

confidence: 99%

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Siddiqi

Britton

Chen

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Additional research is needed to understand the nature of CCP discomfort in addressing smoking, as well as knowledge deficits regarding the safety and effectiveness of tobacco treatment [ 11 , 15 ]. CCPs report inadequate training in tobacco use and dependence treatment [ 14 , 15 ] high-lighting the importance of increased education and training for smoking cessation in cancer care [ 22 ]. The Theme 1 finding strikes a cautionary note for CCPs who may have good intention for avoiding a potentially up-setting discussion about smoking but may not fully appreciate the deleterious effects of giving short shrift to cessation counseling.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, these findings have contributed to the success of a tobacco treatment training workshop targeting CCPs and found that CCPs report increased post-training self-efficacy when discussing smoking with their patients. [ 22 ] The patient perspectives reported in this paper greatly advance the field by providing specific communication recommendations that CCPs can adopt to mitigate stigma and enhance lung cancer patients’ comfort, particularly when taking a routine smoking history.…”

Section: Discussionmentioning

confidence: 99%

Reducing stigma triggered by assessing smoking status among patients diagnosed with lung cancer: De-stigmatizing do and don't lessons learned from qualitative interviews

et al. 2022

Self Cite

View full text Add to dashboard Cite

“…A common refrain is that they are just too busy to address smoking cessation given the increasing complexity of the cancer care they are required to direct. In contrast, there is clear evidence that training oncology- care providers can have demonstrable impact on improving tobacco-treatment skills and tobacco-treatment delivery 97…”

Section: Cessation In Cancer Treatment Settingsmentioning

confidence: 97%

“…In contrast, there is clear evidence that training oncologycare providers can have demonstrable impact on improving tobacco-treatment skills and tobacco-treatment delivery. 97 If oncologists are to achieve the best clinical outcomes for their patients, the oncology centres in which they work must implement strategies to ensure that all newly diagnosed patients with cancer are screened for smoking status, advised of the benefits of smoking cessation and referred to smoking cessation services. An 'opt out' approach to the provision of smoking-cessation care can distinctly enhance the ability to ensure patients receive the supports required to optimise their cancer care.…”

Section: Cessation In Cancer Treatment Settingsmentioning

confidence: 99%

Smoking cessation: health system challenges and opportunities

2022

View full text Add to dashboard Cite

The systematic integration of evidence-based tobacco treatment has yet to be broadly viewed as a standard-of-care. The Framework Convention on Tobacco Control recommends the provision of support for tobacco cessation. We argue that the provision of smoking cessation services in clinical settings is a fundamental clinical responsibility and permits the opportunity to more effectively assist with cessation. The role of clinicians in prioritising smoking cessation is essential in all settings. Clinical benefits of implementing cessation services in hospital settings have been recognised for three decades—but have not been consistently provided. The Ottawa Model for Smoking Cessation has used an ‘organisational change’ approach to its introduction and has served as the basis for the introduction of cessation programmes in hospital and primary care settings in Canada and elsewhere. The significance of smoking cessation dwarfs that of many preventive interventions in primary care. Compelling evidence attests to the importance of providing cessation services as part of cancer treatment, but implementation of such programmes has been slow. We recognise that the provision of such services must reflect the realities and resources of a particular health system. In low-income and middle-income countries, access to treatment facilities pose unique challenges. The integration of cessation programmes with tuberculosis control services may offer opportunities; and standardisation of peri-operative care to include smoking cessation may not require additional resources. Mobile phones afford unique opportunities for interactive cessation programming. Health system change is fundamental to improving the provision of cessation services; clinicians can be powerful advocates for such change.

show abstract

Training oncology care providers in the assessment and treatment of tobacco use and dependence

Cited by 8 publications

References 18 publications

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Reducing stigma triggered by assessing smoking status among patients diagnosed with lung cancer: De-stigmatizing do and don't lessons learned from qualitative interviews

Smoking cessation: health system challenges and opportunities

Contact Info

Product

Resources

About