Helping cancer patients to quit smoking by understanding their risk perception, behavior, and attitudes related to smoking

Chan, Sophia Siu Chee; Lam, Tai Hing

doi:10.1002/pon.3486

Cited by 13 publications

(26 citation statements)

References 20 publications

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“…Previous studies showed that about one third of cancer patients in Western countries and almost 50% smokers with lung cancer in USA continued to smoke after receiving a cancer diagnosis 12 – 15 . Our recent study found that approximately 14% of patients continued smoking after receiving a cancer diagnosis 16 . Many cancer patients who continued smoking had misconceptions that a moderate amount, such as half a pack of cigarettes per day, might not be detrimental to their health 16 .…”

Section: Introductionmentioning

confidence: 98%

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Wang

Lam

et al. 2018

Sci Rep

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This randomized controlled trial aimed to examine the effectiveness of a smoking cessation intervention using a risk communication approach. A total of 528 smoking cancer patients were randomly allocated either into an intervention group (n = 268) to receive brief advice based on risk communication by a nurse counselor or a control group (n = 260) to receive standard care. Subjects in both groups received a smoking cessation booklet. Patient follow-ups were at 1 week and at 1, 3, 6, 9 and 12 months. No significant differences were found in self-reported point-prevalence 7-day abstinence between the intervention and control groups at 6 months (15.7% vs 16.5%; OR 0.94, 95% CI 0.59–1.50). The rate of at least 50% self-reported reduction of smoking at 6 months, was higher in the intervention group than in the control group (16.8% vs 12.3%; OR 1.43, 95% CI 0.88–2.35). The biochemically validated quit rate at the 6-month follow-up was higher in the intervention group than in the control group (5.2% vs 3.8%; OR 1.38, 95% CI 0.60–3.16). These data suggest that advice based on risk communication was not effective for quitting but improved the rate of smoking reduction among smoking cancer patients.

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Section: Introductionmentioning

confidence: 98%

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Wang

Lam

et al. 2018

Sci Rep

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“…In addition, all the 580 subjects would receive a generic self-help booklet to help them quit smoking. Among the quitters who have lung cancer, their risk of cancer recurrence can be reduced by 20–47 %; the mortality rate (all-cause) can be reduced by 46–66 %; the risk of second primary tumor can be reduced by 76 % (among those with limited stage small cell lung cancer); and the likelihood of 5-year survival can be doubled, compared to still smokers [ 16 ]. Patients with cancer in other sites will also have clinical benefits after they quit smoking.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent qualitative study [ 16 ] investigating the risk perceptions, and the behaviour, attitudes, and experiences of Chinese current smokers and ex-smokers who have been diagnosed with cancer, the results reveal that many of the informants had inadequate knowledge of the association between smoking and cancer. Besides, many informants who continued smoking were unaware of the beneficial effects of quitting, including ameliorating adverse effects of treatment and improving prognosis and quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, some informants were worried about losing the “psychological benefits” of smoking once they quit and thus perceived barriers to quit outweighed the perceived benefits. The findings of this study [ 16 ] address an important yet under-researched area, as very few smoking cessation programs targeting cancer patients, and only very few healthcare professionals help this vulnerable group to quit smoking [ 17 ]. There is an imperative need for healthcare professionals to design special interventions that use strong warning to clearly communicate the risk of continued smoking to this group as a strategy to enhance their motivation to quit.…”

Section: Introductionmentioning

confidence: 99%

“…There is an imperative need for healthcare professionals to design special interventions that use strong warning to clearly communicate the risk of continued smoking to this group as a strategy to enhance their motivation to quit. The findings of the study [ 16 ] provide a guide for developing an effective intervention protocol that will demystify the misconceptions about smoking among these vulnerable individuals and increase their perception of the risks of continued smoking and benefits of quitting.…”

Section: Introductionmentioning

confidence: 99%

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Helping cancer patients quit smoking by increasing their risk perception: a study protocol of a cluster randomized controlled trial

Chan

Wang

Lam³

2015

BMC Cancer

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BackgroundDespite smoking cessation can largely improve cancer prognosis and quality of life, many patients continued smoking after the diagnosis of cancer. This study aims to test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking, and to improve their health related quality of life.MethodsA cluster randomized controlled trial will be employed. Cancer patients who continued smoking after the diagnosis of cancer and have medical follow-up at the out-patient clinics of the five acute hospitals in Hong Kong will be invited to participate. Subjects in the experimental group will receive (1) health warnings of smoking based on a special designed leaflet; and (2) a patient-centred counseling from nurse counselors with emphasis on risk perceptions of smoking to cancer prognosis. Additionally, they will receive two more telephone counseling at 1-week and 1-month. Control group receive standard care and a generic self-help smoking cessation booklet. Outcomes measure include (a) self-reported and the biochemically validated quit rate, (b) patient’s smoking reduction by at least 50 % compared to baseline, (c) quit attempt(s), (d) change in the intention to quit, (e) change in risk perceptions of smoking, and (f) change in health related quality of life.DiscussionThis study will make an important contribution to evidence-based practice by testing the effectiveness of a tailored smoking cessation intervention for cancer patients. The results will support the development of clinical practice guidelines to promote smoking cessation in cancer patients to improve their prognosis and quality of life.Trial registrationClinicalTrials.gov NCT01685723. Registered 9 November 2012.

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A Qualitative Study of Smoking‐Related Causal Attributions and Risk Perceptions in Cervical Cancer Survivors

et al. 2019

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Objective The prevalence of smoking among cervical cancer survivors typically exceeds what is found among women in the general population and other cancer survivors. Yet, there is a dearth of literature on risk and protective factors related to smoking among cervical cancer survivors, especially when it comes to identification of variables that are amendable to intervention. To help fill this gap in the literature, this qualitative study examines the nature of smoking‐related causal attributions and risk perceptions in cervical cancer survivors who smoked at cancer diagnosis. Methods Participants are 21 female cervical cancer survivors (M=45.7, SD=8.4 years old), all diagnosed in the past five years. Nearly three‐quarters of participants reported smoking in the past month. Results: Smoking was not uniformly recognized as a cause of cervical cancer (whether in general or participants' own cancer); the link between smoking and lung, head‐neck, and other cancers was more readily accepted. Despite generally weak endorsements of causal attributions, many participants reported smoking significantly increases risk for poor clinical (e.g., recurrence) and quality of life (e.g., pain) outcomes after cervical cancer diagnosis. Conclusions Findings suggest cervical cancer survivors may not fully understand or appreciate the role of smoking in cervical cancer risk whereas their beliefs about the role of smoking in cervical cancer prognosis are more well‐formed. This study highlights the potential role of causal attributions and risk perceptions in understanding and addressing the smoking‐related experience of cervical cancer survivors.

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Helping cancer patients to quit smoking by understanding their risk perception, behavior, and attitudes related to smoking

Cited by 13 publications

References 20 publications

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Helping cancer patients quit smoking by increasing their risk perception: a study protocol of a cluster randomized controlled trial

A Qualitative Study of Smoking‐Related Causal Attributions and Risk Perceptions in Cervical Cancer Survivors

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