Identifying Best Implementation Practices for Smoking Cessation in Complex Cancer Settings

Giannopoulos, Eleni; Papadakos, Janet; Cameron, Erin; Brual, Janette; Truscott, Rebecca; Evans, William K.; Giuliani, Meredith

doi:10.3390/curroncol28010049

Cited by 2 publications

(1 citation statement)

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“…While the framework provides a standard to follow, each RCC implements it in their own unique way. This has led to several natural experiments and an attempt to identify best implementation practices for smoking cessation in cancer care settings [ 8 ]. For example, in 2017, the London Regional Cancer Program launched a pilot to provide free nicotine replacement therapy (NRT) to improve the low referral rates identified in an evaluation of their smoking cessation program [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Evolution of a Systematic Approach to Smoking Cessation in Ontario’s Regional Cancer Centres

et al. 2022

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Smoking cessation after a cancer diagnosis can significantly improve a person’s prognosis, treatment efficacy and safety, and quality of life. In 2012, Cancer Care Ontario (now part of Ontario Health) introduced a Framework for Smoking Cessation, to be implemented for new ambulatory cancer patients at the province’s 14 Regional Cancer Centres (RCCs). Over time, the program has evolved to become more efficient, use data for robust performance management, and broaden its focus to include new patient populations and additional data collection. In 2017, the framework was revised from a 5As to a 3As brief intervention model, along with an opt-out approach to referrals. The revised model was based on emerging evidence, feedback from stakeholders, and an interim program evaluation. Results showed an initial increase in referrals to cessation services. Two indicators (tobacco use screening and acceptance of a referral) are routinely monitored as part of Ontario Health’s system-wide performance management approach, which has been identified as a key driver of change among RCCs. Due to the COVID-19 pandemic, many RCCs reported a decrease in these indicators. RCCs that were able to maintain a high level of smoking cessation activities during the pandemic offer valuable lessons, including the opportunity to swiftly leverage virtual care. Future directions for the program include capturing data on cessation outcomes and expanding the intervention to new populations. A focus on system recovery from COVID-19 will be paramount. Smoking cessation must remain a core element of high-quality cancer care, so that patients achieve the best possible health benefits from their treatments.

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Section: Introductionmentioning

confidence: 99%