Listen to the Consumer: Designing a Tailored Smoking-Cessation Program for Women

Katzburg, Judith R.; Farmer, Melissa M.; Poza, Ines; Sherman, Scott E.

doi:10.1080/10826080801914204

Cited by 17 publications

(12 citation statements)

References 53 publications

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“…Some of the themes that emerged here are consistent with findings in previous qualitative research. In one study, female veterans in the US also expressed a strong preference for both supportive services and having a choice of what services to use available when seeking smoking cessation treatment [ 25 ], confirming the importance of both of these features for women beyond the sample in the current study. Qualitative research with low-income women in Canada also identified several similar needs and preferences as reported here, including a “menu of support options” from which women could choose, child care onsite, free smoking cessation aids, and peer support opportunities (e.g., a “buddy”) [ 26 ].…”

Section: Discussionsupporting

confidence: 66%

Woman focused smoking cessation programming: a qualitative study

et al. 2016

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BackgroundSeveral studies of smoking cessation programs in clinical settings have revealed poorer outcomes for women compared to men, including counselling alone or in combination with pharmacotherapy. The objective of the current study was to explore treatment and program structure needs and preferences among female clients in a specialized smoking cessation clinic in an academic mental health and addiction health science centre in order to inform program design so that it meets the needs of female clients.MethodsFour focus groups were conducted with current and former female clients (n = 23, mode age range = 50–59 years old, 56.5 % were still smoking and 43.5 % had quit) who had registered for outpatient smoking cessation treatment. Questions were designed to examine what aspects of the services were helpful and what changes they would like to see to better assist them and other women with quitting smoking. A thematic analysis of the raw data (audio recordings and notes taken during the focus groups) was conducted using a phenomenological theoretical framework.ResultsThemes that emerged indicated that females trying to quit smoking are best supported if they have choice from a variety of services so that treatment can be individualized to meet their specific needs; psychosocial support is provided both one-one-one with health care professionals and by peers in support groups; free pharmacotherapy is available to eliminate financial barriers to use; women-specific educational topics and support groups are offered; the clinic is accessible with evening/weekend hours, options to attend a local clinic, and childcare availability; and communication about clinic services and operation are clear, readily available, and regularly updated.ConclusionsAn ideal smoking cessation program for women includes a women’s centred approach with sufficient variety and choice, free pharmacotherapy, non-judgmental support, accessible services and clear communication of program options and changes. Findings may suggest an actionable list of adaptations that can be adopted by other clinics providing smoking cessation services to women.Electronic supplementary materialThe online version of this article (doi:10.1186/s12905-016-0298-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 66%

Woman focused smoking cessation programming: a qualitative study

et al. 2016

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“…Patients and communities can also play a key role in co‐designing the development and implementation of health promotion and prevention programs (S3). By collaborating with and empowering patients, patient advisory groups, communities and organizations, health‐care systems will be able to develop appropriate programs that meet the needs of all people . Building capacity of communities and organizations can also enhance integration, coordination and continuity of care, by supporting patients, and identifying resources that address barriers to accessing care and determinants of health (e.g housing, nutrition, education, etc.)…”

Section: Discussionmentioning

confidence: 99%

How to practice person‐centred care: A conceptual framework

Santana

Manalili

Jolley

et al. 2017

Health Expectations

557

565

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BackgroundGlobally, health‐care systems and organizations are looking to improve health system performance through the implementation of a person‐centred care (PCC) model. While numerous conceptual frameworks for PCC exist, a gap remains in practical guidance on PCC implementation.MethodsBased on a narrative review of the PCC literature, a generic conceptual framework was developed in collaboration with a patient partner, which synthesizes evidence, recommendations and best practice from existing frameworks and implementation case studies. The Donabedian model for health‐care improvement was used to classify PCC domains into the categories of “Structure,” “Process” and “Outcome” for health‐care quality improvement.DiscussionThe framework emphasizes the structural domain, which relates to the health‐care system or context in which care is delivered, providing the foundation for PCC, and influencing the processes and outcomes of care. Structural domains identified include: the creation of a PCC culture across the continuum of care; co‐designing educational programs, as well as health promotion and prevention programs with patients; providing a supportive and accommodating environment; and developing and integrating structures to support health information technology and to measure and monitor PCC performance. Process domains describe the importance of cultivating communication and respectful and compassionate care; engaging patients in managing their care; and integration of care. Outcome domains identified include: access to care and Patient‐Reported Outcomes.ConclusionThis conceptual framework provides a step‐wise roadmap to guide health‐care systems and organizations in the provision PCC across various health‐care sectors.

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“…Although reasons for these differences have not been further investigated, they might reflect preferences as well as barriers in accessing these forms of cessation support. In general, women tend to prefer programs that prioritize support for women, and choice or control of program components (Katzburg, Farmer, Poza, & Sherman, 2008).…”

Section: Tailoring Approaches For Diverse Womenmentioning

confidence: 99%

Tobacco Cessation Interventions for Underserved Women

Hemsing

Greaves

Poole

2015

Journal of Social Work Practice in the Addictions

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Despite high rates of smoking among some subgroups of women, there is a lack of tailored interventions to address smoking cessation among women. We identify components of a women-centered approach to tobacco cessation by analyzing 3 bodies of literature: sex and gender influences in tobacco use and addiction; evidence-based tobacco cessation guidelines; and best practices in delivery of women-centered care. Programming for underserved women should be tailored, build confidence and increase motivation, integrate social justice issues and address inequities, and be holistic and comprehensive. Addressing the complexity of women's smoking and tailoring appropriately could help address smoking among subpopulations of women. KEYWORDS smoking cessation, tobacco dependence treatment, underserved women, women-centered careReceived February 3, 2015; revised April 9, 2015; accepted May 14, 2015. © Natalie Hemsing, Lorraine Greaves, and Nancy Poole. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted.Address (Husky, Paliwal, Mazure, & McKee, 2007). In a substance use treatment center for women in Vancouver, Canada, in 2003, 79% of residential participants and 71% of day program participants reported being current smokers (Malmo, 2007).Findings from several studies that examined gender differences in tobacco dependence and treatment suggest that some subpopulations of women might encounter more challenges in quitting than women in general or men. A study examining cessation rates and treatment response among 2,850 participants found that women, Blacks, and smokers with lower levels of education were less likely to successfully quit smoking, compared to men, Whites, and smokers with high levels of education (Piper et al., 2010). Husky and colleagues found that women with substance use disorders were significantly more likely to smoke than men (Husky et al., 2007). An evaluation of a tobacco cessation intervention for patients with serious mental illness showed a significant difference in treatment effectiveness by gender, with men achieving a higher cessation rate compared to women (69% vs. 31%) (Currie et al., 2008). RESPONSES IN TOBACCO CONTROLEvidence such as this raises important questions about effective smoking cessation treatment for women and girls, and subpopulations of women who are vulnerable to tobacco use. The prevalence of smoking among specific subgroups of women suggests that cessation approaches currently available are (Graham, 2009), and is also a means of managing difficult emotions and facilitating social cohesion (Greaves, 1996). Yet, tobacco cessation treatment interventions have failed to address the full context of women's smoking and social and economic determinants of women's health.Generally, tobacco control efforts have focused on comprehensive approaches aimed ...

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Listen to the Consumer: Designing a Tailored Smoking-Cessation Program for Women

Cited by 17 publications

References 53 publications

Woman focused smoking cessation programming: a qualitative study

Woman focused smoking cessation programming: a qualitative study

How to practice person‐centred care: A conceptual framework

Tobacco Cessation Interventions for Underserved Women

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