Providing cessation treatment to every oncology patient who smokes: An essential component of cancer care

Fiore, Michael C.; Baker, Timothy B.; Nolan, Margaret; Emamekhoo, Hamid

doi:10.1002/cncr.34052

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…These results highlight the significance of providing smoking cessation education to cancer survivors and emphasize that quitting is never too late. Given the increased risk of cancer progression, recurrence, second primary malignancies, and inferior treatment outcomes, smoking cessation should be a top priority in managing cancer patients who smoke ( 38 , 39 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of smoking status on health-related quality of life (HRQoL) in cancer survivors

Nolazco,

Rosner,

Roebuck

et al. 2024

Front. Oncol.

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IntroductionThe Health-Related Quality of Life (HRQoL) often declines among cancer survivors due to many factors. Some cancer patients who smoke before the cancer diagnosis continue this harmful habit, potentially contributing to a more significant decline in their HRQoL. Therefore, this study investigates the association between smoking status and HRQoL in cancer survivors.MethodsWe conducted a cross-sectional study utilizing self-reported cancer history from 39,578 participants of the Behavioral Risk Factor Surveillance System (BRFSS) database, leveraging 2016 and 2020 year questionaries. A multidimensional composite outcome was created to assess HRQoL, integrating four distinct dimensions - general health, mental health, physical health, and activity limitations. After accounting for the complex survey design, logistic regression models were used to analyze the association between smoking status and poor HRQoL, adjusting for demographic, socioeconomic, and health-related confounders.ResultsOur study found that, after adjusting for potential confounders, current smokers exhibited a significantly poorer HRQoL than never smokers (OR 1.65, 95%CI 1.40-1.93). Furthermore, former smokers showed a poorer HRQoL than never smokers; however, this association was not as strong as current smokers (OR 1.22, 95%CI 1.09-1.38).ConclusionOur findings highlight the adverse association of smoking with poor HRQoL in cancer survivors, underscoring the importance of healthcare professionals prioritizing smoking cessation and providing tailored interventions to support this goal.

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Section: Discussionmentioning

confidence: 99%

Impact of smoking status on health-related quality of life (HRQoL) in cancer survivors

Nolazco,

Rosner,

Roebuck

et al. 2024

Front. Oncol.

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“…The prevalence of smoking among patients with cancer underlines the need for timely tobacco treatment. Smokers are more likely to attempt to quit immediately after a diagnosis, suggesting that a diagnosis can serve as a teachable moment for smoking cessation, in which the motivation to quit is temporarily increased [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Past studies have found that gain-framed messages are more effective at conveying the short-term benefits of cessation [ 19 ]; however, there has been limited investigation into whether this strategy is as effective among patients with a recent cancer diagnosis. This is an important area of inquiry as quitting can result in important short-term benefits by reducing cancer treatment side effects, as well as improving overall energy levels and reducing levels of stress [ 4 , 8 ]. Determining whether to frame the benefits of cessation or the costs of not quitting on these short-term outcomes can act as an important mechanism for motivating cessation and trial enrollment during cancer treatment.…”

Section: Introductionmentioning

confidence: 99%

A Multimethod Evaluation of Tobacco Treatment Trial Recruitment Messages for Current Smokers Recently Diagnosed With Cancer: Pilot Factorial Randomized Controlled Trial

Neil¹,

Senecal²,

Ballini³

et al. 2022

JMIR Cancer

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Background A cancer diagnosis can catalyze motivation to quit smoking. Tobacco treatment trials offer cessation resources but have low accrual rates. Digital outreach may improve accrual, but knowledge of how best to recruit smokers with recent diagnoses is limited. Objective This study aims to identify the message frames that were most effective in promoting intent to talk to a physician about participating in a tobacco treatment trial for smokers recently diagnosed with cancer. Methods From February to April 2019, current smokers diagnosed within the past 24 months were recruited from a national web-based panel for a multimethod pilot randomized trial (N=99). Participants were randomized to a 2×3 plus control factorial design that tested 3 unique message frames: proximal versus distal threats of smoking, costs of continued smoking versus benefits of quitting, and gains of participating versus losses of not participating in a tobacco treatment trial. The primary outcome was intent to talk to a physician about participating in a tobacco treatment trial. In phase 1, the main effect within each message factor level was examined using ANOVA and compared with the control condition. Other message evaluation and effectiveness measures were collected and explored in a multivariable model predicting intent to talk to a physician. In phase 2, open-text evaluations of the messages were analyzed using natural language processing software (Leximancer) to generate a thematic concept map and Linguistic Inquiry Word Count to identify and compare the prevalence of linguistic markers among message factors. Results Of the 99 participants, 76 (77%) completed the intervention. Participants who received the cost of continued smoking frame were significantly more likely to intend to talk to their physician about participating in a tobacco treatment trial than those who received the benefits of the quitting frame (mean costs 5.13, SD 1.70 vs mean benefits 4.23, SD 1.86; P=.04). Participants who received the proximal risks of continued smoking frame were significantly more likely to seek more information about participating (mean distal 4.83, SD 1.61 vs mean proximal 5.55, SD 1.15; P=.04), and those who received the losses of not participating frame reported significantly improved perceptions of smoking cessation research (mean gain 3.98, SD 0.83 vs mean loss 4.38, SD 0.78; P=.01). Male participants (P=.006) and those with greater message relevancy (P=.001) were significantly more likely to intend to talk to their physician. Participants’ perceptions of their smoking habits, as well as their motivation to quit smoking, were prevalent themes in the open-text data. Differences in the percentages of affective words across message frames were identified. Conclusions Multimethod approaches are needed to develop evidence-based recruitment messages for patients recently diagnosed with cancer. Future tobacco treatment trials should evaluate the effectiveness of different message frames on smoker enrollment rates. Trial Registration Clinicaltrials.gov NCT05471284; https://clinicaltrials.gov/ct2/show/NCT05471284

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“…There have been substantial efforts to make evidencebased tobacco dependence treatments available through the healthcare delivery system (Baker et al, 2021;Cook et al, 2021;Fiore et al, 2021;Fiore et al, 2008;Hurt et al, 2009;Ramsey et al, 2020;Sarna et al, 2020;Trapskin et al, in press;Williams et al, 2021). Unfortunately, these efforts have not typically extended to behavioral health care systems that uncommonly provide cessation treatment programs.…”

Section: Introductionmentioning

confidence: 99%

The Bucket Approach: Developing and Implementing an On-line Training Program in Tobacco Dependence Interventions Tailored for Behavioral Health Clinicians

Christiansen

Conner

et al. 2022

Community Ment Health J

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People coping with a mental illness and/or addictive disorders have a very high prevalence of smoking cigarettes. The Bucket Approach, a free online training, tailors evidence-based tobacco dependence interventions for behavioral health clinicians to increase the likelihood that they will also address the tobacco use of their patients. From October 2019 through August 2021, 999 people enrolled in and 447 people completed the training. Individuals who completed the training evaluated it highly with an overall mean score of 8.4 (scale = 1 for very poor to 10 for very good). 3-and 6-month follow-up surveys documented continued impact. The training resulted in substantial changes in beliefs about treating tobacco dependence. For example, before training, 18.3% of trainees strongly agreed with the statement, "The skills currently possessed by behavioral health clinicians can be easily applied to the treatment of tobacco dependence." This increased to 40.7% at the end of training.

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Providing cessation treatment to every oncology patient who smokes: An essential component of cancer care

Cited by 4 publications

References 30 publications

Impact of smoking status on health-related quality of life (HRQoL) in cancer survivors

Impact of smoking status on health-related quality of life (HRQoL) in cancer survivors

A Multimethod Evaluation of Tobacco Treatment Trial Recruitment Messages for Current Smokers Recently Diagnosed With Cancer: Pilot Factorial Randomized Controlled Trial

The Bucket Approach: Developing and Implementing an On-line Training Program in Tobacco Dependence Interventions Tailored for Behavioral Health Clinicians

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