Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients

Conlon, Katy; Pattinson, Laura; Hutton, D.

doi:10.1016/j.radi.2017.03.006

Cited by 24 publications

(31 citation statements)

References 47 publications

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“…A perceived lack of skills prevented healthcare professionals from addressing physical activity in six reviews, four of which focused on studies based in primary care settings (Gentry et al 2017). Six of the twenty systematic reviews cited a perceived lack of behavior change training (Conlon et al 2017). Seven of the twenty reviews reported that healthcare professionals perceived a lack of confidence in their ability to facilitate positive behavior changes in patients (Vogt et al 2005).…”

Section: Perceptions Of the Knowledge Or Skills Needed To Support Behmentioning

confidence: 99%

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

et al. 2020

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Opportunities for healthcare professionals to deliver health behavior change interventions are often missed, but understanding the barriers and enablers to this activity is limited by a focus on defined specialisms/health conditions. This systematic review of systematic reviews collates all the evidence across professional groups to provide guidance to policy makers for implementing healthcare professional delivery of behavior change interventions. Eight electronic databases were searched for systematic reviews reporting patient-facing healthcare professionals' (e.g., general practitioners, nurses) barriers and enablers to delivering behavior change interventions (diet, physical activity, alcohol reduction, smoking cessation, and weight management). A narrative synthesis was conducted. Thirty-six systematic reviews were included. Four themes emerged as both barriers and enablers:(1) perceptions of the knowledge or skills needed to support behavior change with patients, (2) perceptions of the healthcare professional role, (3) beliefs about resources and support needed, and (4) healthcare professionals' own health behavior. There were four cross-disciplinary barriers: (1) perceived lack of time, (2) perceived lack of prioritization of health behavior change, (3) negative attitudes towards patients and perceptions of patient risk, and (4) perceptions of patient motivation. The three enablers were as follows: (1) training, (2) context, and (3) attitudes towards delivering interventions. To enhance healthcare professionals' delivery of behavior change interventions, policy makers should (a) address perceptions about patient need for interventions, (b) support diverse professional groups to identify opportunities to deliver interventions, and (c) encourage professionals to focus on prevention and management of health conditions.

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Section: Perceptions Of the Knowledge Or Skills Needed To Support Behmentioning

confidence: 99%

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

et al. 2020

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“…A recent systematic review 22 highlighted the attitudes of oncology practitioners towards smoking cessation. This review identified the key barriers to smoking cessation were; lack of training, perception that the intervention may be harmful through increased stress and guilt, lack of confidence in cessation, lack of knowledge and oncology practitioners do not associate smoking cessation to be part of their role.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The motivation of Therapeutic Radiographers to deliver brief interventions is evident 20,21 The barriers and facilitators identified in paper 1, a recent systematic review 22 were used to structure the pre focus group questionnaires which subsequently informed the development of the focus group topic guide (Appendix A). This work, paper 2, will inform part 3 and paper 3, the development of an oncology specific training resource to equip practitioners with the confidence and competence to deliver VBA.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The research consisted of two questionnaires and one focus group for each participant. The initial questionnaire content was informed by the systematic review 22 A total of five focus groups were conducted across four NHS trusts, until no new themes emerged.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Respondents identified a barrier to delivering smoking cessation support as a result of lack of policy and process. This issue resulted in a reactive or even a pick and mix approach to interventions that was prompted by the presence of a facilitating factor and may even by blocked by a barrier later in the pathway before an intervention was instigated 22 .…”

Section: Policy and Practicementioning

confidence: 99%

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Therapeutic Radiographers' perceptions of the barriers and enablers to effective smoking cessation support

2019

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Therapeutic Radiographers' perceptions of the barriers and enablers to effective smoking cessation support. AbstractHighlights  Therapeutic Radiographers show desire for improvements within their practice  Therapeutic Radiographers fear upsetting the patient during smoking cessation advice  Therapeutic Radiographers worry about damaging the therapeutic relationship  There is a clear need for a Therapeutic Radiographer specific training package

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Oncologists’ communication about tobacco and alcohol use during treatment for esophagogastric cancer: a qualitative observational study of simulated consultations

Hoek,

van de Water,

Vos

et al. 2024

Support Care Cancer

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Purpose Tobacco and alcohol use influence cancer risk as well as treatment outcomes, specifically for esophageal and gastric cancer patients. Therefore, it is an important topic to discuss during consultations. This study aims to uncover medical, radiation, and surgical oncologists’ communication about substance use, i.e., tobacco and alcohol use, in simulated consultations about curative and palliative esophagogastric cancer treatment. Methods Secondary analyses were performed on n = 40 standardized patient assessments (SPAs) collected in three Dutch clinical studies. Simulated patients with esophagogastric cancer were instructed to ask about smoking or alcohol use during treatment. The responses of the 40 medical, radiation, and surgical oncologists were transcribed verbatim, and thematic analysis was performed in MAXQDA. Results Oncologists consistently advocated smoking cessation during curative treatment. There was more variation in their recommendations and arguments in the palliative compared to the curative setting and when addressing alcohol use instead of smoking. Overall, oncologists were less stringent regarding behavior change in the palliative than in the curative setting. Few oncologists actively inquired about the patient’s perspective on the substance use behavior, the recommended substance use change, or the support offered. Conclusion Clear guidelines for oncologists on when and how to provide unequivocal recommendations about substance use behavior change and support to patients are needed. Oncologists might benefit from education on how to engage in a conversation about smoking or alcohol.

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Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators, barriers and recommendations for delivery of advice and support to cancer patients

Cited by 24 publications

References 47 publications

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

Therapeutic Radiographers' perceptions of the barriers and enablers to effective smoking cessation support

Oncologists’ communication about tobacco and alcohol use during treatment for esophagogastric cancer: a qualitative observational study of simulated consultations

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