Exploring Tobacco Use and Smoking Cessation Best Practices From the Perspectives of Individuals With Lung Cancer and Health Care Professionals

Weiss, Yonatan; Bristow, Bonnie; Karol, Dalia; Fitch, Margaret I.; McAndrew, Alison; Gibson, Leslie; Court, Arlene; Curle, Elaine; Prospero, Lisa Di

doi:10.1016/j.jmir.2019.11.139

Cited by 6 publications

(12 citation statements)

References 23 publications

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“…This observation correlates with a previous study using focus group discussions with 16 healthcare professionals caring for patients with advanced lung cancer. 11 A common reason for not starting the discussion with palliative patients was a sense that it was not worth the effort or to allow the patient to enjoy smoking without the guilt or being stigmatised. 11 The study also included 19 interviews with patients who have lung cancer who interestingly reported a need for healthcare professionals to initiate the discussions.…”

Section: Discussionmentioning

confidence: 99%

“… 11 A common reason for not starting the discussion with palliative patients was a sense that it was not worth the effort or to allow the patient to enjoy smoking without the guilt or being stigmatised. 11 The study also included 19 interviews with patients who have lung cancer who interestingly reported a need for healthcare professionals to initiate the discussions. Similar to our study, staff may perceive a lack of motivation or ability from the patient side to quit and decide against providing smoking cessation care regardless of the clinical benefits to be gained from quitting.…”

Section: Discussionmentioning

confidence: 99%

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Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

et al. 2021

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ObjectiveTo explore the perspectives of hospital staff regarding the provision of smoking cessation care.Study designA qualitative description study using focus group discussions.Study settingData were collected across metropolitan regional and rural hospitals in Victoria, Australia, between November and December 2019.ParticipantsClinical and non-clinical hospital staff.ResultsFive focus groups were conducted across four hospitals. Staff (n=38) across metropolitan regional and rural hospitals shared similar views with regards to barriers and facilitators of smoking cessation care. Four themes were present: (1) Clinical Setting wherein views about opportunity and capacity to embed smoking cessation care, relevant policies and procedures and guidelines were discussed; (2) Knowledge consisted of the need for training on the provision of pharmacotherapy and behavioural interventions, and awareness of resources; (3) Consistency represented the need for a consistently applied approach to smoking cessation care by all staff and included issues of staff smoking; and (4) Appropriateness consisted of questions around how smoking cessation care can be safely delivered in the context of challenging patient groups and different settings.ConclusionsStaff across metropolitan regional and rural hospitals experience similar views and identified shared barriers in implementing smoking cessation care. Responding to staff concerns and providing support to address smoking with patients will help to foster a consistent approach to cessation care. Clear practice guidelines for multidisciplinary clinical roles need to underpin staff training in communication skills, include priorities around smoking cessation care, and provide the authorising environment in which clinical staff actively provide smoking cessation care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

et al. 2021

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“…A clear barrier to care resultant from the literature (Chang et al 2017 ; Charlesworth et al 2019 ; Conlon et al 2017 ; Coovadia et al 2020 ; Day et al 2018 ; Derksen et al 2020 ; Lina et al 2016 ; Luxton et al 2019 ; Ma et al 2016 ; Price et al 2019 ; Schnoll et al 2006 ; Singer et al 2019 ; Sutton et al 2013 ; Warren et al 2013a , b ; Warren et al 2013a , b ; Warren et al 2015 ; Weiss et al 2020 ) and evaluation discussions was the perceived lack of time for addressing smoking cessation. Belief that patients lack the motivation to quit (Charlesworth et al 2019 ; Conlon et al 2017 ; Gosselin et al 2011 ; Ma et al 2016 ; Price et al 2019 ; Sarna et al 2001 ; Simmons et al 2009 ; Warren et al 2013a , b ; Weaver et al 2012 ; Weiss et al 2020 ) is commonly reported, while HCPs have often believed that patients would be resistant to smoking cessation treatment (Chang et al 2017 ; Day et al 2018 ; Derksen et al 2020 ; Luxton et al 2019 ; Ma et al 2016 ; Price et al 2019 ; Schnoll et al 2006 ; Simmons et al 2009 ; Warren et al 2013a , b ; Warren et al 2013a , b ; Warren et al 2015 ; Weaver et al 2012 ). The trial initially devotes an extended period to engage with HCPs, allowing the researchers to address the motivational and commitment factors that impede care.…”

Section: Discussionmentioning

confidence: 99%

Building staff capability, opportunity, and motivation to provide smoking cessation to people with cancer in Australian cancer treatment centres: development of an implementation intervention framework for the Care to Quit cluster randomised controlled trial

Ryan

Young

Tait

et al. 2022

Health Serv Outcomes Res Method

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Few rigorous studies provide a clear description of the methodological approach of developing an evidence-based implementation intervention, prior to implementation at scale. This study describes the development, mapping, rating, and review of the implementation strategies for the Care to Quit smoking cessation trial, prior to application in nine cancer services across Australia. Key stakeholders were engaged in the process from conception through to rating, reviewing and refinement of strategies and principles. An initial scoping review identified 21 barriers to provision of evidence-based smoking cessation care to patients with cancer, which were mapped to the Theoretical Domains Framework and Behaviour Change Wheel (BCW) to identify relevant intervention functions. The mapping identified 26 relevant behaviour change techniques, summarised into 11 implementation strategies. The implementation strategies were rated and reviewed against the BCW Affordability, Practicality, Effectiveness and cost-effectiveness, Acceptability, Side-effects/safety, and Equity criteria by key stakeholders during two interactive workshops to facilitate a focus on feasible interventions likely to resonate with clinical staff. The implementation strategies and associated intervention tools were then collated by form and function to provide a practical guide for implementing the intervention. This study illustrates the rigorous use of theories and frameworks to arrive at a practical intervention guide, with potential to inform future replication and scalability of evidence-based implementation across a range of health service settings.

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“…The 52 qualitative studies examining determinants of changes in lifestyle, were conducted in the UK (n = 12) [97][98][99][100][101][102][103][104][105][106][107][108], the USA(n = 10) [109][110][111][112][113][114][115][116][117][118], Canada (n = 10) [119][120][121][122][123][124][125][126][127][128], Australia (n = 8) [129][130][131][132][133][134][135], Sweden (n = 3) [136][137][138], China (n = 2) [139,140], Denmark (n = 2) [141,142], Norway (n = 2) [143,144], France (n = 1) [145], Italy (n = ...…”

Section: General Characteristics Of the Included Studiesmentioning

confidence: 99%

Psychosocial Determinants of Lifestyle Change after a Cancer Diagnosis: A Systematic Review of the Literature

Hoedjes

Nijman

Hinnen

2022

Cancers

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The aim of this study is to provide a systematic overview of the scientific literature on sociodemographic, psychological and social determinants that may facilitate or hamper lifestyle change after the diagnosis cancer. Four databases (PubMed, PsychINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science) were searched for relevant papers up to October 2021. Of the 9586 references yielded by the literature search, 123 papers were included: 71 quantitative and 52 qualitative papers. Findings showed a large variety of determinants influencing lifestyle change after cancer diagnosis, with differences between lifestyle behaviors (physical activity, diet, smoking, alcohol, sun protection, and multiple lifestyle behaviors) and findings from quantitative vs. qualitative studies. Findings demonstrate the important role of oncology healthcare professionals in promoting healthy lifestyle changes in cancer survivors. In addition, findings inform researchers involved in the development of health promotion programs about the methods and strategies they can use to promote healthy lifestyle changes in cancer survivors. Favorable lifestyle changes are expected to have beneficial effects on cancer risk and overall health in cancer survivors.

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Exploring Tobacco Use and Smoking Cessation Best Practices From the Perspectives of Individuals With Lung Cancer and Health Care Professionals

Cited by 6 publications

References 23 publications

Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study

Building staff capability, opportunity, and motivation to provide smoking cessation to people with cancer in Australian cancer treatment centres: development of an implementation intervention framework for the Care to Quit cluster randomised controlled trial

Psychosocial Determinants of Lifestyle Change after a Cancer Diagnosis: A Systematic Review of the Literature

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