Recruiting cancer patients to participate in motivating their relatives to quit smoking

Schilling, Albert; Conaway, Mark R.; Wingate, Patti; Atkins, James N.; Berkowitz, Irving; Clamon, Gerald H.; DiFino, Santo M.; Vinciguerra, Vincent

doi:10.1002/(sici)1097-0142(19970101)79:1<152::aid-cncr22>3.0.co;2-2

Cited by 27 publications

(22 citation statements)

References 21 publications

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“…Besides the intervention by Schilling et al (1997), which exclusively targeted family members of recently diagnosed cancer patients who smoked, only four other studies addressed smoking among participants’ family members (Browning, Ahijevych, & Ross, 2000; Emmons et al, 2005; Sharp, Johansson, Fagerstrom, & Rutqvist, 2008; Wakefield, Olver, Whitford, & Rosenfeld, 2004). In the Wakefield and colleagues’ study, patients’ family members were made aware of the need to quit in support of the patient’s quit attempt, while Emmons and colleagues provided NRT to subjects’ partners–spouses who smoked and requested NRT.…”

Section: Resultsmentioning

confidence: 99%

Smoking Cessation Interventions in Cancer Care: Opportunities for Oncology Nurses and Nurse Scientists

Cooley¹,

Lundin²,

Murray³

2009

Annu Rev Nurs Res

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Smoking cessation is essential after the diagnosis of cancer to improve clinical outcomes. The purpose of this chapter is to provide a systematic review of research on smoking cessation in the context of cancer care with an emphasis on nursing contributions to the field. Data sources included research reports of smoking cessation interventions conducted in people with cancer. Nineteen primary studies were reviewed. High intensity interventions, targeting multiple behaviors, and/or using a multicomponent intervention that included pharmacotherapy, behavioral counseling, and social support were characteristics of the most successful treatments for tobacco dependence. The majority of interventions were conducted in adults with smoking-related malignancies during acute phases of illness. The most striking finding was that more than one half of the studies tested the efficacy of nurse-delivered interventions. Conceptual and methodological issues that can be improved in future studies include: using theoretical frameworks to specify how the intervention will affect outcomes, ensuring adequate sample sizes, using biochemical verification to monitor smoking outcomes, and using standardized outcome measures of abstinence. Although effective interventions are available for healthy populations, further research is needed to determine if tailored cessation interventions are needed for patients with cancer. To provide optimal quality care it is imperative that delivery of evidence-based smoking cessation interventions be integrated into the cancer treatment trajectory. Multiple barriers, including patient and nurse attitudes toward smoking and lack of knowledge related to tobacco treatment, prevent translating evidence-based tobacco dependence treatment into clinical practice. Further nursing research is needed to address these barriers.

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Section: Resultsmentioning

confidence: 99%

Smoking Cessation Interventions in Cancer Care: Opportunities for Oncology Nurses and Nurse Scientists

Cooley¹,

Lundin²,

Murray³

2009

Annu Rev Nurs Res

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“…10 However, in a study of smoking relatives of lung cancer patients, 91% of smoking family members still smoked following an educational intervention about the benefits of smoking cessation. 32 …”

Section: Discussionmentioning

confidence: 99%

An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

Butler

Hedgecock

Record

et al. 2012

Nursing Clinics of North America

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Synopsis Although tobacco use remains the single most preventable cause of death in the US, little is known about the most effective population-based strategies to reach rural smokers and motivate them to quit. The purpose of this study was to describe the personal narratives of current and former smokers living in an economically distressed, rural area of Appalachian Kentucky. Personal narratives were obtained from focus groups with smokers/former smokers (N=21). Data were analyzed using Atlas.ti 6 Three categories of nine themes emerged: personal motivators to quit smoking, external influences, pride of place. Capturing personal narratives represents an evidence-based, data-rich strategy for development of culturally sensitive, population-based interventions aimed at rural smokers. Such strategies may be effective in reaching rural smokers and motivating them to quit, thereby reducing tobacco-related disease and premature death in rural, economically distressed communities.

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“…Research shows that cancer patients who smoke are likely to have family members who smoke (14). One cessation trial recruiting smoking relatives of cancer patients reported that on average, cancer patients have two relatives who smoke (17) and a recent study reported that 18% of family caregivers of women with lung cancer continued smoking after the diagnosis(18). …”

Section: Introductionmentioning

confidence: 99%

Smoking Concordance in Lung and Colorectal Cancer Patient-Caregiver Dyads and Quality of Life

Weaver

Rowland

Augustson

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Distress may be heightened among members of cancer patient-caregiver dyads that are mismatched on smoking status (either the patient or caregiver smokes, but the other does not), negatively affecting quality of life (QoL). The purpose of this study was to examine associations between patientcaregiver smoking concordance, caregiver psychological adjustment, and caregiver and patient mental and physical QoL.Methods: Lung and colorectal patient-caregiver dyads (N ¼ 742) were identified from the Cancer Care Outcomes Research and Surveillance (CanCORS) and CanCORS Caregiver studies. The majority of the cancer patients were male (67.0%) with local (45.6%) or regional (12.9%) disease. The majority of the informal caregivers were females (78.6%), under 65 years of age (69.6%), and often spouses (57.8%) of the patients.Results: Lung and colorectal cancer caregivers, who were members of dyads where one or both members continued to smoke, reported worse mental health QoL than nonsmoking dyads. For colorectal cancer patients, continuing to smoke when the caregiver did not was associated with worse mental health QoL compared with nonsmoking dyads. Dyad smoking was less strongly associated with physical QoL for both caregivers and patients.Conclusion: Results highlight the importance of assessing smoking in both cancer patients and their caregivers and referring families to appropriate psychosocial and smoking cessation services.Impact: This is the first study to show associations between cancer patient-caregiver smoking status and QoL for both dyad members. Future studies will need to confirm these associations longitudinally and investigate potential mechanisms linking dyad smoking and QoL. Cancer Epidemiol Biomarkers Prev; 20(2); 239-48.

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Recruiting cancer patients to participate in motivating their relatives to quit smoking

Abstract: The intervention proved to be feasible and will lead to the next study, which will randomize relatives who smoke within a more intensive intervention over 12 months and compare the results with nonintervention controls.

Cited by 27 publications

References 21 publications

Smoking Cessation Interventions in Cancer Care: Opportunities for Oncology Nurses and Nurse Scientists

Smoking Cessation Interventions in Cancer Care: Opportunities for Oncology Nurses and Nurse Scientists

An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

Smoking Concordance in Lung and Colorectal Cancer Patient-Caregiver Dyads and Quality of Life

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