Sustainability of Tobacco Treatment Programs in the Cancer Center Cessation Initiative

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doi:10.6004/jnccn.2021.7093

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…Evaluation of the sustainability of programs, especially when preparing for CDC grant applications, helped TCPs to understand where programs lacked capacity, such as reaching priority populations or infrastructure gaps. Program evaluation is important to the sustainability of public health programs and health programs for long-term effectiveness and improving outcomes ( 12 ) and is a valuable way to increase sustainability capacity of public health programs. Furthermore, TCPs made program adaptations as a result of examining data and evidence ( 13 ).…”

Section: Implications For Public Healthmentioning

confidence: 99%

“…Limitations and impediments of communications was cited as a barrier with partners and the public. Communication is an essential part of effectiveness in public health programs, with consistency, transparency, and frequency being valued by practitioners (11). Programs that create goals or plans that align with these values could improve their sustainability capacity in this domain.…”

Section: Implications For Public Healthmentioning

confidence: 99%

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Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Han,

Gannon,

Moreland-Russell

2024

Prev. Chronic Dis.

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Public health programs, particularly tobacco control programs (TCPs) in state health departments, face numerous barriers and facilitators to sustainability, which affect delivery and, consequently, health outcomes achieved. We used the Program Sustainability Framework to review and analyze qualitative interview data from states that received training and technical assistance during the Plans, Actions, and Capacity to Sustain Tobacco Control (PACT) study to better understand the barriers and facilitators to sustainability capacity that these public health programs face at the state level. The PACT study was a multiyear, randomized controlled trial to assess the effectiveness of an action planning workshop and technical assistance in improving capacity for sustainability among 11 intervention and 12 control TCPs. Technical assistance calls focused on the progress and barriers of implementing the sustainability action plan created during the in-person workshops. Calls were audio recorded and professionally transcribed. Thematic analysis focused on the codes describing barriers and facilitators faced by TCPs in increasing their capacity for sustainability. Barriers were reported in the Organization Capacity, Environmental Support, Partnerships, Communication, and Funding Stability domains of the Program Sustainability Framework. Facilitators to action planning and building capacity for program sustainability were primarily in the Strategic Planning, Program Evaluation, Program Adaptation, and Partnership domains. Our study is the first to identify barriers and facilitators to increasing the capacity of program sustainability in TCPs. This work advances the understanding of program sustainability capacity and technical assistance for public health programs.

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Section: Implications For Public Healthmentioning

confidence: 99%

Section: Implications For Public Healthmentioning

confidence: 99%

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Han,

Gannon,

Moreland-Russell

2024

Prev. Chronic Dis.

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Nursing leadership in tobacco dependence treatment to advance health equity: An American Academy of Nursing policy manuscript

McDaniel,

Cooley,

Andrews

et al. 2024

Nursing Outlook

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Implementation strategies for integrating tobacco cessation treatment in cancer care: A qualitative study

LeLaurin

Theis

Dallery

et al. 2022

Implementation Research and Practice

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Purpose The objective of this study was to determine how to optimize implementation of tobacco cessation treatment interventions in cancer care by (1) investigating the feasibility and acceptability of a multi-level approach to tobacco cessation treatment intervention, (2) identifying barriers and facilitators to implementation, and (3) eliciting additional strategies to improve implementation of the intervention. Methods We conducted qualitative interviews with oncologists ( n = 15) from one large academic health center in the Southeastern United States. We asked about their knowledge, attitudes, and current practices regarding tobacco use screening and treatment. We also asked about two proposed strategies to support implementation of tobacco cessation treatment: (1) developing a registry of tobacco users in collaboration with the state-run tobacco cessation program, and (2) providing on-site tobacco cessation counseling from trained professionals. Results Oncologists saw addressing tobacco use as valuable; however, they felt restricted from consistently addressing tobacco use by multi-level barriers such as workload, electronic health record (EHR) design, patient anxiety, and low self-efficacy for treating tobacco dependence. Oncologists responded positively to on-site treatment and felt this strategy would increase treatment accessibility and enhance engagement. Reaction to developing a registry of tobacco users was mixed, with concerns regarding lack of oncologist involvement and patient privacy expressed. Other suggested strategies for supporting implementation of tobacco cessation treatment included reducing referral complexity, establishing financial or quality incentives for oncologists, and leveraging existing EHR tools to facilitate integration of cessation interventions into clinic workflows. Conclusions We identified several challenges to implementing tobacco use treatment in cancer care; however, we considered strategies to overcome these barriers that were viewed as feasible and acceptable. Our work highlights the importance of engaging stakeholders in implementation efforts. Future work should explore the impact of the implementation strategies identified in this study. Plain Language Summary Tobacco cessation significantly improves cancer patients’ treatment outcomes, quality of life, and chances of survival; however, tobacco cessation interventions are not routinely delivered in oncology care. Interviews with oncologists identified barriers to delivering tobacco cessation interventions at multiple levels. Suggested strategies for overcoming these barriers included simplifying cessation intervention processes, establishing incentives for oncologists to address tobacco use, and using the electronic health record to support intervention activities. Oncologists generally supported implementing on-site tobacco cessation counseling for cancer patients. Although there was support for developing a registry of tobacco users with an external tobacco cessation program, more reservations were expressed. Our work identifies several stakeholder-endorsed strategies for implementing tobacco cessation interventions in cancer care. Future research should test the effectiveness of these strategies.

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Sustainability of Tobacco Treatment Programs in the Cancer Center Cessation Initiative

Cited by 7 publications

References 17 publications

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Nursing leadership in tobacco dependence treatment to advance health equity: An American Academy of Nursing policy manuscript

Implementation strategies for integrating tobacco cessation treatment in cancer care: A qualitative study

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