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Supportive Care in Cancer

Erschienen in:

14.09.2020 | Original Article

Implementation of tobacco cessation services at a comprehensive cancer center: a qualitative study of oncology providers’ perceptions and practices

verfasst von: Samuel N. Rodgers-Melnick, Monica Webb Hooper

Erschienen in: Supportive Care in Cancer | Ausgabe 5/2021

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Abstract

Purpose

To explore (1) perceptions of tobacco cessation for patients, (2) perceived role in addressing patients’ tobacco use, (3) facilitators and barriers to providing cessation services, and (4) perceptions and use of tobacco cessation resources among oncology providers.

Methods

Interviews were conducted with 24 oncology providers at a National Cancer Institute-Designated Comprehensive Cancer Center. Qualitative themes were analyzed using content analysis.

Results

Participants (1) perceived smoking cessation’s priority as low and/or dependent upon clinical factors, (2) described a passive role in addressing tobacco cessation, (3) described loss-framed versus gain-framed messaging when delivering cessation advice, (4) reported moderate self-efficacy in discussing and low self-efficacy in implementing cessation strategies, (5) described multi-level facilitators and barriers to patients’ tobacco cessation, and (6) expressed high value for the cancer center’s tobacco cessation service.

Conclusion

Oncology providers in this study perceived patients’ tobacco cessation as a low priority relative to providing direct cancer treatment and addressing acute complications. These findings indicate opportunities for training to increase delivery of evidence-based cessation advice and facilitate patients’ engagement in cessation services. Provider trainings on embracing an active role in tobacco cessation, addressing multi-level barriers to patients’ tobacco cessation, and using gain-framed messaging should be implemented. This has the potential to improve cancer patients’ treatment outcomes.

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Titel: Implementation of tobacco cessation services at a comprehensive cancer center: a qualitative study of oncology providers’ perceptions and practices
verfasst von: Samuel N. Rodgers-Melnick
Monica Webb Hooper
Publikationsdatum: 14.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 5/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05749-7

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Implementation of tobacco cessation services at a comprehensive cancer center: a qualitative study of oncology providers’ perceptions and practices

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Purpose

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Conclusion

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