scholarly journals Evidence for the Fidelity and Effectiveness of Living Independent From Tobacco for People with Disabilities and Their Caregivers

2019 ◽  
Vol 12 ◽  
pp. 1179173X1882507 ◽  
Author(s):  
Susan M Havercamp ◽  
Wesley R Barnhart ◽  
David Ellsworth ◽  
Erica Coleman ◽  
Allison Lorenz ◽  
...  
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
People With Disabilities ◽  
Evidence Based ◽  
The People ◽  
Post Test ◽  
Health Related ◽  
Health Promotion Interventions

People with disabilities (PWD) are more likely to use tobacco and less likely to access tobacco cessation programs compared with people without disabilities. Living Independent From Tobacco (LIFT), an evidence-based intervention designed for PWD, was piloted with dyads of PWD (n = 5) and their caregivers (n = 7). As an important source of practical and social support for PWD, caregivers also impact health-related attitudes, knowledge, and behaviors of PWD. Caregivers who smoke may unwittingly interfere with cessation efforts of the people they support. We found that LIFT could be offered to dyads of PWD and their caregivers with fidelity. The intervention was associated with increased use of coping strategies and self-efficacy to reduce smoking. Tobacco use decreased at post-test (−34.94%), with further reduction 6-months after the intervention (−50.60%). Implications for offering inclusive health promotion interventions to both PWD and their caregivers are discussed.

scholarly journals A Collaborative Model for Facilitating the Delivery of Smoking Cessation Treatments to Cancer Patients: Results From Three Oncology Practices in South Carolina

2018 ◽  
Vol 14 (2) ◽  
pp. 112-124
Author(s):  
Daniel J. Kilpatrick ◽  
Kathleen B. Cartmell ◽  
Abdoulaye Diedhiou ◽  
K. Michael Cummings ◽  
Graham W. Warren ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
South Carolina ◽  
Quality Improvement ◽  
Collaborative Learning ◽  
Cancer Patients ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Cancer Centers

Introduction: Continued smoking by cancer patients causes adverse cancer treatment outcomes, but few patients receive evidence-based smoking cessation as a standard of care.Aim: To evaluate practical strategies to promote wide-scale dissemination and implementation of evidence-based tobacco cessation services within state cancer centers.Methods: A Collaborative Learning Model (CLM) for Quality Improvement was evaluated with three community oncology practices to identify barriers and facilitate practice change to deliver evidence-based smoking cessation treatments to cancer patients using standardized assessments and referrals to statewide smoking cessation resources. Patients were enrolled and tracked through an automated data system and received follow-up cessation support post-enrollment. Monthly quantitative reports and qualitative data gathered through interviews and collaborative learning sessions were used to evaluate meaningful quality improvement changes in each cancer center.Results: Baseline practice evaluation for the CLM identified the lack of tobacco use documentation, awareness of cessation guidelines, and awareness of services for patients as common barriers. Implementation of a structured assessment and referral process demonstrated that of 1,632 newly registered cancer patients,1,581 (97%) were screened for tobacco use. Among those screened, 283 (18%) were found to be tobacco users. Of identified tobacco users, 207 (73%) were advised to quit. Referral of new patients who reported using tobacco to an evidence-based cessation program increased from 0% at baseline across all three cancer centers to 64% (range = 30%–89%) during the project period.Conclusions: Implementation of quality improvement learning collaborative models can dramatically improve delivery of guideline-based tobacco cessation treatments to cancer patients.

scholarly journals Towards evidence-based, quality-controlled health promotion: the Dutch recognition system for health promotion interventions

2010 ◽  
Vol 25 (6) ◽  
pp. 1100-1106 ◽  
Author(s):  
J. Brug ◽  
D. van Dale ◽  
L. Lanting ◽  
S. Kremers ◽  
C. Veenhof ◽  
...  
Keyword(s):  
Health Promotion ◽  
Recognition System ◽  
Evidence Based ◽  
Health Promotion Interventions

scholarly journals Determinants of Infodemics During Disease Outbreaks: A Systematic Review

2021 ◽  
Vol 9 ◽  
Author(s):  
Javier Alvarez-Galvez ◽  
Victor Suarez-Lledo ◽  
Antonio Rojas-Garcia
Keyword(s):  
Systematic Review ◽  
Social Media ◽  
Health Promotion ◽  
Disease Outbreaks ◽  
Cochrane Library ◽  
Evidence Based ◽  
Healthy Habits ◽  
Health Related ◽  
Social Media Platforms ◽  
Use Of Social Media

Background: The widespread use of social media represents an unprecedented opportunity for health promotion. We have more information and evidence-based health related knowledge, for instance about healthy habits or possible risk behaviors. However, these tools also carry some disadvantages since they also open the door to new social and health risks, in particular during health emergencies. This systematic review aims to study the determinants of infodemics during disease outbreaks, drawing on both quantitative and qualitative methods.Methods: We searched research articles in PubMed, Scopus, Medline, Embase, CINAHL, Sociological abstracts, Cochrane Library, and Web of Science. Additional research works were included by searching bibliographies of electronically retrieved review articles.Results: Finally, 42 studies were included in the review. Five determinants of infodemics were identified: (1) information sources; (2) online communities' structure and consensus; (3) communication channels (i.e., mass media, social media, forums, and websites); (4) messages content (i.e., quality of information, sensationalism, etc.,); and (5) context (e.g., social consensus, health emergencies, public opinion, etc.). Studied selected in this systematic review identified different measures to combat misinformation during outbreaks.Conclusion: The clarity of the health promotion messages has been proven essential to prevent the spread of a particular disease and to avoid potential risks, but it is also fundamental to understand the network structure of social media platforms and the emergency context where misinformation might dynamically evolve. Therefore, in order to prevent future infodemics, special attention will need to be paid both to increase the visibility of evidence-based knowledge generated by health organizations and academia, and to detect the possible sources of mis/disinformation.

Implementing Living Independent From Tobacco With Dyads of People With Disabilities and Their Caregivers: Successes and Lessons Learned

2020 ◽  
Vol 58 (3) ◽  
pp. 241-250
Author(s):  
Wesley R. Barnhart ◽  
Cara N. Whalen Smith ◽  
David Ellsworth ◽  
Erica Coleman ◽  
Allison Lorenz ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Cessation ◽  
People With Disabilities ◽  
Opportunity To Learn ◽  
Health Behavior Change ◽  
Lessons Learned ◽  
Cessation Intervention ◽  
Health Complications ◽  
Health Promotion Interventions ◽  
Paid Caregivers

Abstract People with disabilities have more health complications and higher healthcare utilization related to tobacco use than people without disabilities. Yet, they are less likely to use tobacco cessation resources. Important to meaningful and lasting health behavior change are relationships developed in the home, workplace, and community. Some people with disabilities rely on paid and unpaid caregivers. Just like people with disabilities, paid caregivers are more likely to use tobacco, creating a unique opportunity to target smoking cessation to people with disabilities and their caregivers. Living Independent From Tobacco (LIFT), an evidence-based tobacco cessation intervention, was implemented with dyads of people with disabilities (n = 5) and their caregivers (n = 7). Qualitative analyses revealed that participants valued the dyadic approach and the opportunity to learn coping skills to help with smoking cessation. Lessons for offering inclusive health promotion interventions to people with disabilities and their caregivers are discussed.

Integration of an evidence-based tobacco cessation program into a substance use disorders program to enhance equity of treatment access for northern, rural, and remote communities

2020 ◽  
Vol 10 (3) ◽  
pp. 555-564
Author(s):  
Patricia M Smith ◽  
Lisa D Seamark ◽  
Katie Beck
Keyword(s):  
Substance Use ◽  
Behavior Change ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Access Point ◽  
Indigenous Communities ◽  
Well Being ◽  
Evidence Based ◽  
Treatment Access ◽  
Cessation Intervention

Abstract Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities—56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5–2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.

Feasibility of implementing health promotion interventions to improve health-related quality of life

1999 ◽  
Vol 83 (S12) ◽  
pp. 138-142 ◽  
Author(s):  
Melissa M. Hudson ◽  
Vida L. Tyc ◽  
Deepthi A. Jayawardene ◽  
Jami Gattuso ◽  
A. Quargnenti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Health Promotion Interventions ◽  
Improve Health

scholarly journals Implementation Science to Improve Tobacco Cessation Services in Oncology Care

2021 ◽  
Vol 19 (Suppl_1) ◽  
pp. S12-S15
Author(s):  
_ _
Keyword(s):  
Implementation Science ◽  
Tobacco Use ◽  
Working Group ◽  
Tobacco Cessation ◽  
Common Interest ◽  
Evidence Based ◽  
Cancer Centers ◽  
Tobacco Treatment ◽  
Oncology Care ◽  
Science Working

Every patient with cancer deserves access to evidence-based tobacco cessation interventions as part of their routine oncology care. The NCI Cancer Moonshot funded the Cancer Center Cessation Initiative (C3I) to help establish and/or expand tobacco treatment programs at 52 NCI-designated Cancer Centers. Although this initiative has broadened the availability of tobacco treatment services across US cancer centers, the reach and utilization of these services remains low among patients. To help address the remaining gap between the availability and utilization of evidence-based treatments for tobacco use in the oncologic context, staff and investigators at C3I sites and the C3I Coordinating Center formed the C3I Implementation Science Working Group. The mission of this working group is to bring together clinicians, scientists, and policymakers who share a common interest in implementation science and treating tobacco use in the oncologic context to collaborate on projects aimed at shrinking the practice gap in this area. Through case study examples, we describe how the C3I Implementation Science Working Group is supporting efforts to identify effective ways to increase the utilization of evidence-based tobacco treatments within cancer treatment settings and promote the broader impact and long-term sustainability of C3I.

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