scholarly journals Pivoting the Provision of Smoking Cessation Education in a Virtual Clinical World: The Princess Margaret Cancer Centre Experience

2021 ◽  
Vol 28 (6) ◽  
pp. 5395-5400
Author(s):  
Naa Kwarley Quartey ◽  
Janet Papadakos ◽  
Ben Umakanthan ◽  
Meredith Elana Giuliani
Keyword(s):  
Smoking Cessation ◽  
Treatment Outcomes ◽  
Cancer Diagnosis ◽  
Healthcare Providers ◽  
Cancer Centre ◽  
Virtual Care ◽  
Innovative Solutions ◽  
Quitting Smoking ◽  
The Relationship

Continued smoking after a cancer diagnosis may be attributed to misbeliefs by both patients and healthcare providers on the value and benefit of quitting smoking on treatment outcomes. The perceived myths and misconceptions about the relationship between smoking and cancer may be readily dispelled with the provision of practical and pertinent education. However, busy clinics as well as the rapid move to virtual care due to the COVID-19 pandemic present several challenges with the provision of smoking cessation education. Here, we describe how the Princess Margaret Cancer Centre implemented innovative solutions to improve the delivery of education during the COVID-19 pandemic to better support patients and healthcare providers.

Challenges Experienced by Women Who Smoke During Pregnancy or Postnatally

2020 ◽  
Vol 10 (1) ◽  
pp. 24-44
Author(s):  
Sandra P. Small ◽  
Andrea Brennan-Hunter ◽  
Caroline Porr ◽  
Yanqing Yi
Keyword(s):  
Smoking Cessation ◽  
Maternal Smoking ◽  
Healthcare Providers ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Smoking During Pregnancy ◽  
Quitting Smoking ◽  
Postnatal Women ◽  
Quantitative Descriptive ◽  
Descriptive Survey

Maternal smoking during pregnancy and maternal smoking postnatally are important public health concerns worldwide. Smoking adversely affects the woman's general health and is causally related to pregnancy complications and serious health outcomes for the child, such as stillbirth, preterm delivery, low birth weight, and sudden infant death. The purpose of this research was to examine maternal smoking through a quantitative descriptive survey of 164 women, 120 who were pregnant and 44 who were postnatal. Women experienced barriers to quitting smoking, including dealing with stress, being exposed to smokers, not being ready to quit, not knowing how to quit, not looking for or not being able to find information about smoking or quitting smoking, and lacking adequate social and healthcare provider support. On the other hand, women revealed characteristics that suggest they might have had improved potential for quitting smoking, including having negative feelings about smoking, having cut down on smoking, smoking at a low level, having made quit attempts, thinking it would not be hard to quit smoking, being in the preparation stage of behavioral change, and thinking their healthcare providers (HCPs) would help them if they decided to quit. Taken together, those findings suggest that HCPs could offer important assistance to help women achieve smoking cessation. However, more research needs to be conducted to clarify the role and effectiveness of various HCPs in smoking cessation interventions and to identify measures to strengthen their provision of such interventions.

Prevalence and determinants of quitting smoking after cancer diagnosis: a prospective cohort study

2021 ◽  
pp. 030089162110093
Author(s):  
Martina Taborelli ◽  
Luigino Dal Maso ◽  
Antonella Zucchetto ◽  
Elda Lamaj ◽  
Paolo De Paoli ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Diagnosis ◽  
Prospective Cohort ◽  
Patient Characteristics ◽  
Smoking Habits ◽  
Smoking History ◽  
Cancer Centre ◽  
Patients With Cancer ◽  
Quit Smoking ◽  
After Cancer

Objective: To describe smoking behaviours of patients with incident cancer attending an Italian cancer centre and to examine changes in their smoking habits within 12 months from cancer diagnosis, evaluating determinants of smoking cessation. Methods: A hospital-based prospective cohort included patients hospitalized in an Italian cancer centre (2016–2018). Patients were mostly female (74%) and included a limited proportion of aerodigestive cancers (7%). Face-to-face interviews were performed during hospital stay to gather information on patient characteristics and smoking history. Changes in smoking habits were assessed through telephone interviews at 3, at 6, and at 12 months after cancer diagnosis. Results: Among 1011 enrolled patients, 222 (22%) were current smokers at cancer diagnosis. Smoking prevalence was high in male patients (30%), in patients <50 years old (28%), in those with aerodigestive cancers (50%), and in those diagnosed at advanced stages (26%). Among current smokers at cancer diagnosis, 38% quit smoking after 12 months, 26% reduced intensity, and 36% did not modify smoking habits. Smoking cessation was associated with chemotherapy and, although not statistically significant, with female sex, older age, and advanced cancer stage. Patients with gastrointestinal, breast, or genitourinary cancer and those treated with surgery were less likely to quit smoking. Conclusions: Our results highlighted that 62% of smoking patients with cancer did not quit the habit. Smoking cessation programs targeted to patients with cancer need intensification, particularly for those who may underestimate smoking effects after diagnosis.

scholarly journals Relationship between the strength of craving as assessed by the Tobacco Craving Index and success of quitting smoking in Japanese smoking cessation therapy

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243374
Author(s):  
Chie Taniguchi ◽  
Hideo Saka ◽  
Isao Oze ◽  
Sumie Nakamura ◽  
Yasuhiro Nozaki ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Smoking Status ◽  
Multivariate Logistic Regression Analysis ◽  
Japanese Patients ◽  
Lower Probability ◽  
Multivariate Logistic Regression ◽  
Quitting Smoking ◽  
The Relationship ◽  
Smoking Cessation Therapy ◽  
First Session

Background We previously developed the Tobacco Craving Index (TCI) to assess craving of smokers. In the present study, we validated the relationship between the TCI grade over the 5 sessions of Japanese smoking cessation therapy (SCT) and success of quitting smoking among 889 Japanese patients. Methods The Japanese SCT consists of 5 sessions of SCT (first session and sessions 2, 4, 8 and 12 weeks later). In the TCI questionnaire, patients are asked to rate their strength of craving and frequency of craving, each on a four-point Likert scale. Patients are classified into one of four grades based on their responses (0, I, II, III, with III indicating severe craving). The TCI questionnaire was administered to each participant at each session of the SCT. This study included participants of Japanese SCT who answered the TCI at the first session of the SCT at five Japanese smoking cessation clinics. Patients who dropped out of the SCT from the second to the fifth sessions were considered to have failed smoking cessation. To elucidate how much the TCI grade predicts smoking status at the last session, we performed multivariate logistic regression analysis with adjustment for confounding factors. Results Participants who had higher TCI grade(III) in the 2nd through 5th sessions showed significantly lower probability for success of quitting smoking than those who had lower TCI grades(0 or I) (adjusted odds ratio: 2nd session: 0.30, 3rd session: 0.15, 4th session: 0.06, 5th session: 0.02). Conclusions We validated the usefulness of the TCI grade for assessing probability of quitting smoking by using a large number of smoking cessation settings.

scholarly journals Cigarette smoking after surviving breast cancer: A pilot study

2021 ◽  
Vol 3 (1) ◽  
pp. 124-127
Author(s):  
Ban A. Majeed ◽  
◽  
Deepak Nag Ayyala ◽  
Steven S. Coughlin ◽  
◽  
...  
Keyword(s):  
Breast Cancer ◽  
Smoking Cessation ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Low Income ◽  
Smoking Status ◽  
Current Smoker ◽  
Cross Sectional ◽  
Tobacco Treatment ◽  
Quitting Smoking

Background: Quitting smoking improves cancer survival and improves symptoms of cancer and its treatment. Cancer diagnosis presents a powerful motivation for leading a healthier lifestyle and embracing behavioral changes, such as quitting smoking. Many smokers quit after a cancer diagnosis, but some survivors continue to smoke. This study examined the characteristics associated with being a former rather than a current smoker among women treated for breast cancer. Methods: In this pilot, cross-sectional study, data were collected via postal surveys in women who had a history of smoking and breast cancer (N = 69). Descriptive and logistic regression analyses were conducted to identify factors associated with smoking status. Results: Of this sample, 13 were current smokers and 56 were former smokers. Age, race, education, and employment status were not associated with smoking status. Women with a higher income were significantly more likely to have successfully quit smoking (former smoking OR = 5.94, p < 0.05). Most women were light smokers and reported intentions to quit. Conclusion: The study attests to the addictive nature of smoking and the difficulty in achieving successful quitting even after breast cancer diagnosis. Results highlighted the role of low income as a barrier in smoking cessation. A follow up study is warranted to uncover potential barriers to smoking cessation in order to individualize tobacco treatment to meet the needs of motivated light smoking cancer patients. Intensive innovative tobacco treatment approaches are warranted, to reach successful cessation particularly among cancer patients with lower income.

scholarly journals Understanding the needs of carers in Vietnam and the development of online supportive resources

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Jenkins ◽  
H t Ho ◽  
O Santin
Keyword(s):  
Cancer Diagnosis ◽  
Healthcare Providers ◽  
Treatment Decision ◽  
Nutrition Support ◽  
Specific Information ◽  
Supportive Services ◽  
Middle Income ◽  
Treatment Decision Making ◽  
Lack Of Information ◽  
Online Resource

Abstract Issue Informal carers provide an important and often overlooked role in the care of people with a cancer diagnosis. Our study sought to better understand carers needs and develop an online resource to help address the needs identified. There are not currently any widespread or embedded support services for cancer carers in Vietnam. Description of the Problem We conducted in-depth interviews and focus groups with both carers (n = 20) and healthcare providers (n = 22) to understand the needs and challenges of caring for someone with a cancer diagnosis. We discussed what resources would alleviate challenges and used these discussions to inform a process of co-designing an online resource. This process was modelled off a peer-led online resource intervention developed in the United Kingdom. This process of co-design is transferable to other contexts, and when adapted could help meet the needs of cancer carers in other lower and middle income countries. Results Carers in Vietnam reported (i) economic challenges of care; (ii) not being able to access facilities and secure accommodation when caring for inpatients; (iii) lack of information about cancer and nutrition; (iv) lacking emotional support; and (v) requiring training to support both the treatment and recovery of people under their care. Suggestions for content of an online resource included the need for contextually appropriate Vietnamese content, specific information on diet and nutrition, support in making decisions around treatment, and signposting for other services. Lessons Successful co-design of resources requires input from multiple key stakeholders. This is necessary to successful adapt and modify interventions for new contexts. Our process revealed new information about the roles and needs of carers, and enabled us to incorporate solutions to these needs within our online resource. Given the lack of other supportive services for carers, the development of such resources should be considered a priority. Key messages Cancer carers in Vietnam experience specific challenges including provision of nutrition, supporting navigation of hospital administration, and taking a central role in treatment decision-making. Co-designed online resources have the potential to support carers in providing relevant and appropriate information and signposting to other important services.

scholarly journals Genetic Variants in Smoking-Related Genes in Two Smoking Cessation Programs: A Cross-Sectional Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6597
Author(s):  
Gloria Pérez-Rubio ◽  
Luis Alberto López-Flores ◽  
Ana Paula Cupertino ◽  
Francisco Cartujano-Barrera ◽  
Luz Myriam Reynales-Shigematsu ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cross Sectional Study ◽  
Nucleotide Polymorphisms ◽  
Sectional Study ◽  
Cross Sectional ◽  
Single Nucleotide ◽  
Genotype Frequencies ◽  
Quitting Smoking ◽  
Genes Encoding ◽  
Genomic Regions

Previous studies have identified variants in genes encoding proteins associated with the degree of addiction, smoking onset, and cessation. We aimed to describe thirty-one single nucleotide polymorphisms (SNPs) in seven candidate genomic regions spanning six genes associated with tobacco-smoking in a cross-sectional study from two different interventions for quitting smoking: (1) thirty-eight smokers were recruited via multimedia to participate in e-Decídete! program (e-Dec) and (2) ninety-four attended an institutional smoking cessation program on-site. SNPs genotyping was done by real-time PCR using TaqMan probes. The analysis of alleles and genotypes was carried out using the EpiInfo v7. on-site subjects had more years smoking and tobacco index than e-Dec smokers (p < 0.05, both); in CYP2A6 we found differences in the rs28399433 (p < 0.01), the e-Dec group had a higher frequency of TT genotype (0.78 vs. 0.35), and TG genotype frequency was higher in the on-site group (0.63 vs. 0.18), same as GG genotype (0.03 vs. 0.02). Moreover, three SNPs in NRXN1, two in CHRNA3, and two in CHRNA5 had differences in genotype frequencies (p < 0.01). Cigarettes per day were different (p < 0.05) in the metabolizer classification by CYP2A6 alleles. In conclusion, subjects attending a mobile smoking cessation intervention smoked fewer cigarettes per day, by fewer years, and by fewer cumulative pack-years. There were differences in the genotype frequencies of SNPs in genes related to nicotine metabolism and nicotine dependence. Slow metabolizers smoked more cigarettes per day than intermediate and normal metabolizers.

The role of social norms in the relationship between anti-smoking advertising campaigns and smoking cessation: a scoping review

2020 ◽  
Vol 35 (3) ◽  
pp. 179-194
Author(s):  
Joanne Dono ◽  
Caroline Miller ◽  
Kerry Ettridge ◽  
Carlene Wilson
Keyword(s):  
Smoking Cessation ◽  
Social Norms ◽  
Scoping Review ◽  
Social Norm ◽  
Significant Heterogeneity ◽  
Mass Media Campaign ◽  
Media Campaign ◽  
Theoretical Understanding ◽  
The Relationship

Abstract A systematic scoping review of anti-smoking mass media campaign literature provided opportunity to explore how social normative theories and constructs are used to influence smoking cessation. Synthesis of findings was constrained by significant heterogeneity. Nevertheless, the results indicate that a broader conceptualization of social norm is worthy of further exploration. Perceptions of what others think and do contributed in multiple ways to the relationship between anti-smoking messaging and quitting outcomes. Furthermore, integrating research on social norms, social identity and communication may improve understanding of why quitting intentions are enhanced in some circumstances but reactance and counter-arguing responses corresponding to lower quitting intentions occur in others. Integrating a broader theoretical understanding of normative influences into campaign development and evaluation may prove useful in demonstrating the effectiveness of this approach in behaviour change campaigns.

scholarly journals Complementary and Alternative Medicine Use among Norwegian Cancer Survivors: Gender-Specific Prevalence and Associations for Use

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Agnete E. Kristoffersen ◽  
Arne J. Norheim ◽  
Vinjar M. Fønnebø
Keyword(s):  
Cancer Survivors ◽  
Cancer Diagnosis ◽  
Health Issues ◽  
Men And Women ◽  
Male And Female ◽  
Factors Associated ◽  
Female Survivors ◽  
Cam Use ◽  
University Degree ◽  
The Relationship

The associations for CAM use are only occasionally differentiated by gender in populations where both male and female cancer survivors occur. The aim of this study is to describe the prevalence of CAM use in individuals with a previous cancer diagnosis and to investigate gender differences regard to factors associated with use. A total of 12982 men and women filled in a questionnaire with questions about life style and health issues. Eight hundred of those had a previous cancer diagnosis of whom 630 answered three questions concerning CAM use in the last 12 months. A total of 33.8% of all cancer survivors reported CAM use, 39.4% of the women and 27.9% of the men (). The relationship between the demographic variables and being a CAM user differed significantly between men and women with regard to age (), education (), and income (). Female CAM users were more likely to have a university degree than the nonusers, while male CAM users were more likely to have a lower income than the nonusers. According to this study, prevalence and factors associated with CAM use differ significantly between male and female survivors of cancer.

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