Skip to main content

Advertisement

SpringerLink
Log in

Development of a Targeted Smoking Relapse-Prevention Intervention for Cancer Patients

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

We describe the series of iterative steps used to develop a smoking relapse-prevention intervention customized to the needs of cancer patients. Informed by relevant literature and a series of preliminary studies, an educational tool (DVD) was developed to target the unique smoking relapse risk factors among cancer patients. Learner verification interviews were conducted with 10 cancer patients who recently quit smoking to elicit feedback and inform the development of the DVD. The DVD was then refined using iterative processes and feedback from the learner verification interviews. Major changes focused on visual appeal, and the inclusion of additional testimonials and graphics to increase comprehension of key points and further emphasize the message that the patient is in control of their ability to maintain their smoking abstinence. Together, these steps resulted in the creation of a DVD titled Surviving Smokefree®, which represents the first smoking relapse-prevention intervention for cancer patients. If found effective, the Surviving Smokefree® DVD is an easily disseminable and low-cost portable intervention which can assist cancer patients in maintaining smoking abstinence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Ostroff JS, Jacobsen PB, Moadel AB, Spiro RH, Shah JP, Strong EW, et al. (1995) Prevalence and predictors of continued tobacco use after treatment of patients with head and neck cancer. Cancer 75:569–576

    Article  CAS  PubMed  Google Scholar 

  2. Schnoll RA, James C, Malstrom M, Rothman RL, Wang H, Babb J, et al. (2003) Longitudinal predictors of continued tobacco use among patients diagnosed with cancer. Ann Behav Med 25:214–222

    Article  PubMed  Google Scholar 

  3. National Center for Chronic Disease, Prevention Health Promotion Office on, SmokingHealth. (2014).The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Retrieved from http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf.

  4. Dresler CM, Bailey M, Roper CR, Patterson GA, Cooper JD (1996) Smoking cessation and lung cancer resection. Chest 110:1199–1202

    Article  CAS  PubMed  Google Scholar 

  5. Walker MS, Larsen RJ, Zona DM, Govindan R, Fisher EB (2004) Smoking urges and relapse among lung cancer patients: findings from a preliminary retrospective study. Prev Med 39:449–457

    Article  PubMed  Google Scholar 

  6. Brandon TH, Collins BN, Juliano LM, Lazev AB (2000) Preventing relapse among former smokers: a comparison of minimal interventions through telephone and mail. J Consult Clin Psychol 68:103–113

    Article  CAS  PubMed  Google Scholar 

  7. Brandon TH, Meade CD, Herzog TA, Chirikos TN, Webb MS, Cantor AB (2004) Efficacy and cost-effectiveness of a minimal intervention to prevent smoking relapse: dismantling the effects of amount of content versus contact. J Consult Clin Psychol 72:797–808

    Article  PubMed  Google Scholar 

  8. Simmons VN, Litvin EB, Jacobsen PB, Patel RD, McCaffrey JC, Oliver JA, et al. (2013) Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer. Cancer 119:1420–1427

    Article  PubMed  Google Scholar 

  9. Ditre JW, Gonzalez BD, Simmons VN, Faul LA, Brandon TH, Jacobsen PB (2011) Associations between pain and current smoking status among cancer patients. Pain 152:60–65

    Article  PubMed  PubMed Central  Google Scholar 

  10. Egestad H, Emaus N (2014) Changes in health related quality of life in women and men undergoing radiation treatment for head and neck cancer and the impact of smoking status in the radiation treatment period. Eur J Oncol Nurs 18:339–346

    Article  PubMed  Google Scholar 

  11. Simmons VN, Litvin EB, Patel RD, Jacobsen PB, McCaffrey JC, Bepler G, et al. (2009) Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting. Patient Educ Couns 77:398–403

    Article  PubMed  PubMed Central  Google Scholar 

  12. Stellefson M, Chaney BH, Chaney JD (2009) Examining the efficacy of DVD technology compared to print-based material in COPD self-management education of rural patients. Calif J Health Promot 7:26–42

    PubMed  PubMed Central  Google Scholar 

  13. Doak CC DL, Root JH. T (1996) Teaching patients with low literacy skills. J.B. Lippincott, Philadelphia, PA.

  14. Doak LG, Doak CC, Meade CD (1996) Strategies to improve cancer education materials. Oncol Nurs Forum 23:1305–1312

    CAS  PubMed  Google Scholar 

  15. Hunter J, Kelly PJ (2012) Imagined anatomy and other lessons from learner verification interviews with Mexican immigrant women. J Obstet Gynecol Neonatal Nurs 41:E1–E12

    Article  PubMed  PubMed Central  Google Scholar 

  16. Weston C, LeMaistre C, McAlpine L, Bordonaro T (1997) The influence of participants in formative evaluation on the improvement of learning from written instructional materials. Instr Sci 25:369–386

    Article  Google Scholar 

  17. McQueen A, Kreuter MW, Kalesan B, Alcaraz KI (2011) Understanding narrative effects: the impact of breast cancer survivor stories on message processing, attitudes, and beliefs among African American women. Health Psychol 30:674–682

    Article  PubMed  PubMed Central  Google Scholar 

  18. Fiore MCJC, Baker TB, et al. (2008) Treating tobacco use and dependence: 2008 update. Public Health Service, Rockville, U.S. Department of Health and Human Services

    Google Scholar 

  19. Shamaskin AM, Mikels JA, Reed AE (2010) Getting the message across: age differences in the positive and negative framing of health care messages. Psychol Aging 25:746–751

    Article  PubMed  Google Scholar 

  20. Rothman AJ, Salovey, P.G., Antone, C., Keough, K., & Martin, C.D (1993) The influence of message framing on intentions to perform health behaviors. Journal of Experimental Social Psychology and Aging 29:408–433.

  21. Ubel PA, Jepson C, Baron J (2001) The inclusion of patient testimonials in decision aids: effects on treatment choices. Med Decis Mak 21:60–68

    Article  CAS  Google Scholar 

  22. Katz ML, Heaner S, Reiter P, van Putten J, Murray L, McDougle L, et al. (2009) Development of an educational video to improve patient knowledge and communication with their healthcare providers about colorectal cancer screening. Am J Health Educ 40:220–228

    Article  PubMed  PubMed Central  Google Scholar 

  23. Knobloch-Westerwick S, Johnson BK, Westerwick A (2013) To your health: self-regulation of health behavior through selective exposure to online health messages. J Commun Disord 63:807–829

    Google Scholar 

  24. Hanna N, Mulshine J, Wollins DS, Tyne C, Dresler C (2013) Tobacco cessation and control a decade later: American society of clinical oncology policy statement update. J Clin Oncol 31:3147–3157

    Article  PubMed  Google Scholar 

  25. Toll BA, Brandon TH, Gritz ER, Warren GW, Herbst RS, Tobacco ASo, et al. (2013) Assessing tobacco use by cancer patients and facilitating cessation: an American Association for Cancer Research policy statement. Clin Cancer Res 19:1941–1948

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, 4115 E Fowler Ave, Tampa, FL, 33617, USA

    Lauren R. Meltzer, Cathy D. Meade, Diana B. Diaz, Monica S. Carrington, Thomas H. Brandon, Paul B. Jacobsen & Vani N. Simmons

  2. Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA

    Cathy D. Meade, Thomas H. Brandon, Paul B. Jacobsen & Vani N. Simmons

  3. Department of Nursing, University of South Florida, Tampa, FL, USA

    Cathy D. Meade, Paul B. Jacobsen & Vani N. Simmons

  4. Department of Psychology, University of South Florida, Tampa, FL, USA

    Thomas H. Brandon

  5. Department of Thoracic Oncology, H. Lee Moffitt Cancer Center, Tampa, FL, USA

    Thomas H. Brandon, Eric B. Haura & Vani N. Simmons

  6. Department of Otolaryngology, University of South Florida, Tampa, FL, USA

    Judith C. McCaffrey

  7. Department of Otolaryngology – Head and Neck Surgery, H. Lee Moffitt Cancer Center, Tampa, FL, USA

    Judith C. McCaffrey

Authors
  1. Lauren R. Meltzer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cathy D. Meade
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Diana B. Diaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Monica S. Carrington
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Thomas H. Brandon
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Paul B. Jacobsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Judith C. McCaffrey
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Eric B. Haura
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Vani N. Simmons
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vani N. Simmons.

Ethics declarations

Funding Sources

This work was supported by the National Institutes of Health (R01CA154596-02 ).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Meltzer, L.R., Meade, C.D., Diaz, D.B. et al. Development of a Targeted Smoking Relapse-Prevention Intervention for Cancer Patients. J Canc Educ 33, 440–447 (2018). https://doi.org/10.1007/s13187-016-1089-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-016-1089-z

Keywords

Search

Navigation