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Investigating the Smoking Cessation Informational Needs of Cancer Patients and Informal Caregivers

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Abstract

Continued smoking at the time of a cancer diagnosis can severely impact the efficacy of cancer patient treatment and survival. The time of diagnosis can serve as a “teachable moment” for smoking cessation education, since patients may be receptive to discussions about quitting. Caregivers may have a pivotal role in supporting patients with their cessation efforts. The purpose of this study was to identify the smoking cessation informational needs of cancer patients and their caregivers. A needs assessment survey was administered to both patients and caregivers that assessed information needs across five domains: (1) General Information and Support; (2) Smoking, Health and Disease; (3) Relationships; (4) Testimonials; (5) Interventions. Mean importance scores were determined based on the proportion of respondents who ranked how important individual items were within the broader domains. Forty patients and twenty-two caregivers completed the survey. Among patients, the mean age was 61 years, with 35% diagnosed with a head and neck malignancy and 62% reporting as current smokers. Among caregivers, the mean age was 58 years, with 81% reporting to be the patient’s immediate family member and 50% as current smokers. The General Information and Support domain was rated as the most important domain for both cancer patients and caregivers. The top preferred modality for receiving smoking cessation education across all domains was pamphlets for both groups. This study identifies the key informational elements that should be considered in the development of smoking cessation resources to meet the informational needs of cancer patients and caregivers.

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References

  1. Sasco A, Secretan M, Straif K (2004) Tobacco smoking and cancer: a brief review of recent epidemiological evidence. Lung Cancer 45:S3–S9

    Article  PubMed  Google Scholar 

  2. Toll BA, Brandon TH, Gritz ER, Warren GW, Herbst RS (2013) Assessing tobacco use by cancer patients and facilitating cessation: an American Association for Cancer Research policy statement. Clin Cancer Res 19(8):1941–1948

    Article  PubMed  PubMed Central  Google Scholar 

  3. U.S. Department of Health and Human Services. 2014. The health consequences of smoking - 50 years of progress: a report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Atlanta, GA, United States

  4. Gritz ER, Fingeret MC, Vidrine DJ, Lazev AB, Mehta NV, Reece GP (2006) Successes and failures of the teachable moment: smoking cessation in cancer patients. Cancer 106(1):17–27

    Article  PubMed  Google Scholar 

  5. Zon RT, Goss E, Vogel VG, Chlebowski RT, Jatoi I, Robson ME, Wollins DS, Garber JE, Brown P, Kramer BS (2009) American Society of Clinical Oncology policy statement: the role of the oncologist in cancer prevention and risk assessment. J Clin Oncol 27(6):986–993

    Article  PubMed  Google Scholar 

  6. Alton D, Eng L, Lu L, Song Y, Su J, Farzanfar D, Mohan R, Krys O, Mattina K, Harper C (2018) Perceptions of continued smoking and smoking cessation among patients with cancer. J Oncol Pract 14(5):e269–e279

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hubbard G, Gorely T, Ozakinci G, Polson R, Forbat L (2016) A systematic review and narrative summary of family-based smoking cessation interventions to help adults quit smoking. BMC Fam Pract 17(1):73

    Article  PubMed  PubMed Central  Google Scholar 

  8. Cooley ME, Lundin R, Murray L (2009) Smoking cessation interventions in cancer care: opportunities for oncology nurses and nurse scientists. Annu Rev Nurs Res 27:243–272

    Article  PubMed  PubMed Central  Google Scholar 

  9. Liu J, Chadder J, Fung S, Lockwood G, Rahal R, Halligan M, Mowat D, Bryant H (2016) Smoking behaviours of current cancer patients in Canada. Curr Oncol 23(3):201–203

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Mayer DK, Carlson J (2010) Smoking patterns in cancer survivors. Nicotine Tob Res 13(1):34–40

    Article  PubMed  PubMed Central  Google Scholar 

  11. Westmaas JL, Newton CC, Stevens VL, Flanders WD, Gapstur SM, Jacobs EJ (2015) Does a recent cancer diagnosis predict smoking cessation? An analysis from a large prospective US cohort. J Clin Oncol 33(15):1647–1652

    Article  PubMed  Google Scholar 

  12. Simmons VN, Litvin EB, Jacobsen PB, Patel RD, McCaffrey JC, Oliver JA, Sutton SK, Brandon TH (2013) Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer. Cancer 119(7):1420–1427

    Article  PubMed  Google Scholar 

  13. Eng L, Qiu X, Su J, Pringle D, Niu C, Mahler M, Charow R, Villeneuve J, Halytskyy O, Lam C, Tiessen K (2015) The role of second-hand smoke exposure on smoking cessation in non–tobacco-related cancers. Cancer 121(15):2655–2663

    Article  PubMed  Google Scholar 

  14. Fitch M (2008) Supportive care framework. Can Oncol Nurs J 18(1):6–14

    Article  PubMed  Google Scholar 

  15. Papadakos J, McQuestion M, Gokhale A, Damji A, Trang A, Abdelmutti N, Ringash J (2017) Informational needs of head and neck cancer patients. J Cancer Educ 33(4):1–10

    Google Scholar 

  16. Montgomery M, McCrone SH (2010) Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. J Adv Nurs 66(11):2372–2390

    Article  PubMed  Google Scholar 

  17. Jensen JD, Carcioppolo N, King AJ, Scherr CL, Jones CL, Niederdeppe J (2014) The cancer information overload (CIO) scale: establishing predictive and discriminant validity. Patient Educ Couns 94(1):90–96

    Article  PubMed  Google Scholar 

  18. Fiore M, U.S. Tobacco Use and Dependence Guideline Panel. 2008 Treating tobacco use and dependence: 2008 update. Clinical practice guideline, 2008 update edition. U.S. Dept. of health and human services, public health service; Rockville, MD, United States

  19. Little MA, Klesges RC, Bursac Z, Ebbert JO, Halbert JP, Dunkle AN, Colvin L, Goedecke PJ, Weksler B (2018) Why don’t cancer survivors quit smoking? An evaluation of readiness for smoking cessation in cancer survivors. J Cancer Prev 23(1):44–50

    Article  PubMed  PubMed Central  Google Scholar 

  20. Sampson L, Papadakos J, Milne V, Le LW, Liu G, Abdelmutti N, Milne R, Goldstein DP, Eng L, Giuliani M (2018) Preferences for the provision of smoking cessation education among cancer patients. J Cancer Educ 33(1):7–11

    Article  PubMed  Google Scholar 

  21. Stewart DW, Cano MÁ, Correa-Fernández V, Spears CA, Li Y, Waters AJ, Wetter DW, Vidrine JI (2014) Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status. BMC Public Health 14(1):716

    Article  PubMed  PubMed Central  Google Scholar 

  22. U.S. Department of Health Human Services (2008) Plain language: a promising strategy for clearly communicating health information and improving health literacy. Office of Disease Prevention and Health Promotion, Rockville

    Google Scholar 

  23. Sium A, Giuliani M, Papadakos J (2017) The persistence of the pamphlet: on the continued relevance of the health information pamphlet in the digital age. J Cancer Educ 32(3):483–486

    Article  PubMed  Google Scholar 

  24. Aveyard P, Begh R, Parsons A, West R (2012) Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction 107(6):1066–1073

    Article  PubMed  Google Scholar 

  25. Doak CC, Doak LG, Friedell GH, Meade CD (1998) Improving comprehension for cancer patients with low literacy skills: strategies for clinicians. CA Cancer J Clin 48(3):151–162

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

We would like to thank Victoria Milne and Leah Branch for their contributions to this study. We would also like to acknowledge Christine Massey for her assistance with statistical analysis.

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Correspondence to Meredith Giuliani.

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Meredith Giuliani and Janette Brual are co-first authors

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Giuliani, M., Brual, J., Eng, L. et al. Investigating the Smoking Cessation Informational Needs of Cancer Patients and Informal Caregivers. J Canc Educ 35, 954–964 (2020). https://doi.org/10.1007/s13187-019-01547-w

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  • DOI: https://doi.org/10.1007/s13187-019-01547-w

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