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Qualitative Evaluation of a New Tobacco Cessation Training Curriculum for Patient Navigators

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Abstract

Treatments for tobacco dependence exist but are underutilized, particularly among low-income and minority smokers. Patient navigation has been shown to help patients overcome barriers to quality care. In preparation for testing the feasibility of integrating tobacco cessation patient navigation into primary care, this paper describes the development and qualitative evaluation of a new curriculum for training patient navigators to address cessation treatment barriers faced by low-income, minority smokers who are advised to quit by their physicians. Thematic text analysis of transcripts obtained from focus groups with experienced patient navigators (n = 19) was conducted. Participants endorsed patient navigation as a relevant strategy for addressing tobacco cessation treatment barriers and made several recommendations regarding the knowledge, core competencies, and skills needed to conduct tobacco cessation patient navigation. This curriculum could be used by existing patient navigation training centers or made available as a self-guided continuing education program for experienced navigators who wish to expand their navigation interventions to include a tobacco cessation focus.

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Notes

  1. This tobacco cessation patient navigation training module is available from the authors upon request.

References

  1. Fagan P, Moolchan ET, Lawrence D, Fernander A, Ponder PK (2007) Identifying health disparities across the tobacco continuum. Addiction 102:5–29. doi:10.1111/j.1360-0443.2007.01952.x

    Article  PubMed  Google Scholar 

  2. Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ (2008) Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville, Md.: U.S. Dept. of Health and Human Services, Public Health Service.

  3. Houston TK, Scarinci IC, Person SD, Greene PG (2005) Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health. American Journal of Public Health 95(6):1056–1061. doi:10.2105/ajph.2004.039909

    Article  PubMed  Google Scholar 

  4. Fu SS, Kodl MM, Joseph AM, Hatsukami DK, Johnson EO, Breslau N, Baolin Wu, Bierut L (2008) Racial/ethnic disparities in the use of nicotine replacement therapy and quit ratios in lifetime smokers ages 25 to 44 years. Cancer Epidemiology, Biomarkers & Prevention 17(7):1640–1647. doi:10.1158/1055-9965.epi-07-2726

    Article  CAS  Google Scholar 

  5. Lopez-Quintero C, Crum RM, Neumark YD (2006) Racial/ethnic disparities in report of physician-provided smoking cessation advice: analysis of the 2000 national health interview survey. American Journal of Public Health 96(12):2235–2239. doi:10.2105/ajph.2005.071035

    Article  PubMed  Google Scholar 

  6. Cokkinides VE, Halpern MT, Barbeau EM, Ward E, Thun MJ (2008) Racial and ethnic disparities in smoking-cessation interventions: analysis of the 2005 national health interview survey. American Journal of Preventive Medicine 34(5):404–412

    Article  PubMed  Google Scholar 

  7. Brecher C, Lynam E, Spiezio S (2006) Medicaid in New York: why is New York’s program the most expensive in the nation and what to do about it. Citizens Budget Commission, Albany, NY

    Google Scholar 

  8. Vallejo-Torres L, Morris S (2010) Factors associated with the use of primary care services: the role of practice nurses. The European Journal of Health Economics:1–9. doi:10.1007/s10198-010-0251-5.

  9. Franks P, Jerant AF, Paul Leigh J, Lee D, Chiem A, Lewis I, Lee S (2007) Cigarette prices, smoking, and the poor: implications of recent trends. American Journal of Public Health 97(10):1873–1877

    Article  PubMed  Google Scholar 

  10. Vidrine J, Reitzel L, Wetter D (2009) The role of tobacco in cancer health disparities. Current Oncology Reports 11(6):475–481. doi:10.1007/s11912-009-0064-9

    Article  Google Scholar 

  11. Orleans, Tracy C (2007) Increasing the demand for and use of effective smoking-cessation treatments: reaping the full health benefits of tobacco-control science and policy gains-in our lifetime. American Journal of Preventive Medicine 33(6, Supplement 1):S340–S348. doi:10.1016/j.amepre.2007.09.003

    Article  PubMed  Google Scholar 

  12. National Cancer Institute (2008) NCI’s patient navigator research program: fact sheet http://www.cancer.gov/cancertopics/factsheet/PatientNavigator Accessed 28 January 2011.

  13. Dohan D, Schrag D (2005) Using navigators to improve care of underserved patients: current practices and approaches. Cancer 104(4):848–855. doi:10.1002/cncr.21214

    Article  PubMed  Google Scholar 

  14. Vargas RB, Ryan GW, Jackson CA, Rodriguez R, Freeman HP (2008) Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer 113(2):426–433. doi:10.1002/cncr.23547

    Article  PubMed  Google Scholar 

  15. National Cancer Institute (2009) What are patient navigators? http://crchd.cancer.gov/pnp/what-are.html Accessed 28 January 2011.

  16. Freund KM, Battaglia TA, Calhoun E, Dudley DJ, Fiscella K, Paskett E, Raich PC, Roetzheim RG (2008) National cancer institute patient navigation research program. Cancer 113(12):3391–3399. doi:10.1002/cncr.23960

    Article  PubMed  Google Scholar 

  17. Phillips CE, Rothstein JD, Beaver K, Sherman BJ, Freund KM, Battaglia TA (2011) Patient navigation to increase mammography screening among inner city women. Journal of General Internal Medicine 26(2):123–129

    Article  PubMed  Google Scholar 

  18. Donelan K, Mailhot J, Dutwin D, Barnicle K, Oo S, Hobrecker K, Percac-Lima S, Chabner B (2011) Patient perspectives of clinical care and patient navigation in follow-up of abnormal mammography. Journal of General Internal Medicine 26(2):116–122. doi:10.1007/s11606-010-1436-4

    Article  PubMed  Google Scholar 

  19. Andrews JO, Felton G, Wewers ME, Waller J, Tingen M (2007) The effect of a multi-component smoking cessation intervention in African American women residing in public housing. Research in Nursing & Health 30(1):45–60. doi:10.1002/nur.20174

    Article  Google Scholar 

  20. Martinez-Bristow Z, Sias JJ, Urquidi UJ, Feng C (2006) Tobacco cessation services through community health workers for Spanish-speaking populations. American Journal of Public Health 96(2):211–213. doi:10.2105/ajph.2005.063388

    Article  PubMed  Google Scholar 

  21. Ferrante JM, Cohen DJ, Crosson JC (2010) Translating the patient navigator approach to meet the needs of primary care. Journal of the American Board of Family Medicine 23(6):736–744

    Article  PubMed  Google Scholar 

  22. Chase E, McMenamin S, Halpin HA (2007) Medicaid provider delivery of the 5A’s for smoking cessation counseling. Nicotine & Tobacco Research 9(11):1095–1101

    Article  Google Scholar 

  23. Lubetkin E, Wei-Hsin Lu, Krebs P, Yeung H, Ostroff J (2010) Exploring primary care providers’ interest in using patient navigators to assist in the delivery of tobacco cessation treatment to low income, ethnic/racial minority patients. Journal of Community Health 35(6):618–624. doi:10.1007/s10900-010-9251-8

    Article  PubMed  Google Scholar 

  24. Braun KL, Allison A, Tsark JoAnn U (2008) Using community-based research methods to design cancer patient navigation training. Progress in Community Health Partnerships: Research, Education, and Action 2(4):329–340

    Article  Google Scholar 

  25. Calhoun EA, Whitley EM, Esparza A, Ness E, Greene A, Garcia R, Valverde PA (2010) A national patient navigator training program. Health Promotion Practice 11(2):205–215

    Article  PubMed  Google Scholar 

  26. Pberta L, Ockenea JK, Ewya BM, Leicherb ES, Warnerc D (2000) Development of a state wide tobacco treatment specialist training and certification programme for Massachusetts. Tobacco Control 9:372–381. doi:10.1136/tc.9.4.372

    Article  Google Scholar 

  27. Bandura A (2004) Health promotion by social cognitive means. Health Education & Behavior 31(2):143–164

    Article  Google Scholar 

  28. Krueger RA, Casey MA (2008) Focus groups: a practical guide for applied research. Sage, Los Angeles

    Google Scholar 

  29. Morgan DL (1997) Focus groups as qualitative research. Sage, Thousand Oaks; London; New Delhi

    Google Scholar 

  30. Bernard HR (2005) Research methods in anthropology: qualitative and quantitative approaches. AltaMira, Lanham, MD

    Google Scholar 

  31. Boyatzis, Richard E (1998) Transforming qualitative information: thematic analysis and code development. Sage, Thousand Oaks, Calif; London

    Google Scholar 

  32. Creswell JW (1998) Qualitative inquiry and research design choosing among five traditions. Sage, Thousand Oaks, Calif

    Google Scholar 

  33. Green Judith, Nicki Thorogood (2004) Qualitative methods for health research. Sage, London; Thousand Oaks, CA

    Google Scholar 

  34. Patton MQ (2002) Qualitative evaluation and research methods. Sage, Thousand Oaks, CA

    Google Scholar 

  35. Miles MB, Michael Huberman A (1994) Qualitative data analysis. Sage, Thousand Oaks, CA

    Google Scholar 

  36. Warren CAB, Karner TX (2005) Discovering qualitative methods: field research, interviews, and analysis. Roxbury Pub. Co., Los Angeles, Calif

    Google Scholar 

  37. Patton MQ (1999) Enhancing the quality and credibility of qualitative analysis. Health Services Research 34(5 Pt. 2):1189–1208

    PubMed  CAS  Google Scholar 

  38. Guba EG (1978) Toward a methodology of naturalistic inquiry in educational evaluation. Center for the Study of Evaluation, UCLA Graduate School of Education, University of California, Los Angeles

    Google Scholar 

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Acknowledgments

This research was supported by grants from the National Cancer Institute #U54CA137788/U54CA132378 CCNY/MSKCC Partnership and T32CA009461 Institutional Training Grant.

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Correspondence to Jamie S. Ostroff.

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Ostroff, J.S., Shuk, E., Krebs, P. et al. Qualitative Evaluation of a New Tobacco Cessation Training Curriculum for Patient Navigators. J Canc Educ 26, 427–435 (2011). https://doi.org/10.1007/s13187-011-0229-8

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  • DOI: https://doi.org/10.1007/s13187-011-0229-8

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