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Evaluation of an Intervention to Enhance the Delivery of Smoking Cessation Services to Patients with Cancer

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Abstract

We describe a brief staff training program to improve the delivery of tobacco cessation services to patients with head and neck cancers. This study utilized a quasi-experimental design to compare the delivery of smoking cessation components and outcomes among patients exposed to either usual care (UC) or an enhanced cessation (EC) program implemented following a 1-h staff education program. Of the 179 subjects enrolled, 112 were recontacted by phone 1 month after their clinic visit. More patients in EC compared to UC reported that they were asked about their smoking status (94.2% vs. 76.6%, p = 0.01), advised to quit (92.3% vs. 72.3%, p = 0.01), prescribed cessation medications (30.8% vs. 3.3%, p < 0.001), and received a support call (53.8% vs. 11.7%, p < 0.001) at the 1-month follow-up. Quit attempts and quit rates between groups were similar. The EC intervention improved the delivery of cessation services in a busy clinical setting, but this failed to increase cessation rates after 1 month.

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Acknowledgments

Funding for this project was provided by the Department of Health Behavior at Roswell Park Cancer Institute. The authors gratefully acknowledge the contributions from the health providers at the Dental/Maxillofacial and Head and Neck Surgical Clinics at Roswell Park Cancer Institute.

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Authors and Affiliations

  1. Division of Cancer Prevention and Population Sciences, Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Marie-Helene Gosselin, Martin C. Mahoney, K. Michael Cummings, Brian A. King & Andrew Hyland

  2. Department of Head & Neck Surgery, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Thom R. Loree

  3. Department of Dentistry & Maxillofacial Prosthetics, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Maureen Sullivan

  4. Department of Radiation Medicine, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Graham Warren

Authors
  1. Marie-Helene Gosselin
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  2. Martin C. Mahoney
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  3. K. Michael Cummings
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  4. Thom R. Loree
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  5. Maureen Sullivan
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  6. Brian A. King
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  7. Graham Warren
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  8. Andrew Hyland
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Correspondence to Martin C. Mahoney.

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Gosselin, MH., Mahoney, M.C., Cummings, K.M. et al. Evaluation of an Intervention to Enhance the Delivery of Smoking Cessation Services to Patients with Cancer. J Canc Educ 26, 577–582 (2011). https://doi.org/10.1007/s13187-011-0221-3

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  • DOI: https://doi.org/10.1007/s13187-011-0221-3

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