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Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.

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Title: Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.
Authors: Simmons VN (AUTHOR), Litvin EB (AUTHOR), Patel RD (AUTHOR), Jacobsen PB (AUTHOR), McCaffrey JC (AUTHOR), Bepler G (AUTHOR), Quinn GP (AUTHOR), Brandon TH (AUTHOR), Simmons, Vani Nath1 (AUTHOR), Litvin, Erika B (AUTHOR), Patel, Riddhi D (AUTHOR), Jacobsen, Paul B (AUTHOR), McCaffrey, Judith C (AUTHOR), Bepler, Gerold (AUTHOR), Quinn, Gwendolyn P (AUTHOR), Brandon, Thomas H (AUTHOR)
Source: Patient Education & Counseling. Dec2009, Vol. 77 Issue 3, p398-403. 6p.
Abstract: Objective: To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse.Methods: In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers.Results: Qualitative analyses revealed that cancer patients express high levels of motivation to quit smoking; however, patients do not ask providers for assistance with quitting and maintaining abstinence and relapsed patients are reluctant to disclose smoking behavior due to stigma and guilt. Health care providers vary in the advice and type of assistance they supply, and their awareness and sensitivity to relapsed patients' feelings. Whereas providers emphasized long-term risks of continued smoking in their interactions with patients and recommendations for intervention content, patients expressed a preference for a balance between risks and benefits.Conclusion: Findings underscore the need for increased awareness, emphasis, and communication about the immediate risks of continued smoking and the benefits of continued abstinence specifically for cancer patients.Practice Implications: Our findings demonstrate the potential to affect cancer outcomes by improved training in conducting smoking cessation and relapse-prevention interventions. Additional training could be given to health care providers to increase adherence to clinical practice guidelines (5 A's), to learn ways to enhance patients' motivation to maintain abstinence, and to deliver smoking messages in a non-threatening manner. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.
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  Data: <searchLink fieldCode="AR" term="%22Simmons+VN%22">Simmons VN</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Litvin+EB%22">Litvin EB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patel+RD%22">Patel RD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jacobsen+PB%22">Jacobsen PB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCaffrey+JC%22">McCaffrey JC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bepler+G%22">Bepler G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Quinn+GP%22">Quinn GP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brandon+TH%22">Brandon TH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simmons%2C+Vani+Nath%22">Simmons, Vani Nath</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Litvin%2C+Erika+B%22">Litvin, Erika B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patel%2C+Riddhi+D%22">Patel, Riddhi D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jacobsen%2C+Paul+B%22">Jacobsen, Paul B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCaffrey%2C+Judith+C%22">McCaffrey, Judith C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bepler%2C+Gerold%22">Bepler, Gerold</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Quinn%2C+Gwendolyn+P%22">Quinn, Gwendolyn P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brandon%2C+Thomas+H%22">Brandon, Thomas H</searchLink> (AUTHOR)
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  Data: <bold>Objective: </bold>To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse.<bold>Methods: </bold>In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers.<bold>Results: </bold>Qualitative analyses revealed that cancer patients express high levels of motivation to quit smoking; however, patients do not ask providers for assistance with quitting and maintaining abstinence and relapsed patients are reluctant to disclose smoking behavior due to stigma and guilt. Health care providers vary in the advice and type of assistance they supply, and their awareness and sensitivity to relapsed patients' feelings. Whereas providers emphasized long-term risks of continued smoking in their interactions with patients and recommendations for intervention content, patients expressed a preference for a balance between risks and benefits.<bold>Conclusion: </bold>Findings underscore the need for increased awareness, emphasis, and communication about the immediate risks of continued smoking and the benefits of continued abstinence specifically for cancer patients.<bold>Practice Implications: </bold>Our findings demonstrate the potential to affect cancer outcomes by improved training in conducting smoking cessation and relapse-prevention interventions. Additional training could be given to health care providers to increase adherence to clinical practice guidelines (5 A's), to learn ways to enhance patients' motivation to maintain abstinence, and to deliver smoking messages in a non-threatening manner. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1016/j.pec.2009.09.024
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              Text: Dec2009
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