title: Evaluation of an intervention to enhance the delivery of smoking cessation services to patients with cancer.
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.
authors.affiliation: Division of Cancer Prevention and Population Sciences, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
authors.forename: Marie-Helene
authors.initials: MH
authors.lastname: Gosselin
authors.forename: Martin C
authors.initials: MC
authors.lastname: Mahoney
authors.forename: K Michael
authors.initials: KM
authors.lastname: Cummings
authors.forename: Thom R
authors.initials: TR
authors.lastname: Loree
authors.forename: Maureen
authors.initials: M
authors.lastname: Sullivan
authors.forename: Brian A
authors.initials: BA
authors.lastname: King
authors.forename: Graham
authors.initials: G
authors.lastname: Warren
authors.forename: Andrew
authors.initials: A
authors.lastname: Hyland
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011314:Preventive Health Services; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D055815:Young Adult