title: A decision aid to improve smoking abstinence for families facing cancer.
abstract: OBJECTIVE
  To test the feasibility of a multidisciplinary, multicomponent, theory-based decision aid.
  
  
  METHODS
  Prospective, one-group repeated measures.
  
  
  METHODS
  Thoracic surgery clinic in a university hospital cancer center in central Virginia.
  
  
  METHODS
  8 dyads, consisting of 16 total participants.
  
  
  METHODS
  A multidisciplinary, multicomponent smoking cessation intervention incorporated a theory-based decision aid. Enrollment occurred preoperatively; four face-to-face visits and an exit interview were conducted during six months.
  
  
  METHODS
  Feasibility was evaluated based on four criteria: recruitment, retention, adherence, and acceptability.
  
  
  RESULTS
  The recruitment rate was 44%, and the retention rate was 100%. Adherence to the intervention and the acceptability of the decision aid were greater for patients than family members. Patients had greater abstinence than family members before surgery and at six months. Exit interview themes included (a) preoperative timing was acceptable and (b) involving household members who smoke was important.
  
  
  CONCLUSIONS
  Recruiting male patients and their female partners is feasible. Participants liked convenience, autonomy, and a family approach. Family members wanted more control over cessation timing and a more intensive approach to weight and mental health management. Successful dyads worked together to maintain abstinence.
  
  
  CONCLUSIONS
  Oncology nurses can assess patients' and family members' smoking status, facilitate understanding about specific benefits of smoking cessation and the obstacle posed by household smokers, and make referrals to expert resources. Encouraging smoke-free environments is an important step toward reducing secondhand smoke exposure and promoting cessation.
authors.affiliation: College of Nursing, University of South Carolina in Columbia.
authors.forename: Karen Kane
authors.initials: KK
authors.lastname: McDonnell
authors.affiliation: School of Nursing, University of Virginia in Charlottesville.
authors.forename: Linda F
authors.initials: LF
authors.lastname: Bullock
authors.affiliation: Department of Surgery, University of Virginia in Charlottesville.
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Kozower
authors.affiliation: School of Nursing, University of Virginia in Charlottesville.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Hollen
authors.affiliation: School of Nursing, University of Virginia in Charlottesville.
authors.forename: Janie
authors.initials: J
authors.lastname: Heath
authors.affiliation: Office for Nursing Research, University of Virginia in Charlottesville.
authors.forename: Virginia
authors.initials: V
authors.lastname: Rovnyak
mesh_terms: D003661:Decision Support Techniques; D005192:Family Health; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D011446:Prospective Studies; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires
keywords: decision aid; dyads; family intervention; thoracic neoplasms; tobacco use cessation