title: Integrating tobacco treatment into thoracic oncology settings: Lessons learned.
abstract: Clinical practice guidelines recommend tobacco treatment for all cancer patients. However, little is known about how to integrate tobacco treatment into cancer care. The results of our pilot study of an evidence-based tobacco treatment integrated into a thoracic oncology clinic demonstrated good feasibility and efficacy, providing an opportunity to inform future tobacco treatment integration efforts. Here, we describe the process of intervention development, clinic integration, patient identification, and patient enrollment. We report on the intervention content and delivery, patterns of quitting for participants in the tobacco treatment group, and changes in smoking-related psychosocial variables. Clinical implications and suggestions for future research are discussed.
authors.affiliation: Massachusetts General Hospital, USA.|National Center for PTSD, VA Boston Healthcare System, USA.|Boston University School of Medicine, USA.
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Japuntich
authors.affiliation: Massachusetts General Hospital, USA cluberto@partners.org.|Harvard Medical School, USA.
authors.forename: Christina M
authors.initials: CM
authors.lastname: Luberto
authors.affiliation: Massachusetts General Hospital, USA.
authors.forename: Joanna M
authors.initials: JM
authors.lastname: Streck
authors.affiliation: Massachusetts General Hospital, USA.|Harvard Medical School, USA.
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Rigotti
authors.affiliation: Massachusetts General Hospital, USA.|Harvard Medical School, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Temel
authors.affiliation: Massachusetts General Hospital, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lanuti
authors.affiliation: Arkansas Department of Health, USA.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Dresler
authors.affiliation: Massachusetts General Hospital, USA.|Georgetown University, USA.
authors.forename: Jennifer P
authors.initials: JP
authors.lastname: Zallen
authors.affiliation: Massachusetts General Hospital, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Davies
authors.affiliation: Massachusetts General Hospital, USA.|Harvard Medical School, USA.
authors.forename: Elyse R
authors.initials: ER
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D012189:Retrospective Studies; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data
keywords: cancer; intervention; lung cancer; methodology; smoking cessation