Developing a Scalable Tobacco Cessation Program for Cancer Survivors and Caregivers
Summary
Given the challenges to delivering tobacco cessation treatment in oncology care and the unique challenges faced by individuals attempting to quit tobacco after a cancer diagnosis, scalable cessation programs that are tailored to the experiences of cancer survivors that also integrate caregiver/family support are needed. To address this need, this study will use an intervention that consists of two primary strategies: 1) a tailored cessation program for cancer survivors and family members/caregivers who use tobacco and 2) healthcare provider training. Healthcare providers will receive training on the AAC model (Ask patients about tobacco use, Advise patients to quit, Connect patients to cessation resources), including materials focused on tobacco cessation in cancer care from the CDC, as well as a brief evidence-based communication skills training based on the C-LEAR (Counsel, Listen, Empathize, Answer, Recommend) approach.
Arms & interventions
- BehavioralNicotine cessation program
All participants will complete a nicotine cessation program designed by Area Health Education Center (AHEC). The focus is on known tobacco cessation techniques and motivations to quit with additional focuses on cancer survivors and caregivers. The program consists of 4 sessions (each session is approximately 60 minutes long) that will be delivered by a Tobacco Treatment Specialist by either videoconference or by telephone. Dyad enrollees (i.e., cancer survivors and their caregiver/family member) will complete sessions together. Participants will also be eligible for free nicotine replacement therapy while on study if medically appropriate.
Outcome measures
Primary
Program reach for cancer survivors
Determine the reach of the nicotine cessation program used in this study for cancer survivors. This is defined as the proportion of eligible patients enrolled (i.e., agreed to participate and consented) during the study period.
Time frame: Baseline
Secondary
Program reach for caregivers/family members of cancer survivors
Time frame: Baseline
Program effectiveness in tobacco cessation
Time frame: Either 1 week after nicotine cessation program completion or 8 weeks after baseline assessment for participants who do not complete the program sessions
Program effectiveness in tobacco cessation
Time frame: Either 3 months after nicotine cessation program completion or 5 months after baseline assessment for participants who do not complete the program sessions
Clinic-level adoption of the study intervention
Time frame: 18 months
Healthcare provider-level adoption of the study intervention
Time frame: 1-2 weeks
Participant satisfaction
Time frame: Either 1 week after nicotine cessation program completion or 8 weeks after baseline assessment for participants who do not complete the program sessions
Participant adherence
Time frame: 8 weeks after baseline assessment
Participant perspectives on program feasibility and acceptability
Time frame: Up to 4 weeks after program completion
Healthcare provider perspectives on intervention feasibility and acceptability
Time frame: 18 months
Eligibility criteria
Study locations (1)
University of Florida
Gainesville, Florida, 32608