scholarly journals Reply to the Editorial

2016 ◽  
Vol 11 (2) ◽  
pp. 65-65
Author(s):  
Deborah J. Ossip
Keyword(s):  
Smoking Cessation ◽  
Guest Editor ◽  
Tobacco Cessation ◽  
Associate Editor ◽  
Lessons Learned

The Associate Editor for this themed issue (Deborah Ossip) also wishes to express her appreciation on behalf of the Journal of Smoking Cessation to Dr Kenneth Ward for his outstanding job as Guest Editor to provide this compendium of lessons learned from LMICs around the globe regarding tobacco cessation research.

Implementing Living Independent From Tobacco With Dyads of People With Disabilities and Their Caregivers: Successes and Lessons Learned

2020 ◽  
Vol 58 (3) ◽  
pp. 241-250
Author(s):  
Wesley R. Barnhart ◽  
Cara N. Whalen Smith ◽  
David Ellsworth ◽  
Erica Coleman ◽  
Allison Lorenz ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Cessation ◽  
People With Disabilities ◽  
Opportunity To Learn ◽  
Health Behavior Change ◽  
Lessons Learned ◽  
Cessation Intervention ◽  
Health Complications ◽  
Health Promotion Interventions ◽  
Paid Caregivers

Abstract People with disabilities have more health complications and higher healthcare utilization related to tobacco use than people without disabilities. Yet, they are less likely to use tobacco cessation resources. Important to meaningful and lasting health behavior change are relationships developed in the home, workplace, and community. Some people with disabilities rely on paid and unpaid caregivers. Just like people with disabilities, paid caregivers are more likely to use tobacco, creating a unique opportunity to target smoking cessation to people with disabilities and their caregivers. Living Independent From Tobacco (LIFT), an evidence-based tobacco cessation intervention, was implemented with dyads of people with disabilities (n = 5) and their caregivers (n = 7). Qualitative analyses revealed that participants valued the dyadic approach and the opportunity to learn coping skills to help with smoking cessation. Lessons for offering inclusive health promotion interventions to people with disabilities and their caregivers are discussed.

scholarly journals “Stages of change, smoking behavior and acceptability of a textmessaging intervention for tobacco cessation among cigarette, dokha and shishasmokers: A qualitative research study.”

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029144 ◽  
Author(s):  
Yusra Elhidaia Elobaid ◽  
Andrea Leinberger Jabari ◽  
Aisha Al Hamiz ◽  
Abdul Rizzak Al Kaddour ◽  
Sherif Bakir ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Smoking Cessation ◽  
Focus Group ◽  
United Arab Emirates ◽  
Text Messaging ◽  
Tobacco Cessation ◽  
Text Messages ◽  
Controlled Study ◽  
Focus Group Discussions ◽  
Group Discussions

ObjectivesTo explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study using text messages as an intervention for tobacco cessation.DesignQualitative research using focus group discussions and content analysis.Setting(s)Two universities, one of them is the first and foremost comprehensive national university in the United Arab Emirates (UAE). The third setting is the largest hospital in the UAE and the flagship institution for the public health system in the emirate of Abu Dhabi.ParticipantsSix focus group discussions with a total of 57 participants. Forty-seven men and 10 women. Fifty-three of them were current smokers.ResultsThe analysis of six focus groups was carried out. Main themes arose from the data included: preferences for tobacco cessation interventions and acceptability and feasibility of text messaging as tobacco cessation intervention. Different motives and barriers for quitting smoking including shisha and dokha were explored.ConclusionInterventions using text messaging for smoking cessation have not been used in the Middle East and they could potentially be effective; however, tailoring and closely examining the content and acceptability of text messages to be used is important before the conduction of trials involving their use. Social media is perceived to be more effective and influential, with a higher level of penetration into communities of young smokers.

scholarly journals Tobacco intervention research in low- and middle-income countries: lessons learned and future directions

2016 ◽  
Vol 11 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Kenneth D. Ward
Keyword(s):  
Tobacco Control ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Tobacco Dependence ◽  
Lessons Learned ◽  
Future Directions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Country Level ◽  
Tobacco Intervention

Treating tobacco dependence is paramount for global tobacco control efforts, but is often overshadowed by other policy priorities. As stated by Jha (2009), “cessation by current smokers is the only practical way to avoid a substantial proportion of tobacco deaths worldwide before 2050.” Its importance is codified in Article 14 of the Framework Convention on Tobacco Control (FCTC), and in the WHO's MPOWER package of effective country-level policies. Unfortunately, only 15% of the world's population have access to appropriate cessation support (WHO, 2015). Moreover, parties to the FCTC have implemented only 51% of the indicators within Article 14, on average, which is far lower than many other articles (WHO, 2014). Further, commenting on the use of “O” measures (Offer help to quit tobacco use) in the MPOWER acronym, WHO recently concluded, “while there has been improvement in implementing comprehensive tobacco cessation services, this is nonetheless a most under-implemented MPOWER measure in terms of the number of countries that have fully implemented it” (WHO, 2015). To the detriment of global tobacco control efforts, only one in eight countries provides comprehensive cost-covered services, only one in four provide some cost coverage for nicotine replacement therapy, and fewer than one third provide a toll-free quit line (WHO, 2015).

The Ethics of e-Cigarettes for Smoking Cessation: A Global Challenge

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 123-124
Author(s):  
Cristian I. Meghea ◽  
◽  
Oana Blaga ◽  
Marina Dascal ◽  
Teodora Fratila ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Focus Group ◽  
Tobacco Control ◽  
Tobacco Smoking ◽  
Tobacco Cessation ◽  
Control Policy ◽  
Tobacco Control Policy ◽  
Cigarette Use ◽  
Ethical Concerns ◽  
Attitudes And Perceptions

"Tobacco smoking is especially harmful for women because, in addition to its effects on mortality and morbidity, it negatively impacts pregnancy, reproductive, and health of the offspring. Data from our work in Romania revealed that pregnant tobacco smokers are seeking information and clinical advice related to e-cigarette use as a tobacco cessation approach. E-cigarette use increased rapidly in the recent years in the US and in other countries, including LMICs. The tobacco control field is deeply divided on how to respond to the increase in e-cigarette use. Additional evidence on the ethical issues related to e-cigarette use and tobacco cessation will inform our mHealth and other pregnancy tobacco cessation interventions and will guide future tobacco control policy direction. The objective of this study is to identify ethical concerns and associated attitudes and perceptions related to e-cigarette use for tobacco cessation during pregnancy among pregnant smokers, their life partners, medical professionals, and other stakeholders. We will interview (N=20) and conduct two focus groups with women who smoke (one focus group, N=10) and women who quit during pregnancy (one focus group, N=10); interview life partners (N=10) of such women; interview ObGyn physicians (N=10) and nurses (N=10); and interview (N=10) and conduct one focus group (N=10) with perinatal educators. Other relevant stakeholders will be also interviewed including the leadership of 2035 Tobacco Free Romania, the national Stop Smoking program, the Pure Air consortium, the Romanian Pneumology Society, the SAMAS NGO focused on maternal and child health and rights, and others. With respect to expected outcomes, the proposed application is anticipated to advance understanding of the smokers’ and other stakeholders’ ethical concerns and associated attitudes and perceptions related to e-cigarettes use for tobacco smoking cessation. The in-depth new knowledge will have a positive impact on the cessation of prenatal and postnatal tobacco smoking and will inform future tobacco control policy directions. Results will be available and will be presented at the time of the conference. This work is based on research partly funded through six NIH-funded projects (grant no. K01TW009654, R21TW010896, 5R21TW010896-02S1, 5R21TW010896-02S2, 1R21HD103039-0, 1R25TW010518-01A1). "

scholarly journals A Collaborative Model for Facilitating the Delivery of Smoking Cessation Treatments to Cancer Patients: Results From Three Oncology Practices in South Carolina

2018 ◽  
Vol 14 (2) ◽  
pp. 112-124
Author(s):  
Daniel J. Kilpatrick ◽  
Kathleen B. Cartmell ◽  
Abdoulaye Diedhiou ◽  
K. Michael Cummings ◽  
Graham W. Warren ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
South Carolina ◽  
Quality Improvement ◽  
Collaborative Learning ◽  
Cancer Patients ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Cancer Centers

Introduction: Continued smoking by cancer patients causes adverse cancer treatment outcomes, but few patients receive evidence-based smoking cessation as a standard of care.Aim: To evaluate practical strategies to promote wide-scale dissemination and implementation of evidence-based tobacco cessation services within state cancer centers.Methods: A Collaborative Learning Model (CLM) for Quality Improvement was evaluated with three community oncology practices to identify barriers and facilitate practice change to deliver evidence-based smoking cessation treatments to cancer patients using standardized assessments and referrals to statewide smoking cessation resources. Patients were enrolled and tracked through an automated data system and received follow-up cessation support post-enrollment. Monthly quantitative reports and qualitative data gathered through interviews and collaborative learning sessions were used to evaluate meaningful quality improvement changes in each cancer center.Results: Baseline practice evaluation for the CLM identified the lack of tobacco use documentation, awareness of cessation guidelines, and awareness of services for patients as common barriers. Implementation of a structured assessment and referral process demonstrated that of 1,632 newly registered cancer patients,1,581 (97%) were screened for tobacco use. Among those screened, 283 (18%) were found to be tobacco users. Of identified tobacco users, 207 (73%) were advised to quit. Referral of new patients who reported using tobacco to an evidence-based cessation program increased from 0% at baseline across all three cancer centers to 64% (range = 30%–89%) during the project period.Conclusions: Implementation of quality improvement learning collaborative models can dramatically improve delivery of guideline-based tobacco cessation treatments to cancer patients.

scholarly journals Mixed-Methods for Comparing Tobacco Cessation Interventions

2015 ◽  
Vol 12 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Behnoosh Momin ◽  
Antonio Neri ◽  
Lei Zhang ◽  
Jennifer Kahende ◽  
Jennifer Duke ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Comparative Effectiveness ◽  
Tobacco Cessation ◽  
Online Advertising ◽  
Control Program ◽  
Population Based ◽  
Comprehensive Cancer Control ◽  
Intervention Component ◽  
Web Based

Introduction: The National Comprehensive Cancer Control Program (NCCCP) and National Tobacco Control Program (NTCP) are both well-positioned to promote the use of population-based tobacco cessation interventions, such as state quitlines and Web-based interventions.Aims: This paper outlines the methodology used to conduct a comparative effectiveness research (CER) study of traditional and Web-based tobacco cessation and quitline promotion approaches.Methods: A mixed-methods study with three components was designed to address the effect of promotional activities on service usage and the comparative effectiveness of population-based smoking cessation activities across multiple states.Results/Findings: The cessation intervention component followed 7,902 smokers (4,307 quitline users and 3,595 Web intervention users) to ascertain prevalence of 30-day abstinence rates seven months after registering for smoking cessation services. User characteristics and quit success was compared across the two modalities. In the promotions component, reach and use of traditional and innovative promotion strategies were assessed for 24 states, including online advertising, state Web sites, social media, mobile applications, and their effects on quitline call volume. The partnership intervention component studied the extent of collaboration among six selected NCCCPs and NTCPs.Conclusions: This study will guide program staff and clinicians with evidence-based recommendations and best practices for implementation of tobacco cessation within their patient and community populations and establish an evidence base that can be used for decision making.

scholarly journals Smart Phone Apps for Smoking Cessation - A Qualitative Study among Healthcare Providers in Chennai

2021 ◽  
Vol 8 (21) ◽  
pp. 1630-1635
Author(s):  
Sree T. Sucharitha ◽  
Pradeep Rangasamy ◽  
Vaishikaa R ◽  
Balaji S.M ◽  
Bindu T ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Digital Literacy ◽  
Health Care Services ◽  
Tobacco Cessation ◽  
Healthcare Providers ◽  
Smart Phone ◽  
General Medicine ◽  
World Health ◽  
Brief Assessment ◽  
Health Organization

BACKGROUND Majority of smokers are aware of health consequences due to smoking but reported inability to quit smoking in multiple studies. Reasons attributed to continued smoking include multiple causes like addiction, habit and stress, as well as face-valid causes such as disease, personality problems, weakness of character, etc. Tobacco cessation services promoted by World Health Organization (WHO) are typically to be initiated by the service provider and include brief opportunistic assessment for smoking cessation widely known as 5A’ and 5R’s for brief assessment. Health interventions are identified by WHO as an effective way to enhance the promotion of tobacco cessation as only three percent of smokers manage to quit without help of intervention. This study explored the awareness of smart phone apps for smoking cessation among private healthcare providers in Chennai. METHODS A qualitative, explorative study through one-on-one, personal interviews among 36 randomly approached and consenting healthcare providers primarily providing tobacco related health care services including dentists, psychiatrists, ear – nose - throat surgeons, general medicine, respiratory medicine, surgeons and obstetricians at six private teaching medical institutes was conducted from July 2020 to October 2020 in Chennai. RESULTS The results showed that majority of the healthcare providers lack awareness of smart phone-based apps for smoking cessation. However, a very small minority3 who were aware were limited by social determinants of health of the clients such as perceived poor digital literacy, unaffordability of internet packages to recommend them. CONCLUSIONS The healthcare providers from various fields lacked the awareness of smart phone apps aiding with smoking cessation with the exception of a minor few3 who acknowledged their existence but were engaged very minimally with these modalities. KEYWORDS Healthcare Providers’ Awareness, Smart Phone Based-Apps, Smoking Cessation Apps, Tobacco Clients, Personal Interviews

scholarly journals Efficacy of Vaping as a Nicotine Replacement Therapy for Smoking Cessation Among Adults: A Review of the Literature

2018 ◽  
Vol 1 (1) ◽  
pp. 01-03
Author(s):  
Charl Woo
Keyword(s):  
Smoking Cessation ◽  
Replacement Therapy ◽  
Nicotine Replacement Therapy ◽  
Successful Treatment ◽  
Tobacco Cessation ◽  
Nicotine Addiction ◽  
Review Of The Literature ◽  
Nicotine Replacement ◽  
Extreme Hazards ◽  
Cold Turkey

Evidence shows that successful treatment of nicotine addiction improves mortality, despite age at cessation. The extreme hazards of smoking stress the importance of patient-physician discussion that is a significant factor in tobacco cessation. Discussion alone and other methods such as “cold turkey” have proven to have low efficacy at cessation which has led to the development nicotine replacement therapy to help augment cessation.

Quality Care in Survivorship: Lessons Learned From the ASCO Quality Oncology Practice Initiative

2021 ◽  
pp. OP.21.00290
Author(s):  
Charles L. Shapiro ◽  
Nicole Zubizarreta ◽  
Erin Moshier ◽  
Julia P. Brockway ◽  
John Mandeli ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Clinical Practice ◽  
Negative Binomial ◽  
Scientific Evidence ◽  
Lessons Learned ◽  
Negative Binomial Regression Model ◽  
Smoking Cessation Counseling ◽  
Curative Intent ◽  
Oncology Practice ◽  
Over Time

PURPOSE: The ASCO Quality Oncology Practice Initiative (QOPI) project was established to evaluate the influence of guideline recommendations on routine clinical practice. METHODS: QOPI provided summary data from 839 unique practices in which data were collected every six months from the Fall of 2015 to the Spring of 2019. From these data, six items were chosen based on their relationship to domains of survivorship. A zero-inflated negative binomial regression model was used to test for trends in QOPI measures adherence rates over time. The models were adjusted for the time period, region, practice-ownership, multispecialty site, fellowship program, and hospital type. RESULTS: Smoking cessation counseling recommended and smoking cessation counseling administered or referred both increased over time, 50%-61% (adjusted incidence rate ratios (IRR), 1.028; 95% CI, 1.016 to 1.040; P < .001) and 34%-49% (adjusted IRR, 1.052; 95% CI, 1.035 to 1.070; P < .001), respectively. Infertility risks discussed before chemotherapy increased from 36% to 53% (adjusted IRR, 1.056; 95% CI, 1.035 to 1.078; P < .001) and fertility options discussed or referred to specialists increased from 23% to 38% (adjusted IRR, 1.074; 95% CI, 1.046 to 1.102; P < .001). Twenty-nine percent documented a positron emission tomography, computed tomography, or bone scan within the first 12 months for women diagnosed with early breast cancer treated for curative intent (adjusted IRR, 1.000; 95% CI, 0.977 to 1.024; P = .971). Tumor marker surveillance within 12 months increased from 78% to 87% (adjusted IRR, 1.018; 95% CI, 1.002 to 1.033; P = .023). CONCLUSION: As scientific evidence to guide cancer survivorship care grows, the role of guideline recommendations permeating clinical practice using quality metrics will become increasingly important.

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