Peer-Delivered Smoking Counseling for Childhood Cancer Survivors Increases Rate of Cessation: The Partnership for Health Study

2005 ◽  
Vol 23 (27) ◽  
pp. 6516-6523 ◽  
Author(s):  
Karen M. Emmons ◽  
Elaine Puleo ◽  
Elyse Park ◽  
Ellen R. Gritz ◽  
Rita M. Butterfield ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Readiness To Change ◽  
Intervention Group ◽  
Childhood Cancer Survivors ◽  
The Self ◽  
Health Study ◽  
Self Help ◽  
Self Help Group

Purpose Cancer survivors smoke at rates that are only slightly lower than the general population. This article reports on the final outcomes of Partnership for Health, a smoking cessation intervention for smokers in the Childhood Cancer Survivors Study (CCSS). Methods This study is a randomized control trial with follow-up at 8 and 12 months that involved smokers (n = 796) enrolled onto the CCSS cohort. Participants were randomly assigned to either a self-help or a peer-counseling program that included up to six telephone calls from a trained childhood cancer survivor, tailored and targeted materials, and free nicotine replacement therapy. The intervention was delivered by telephone and postal service mail. Results The quit rate was significantly higher in the counseling group compared with the self-help group at both the 8-month (16.8% v 8.5%; P < .01) and 12-month follow-ups (15% v 9%; P ≤ .01). Controlling for baseline self-efficacy and readiness to change, the intervention group was twice as likely to quit smoking, compared with the self-help group. Smoking cessation rate increased with an increase in the number of counseling calls. The cost of delivering the intervention was approximately $300 per participant. The incremental cost-effectiveness of the intervention compared with controls was $5,371 per additional quit. Conclusion Interventions to prevent future illnesses are of critical importance to childhood cancer survivors. The Partnership for Health intervention resulted in a doubling of smoking cessation quit rates. Because of the seriousness of smoking among childhood cancer survivors, this intervention model may be appropriate as a multicomponent treatment program for survivors who smoke.

scholarly journals Long-Term Smoking Cessation Outcomes Among Childhood Cancer Survivors in the Partnership for Health Study

2009 ◽  
Vol 27 (1) ◽  
pp. 52-60 ◽  
Author(s):  
Karen M. Emmons ◽  
Elaine Puleo ◽  
Ann Mertens ◽  
Ellen R. Gritz ◽  
Lisa Diller ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Smoking Status ◽  
Childhood Cancer Survivors ◽  
Health Study ◽  
Secondary Outcome ◽  
Quit Attempts

Purpose Partnership for Health (PFH) was found to increase smoking cessation among smokers in the Childhood Cancer Survivors Study (CCSS) at the 8- and 12-month postbaseline follow-up. This report provides outcomes at 2 to 6 years postbaseline; the primary outcome is a four-category smoking status variable (quit at all follow-ups, quit at final follow-up only, smoker at all follow-ups, and smoker at final follow-up only); quit attempts among those who reported smoking at the final follow-up is a secondary outcome. Methods PFH was a randomized control trial with two conditions, peer phone counseling (PC) and self-help (SH), that involved smokers (n = 796) enrolled in the CCSS cohort. Results Long-term quit rates were higher in PC versus SH participants. Long-term smoking cessation outcomes were lower among those who were nicotine dependent, of lower educational levels, and among men, and were higher among those who used nicotine replacement therapy and who had higher levels of situational self-efficacy. There were no significant differences in relapse rates between conditions or in quit attempts among continued smokers. Conclusion Cessation rates continue to be significantly higher among participants in the PC condition versus SH, although the differences were not large. This article highlights differences in long-term engagement with smoking cessation among those who received the intervention.

scholarly journals Mixed methods assessment of impact on health awareness in adult childhood cancer survivors after viewing their personalized digital treatment summary and follow-up recommendations

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Helena M. Linge ◽  
Cecilia Follin
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Health Literacy ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Childhood Cancer Survivors ◽  
The Self ◽  
Health Related ◽  
Treatment Summary

Abstract Background The survival rate after childhood cancer has improved to 80%. The majority of childhood cancer survivors (CCS) will experience late complications which require follow up care, including access to their individual cancer treatment summary. The need to understand CCS needs and preferences in terms of ways to receive information e.g. digitally, becomes important. This study aims to through a mixed methods approach a) examine how CCS’ health awareness was impacted by viewing their personalized digital treatment summary and follow-up recommendations, b) explore E health literacy, and c) determine self-reported survivorship experiences and health care usage. Methods Survivors with a recent visit to the Late effects clinic were eligible for the study (n = 70). A representative sample of primary diagnoses were invited (n = 28). 16 CCS were enrolled. Recent medical visits, e health literacy and impressions of the digital treatment summary were assessed by a survey in conjunction with viewing their digital treatment summary on a computer screen. Their experience of reading and understanding their digital treatment summary in the context of their health related survivorship experiences were assessed in focus groups. The transcribed data was analyzed with conventional qualitative content analysis. Results The self-reported medical problems largely reflected that, only 6,3% reported no cancer-related reasons for seeking medical attention. Of the medical specialists, the primary care physician was the most frequently visited specialist (68.8%). High E health literacy was not associated with treatment features but with educational level (p = 0.003, CI: 3.9–14.6) and sex (p = 0.022, CI: − 13.6- -1.3). All survivors graded the digital treatment summary above average in terms of being valuable, agreeable and comprehensive. The focus group interviews identified three themes: 1) The significance of information, 2) The impact of awareness; and 3) Empowerment. Conclusions Reading the treatment summaries furthered the survivors understanding of their health situation and consequently aided empowerment. A digital treatment summary, provided by knowledgeable health care professionals, may increase the self-managed care and adherence to follow-up recommendations. Further insights into e health literacy in larger samples of CCS may determine to what extent health-related information can be communicated via digital resources to this at risk population.

Preliminary Investigation of a Culturally Specific Smoking Cessation Intervention for Hispanic Smokers

1997 ◽  
Vol 11 (3) ◽  
pp. 198-207 ◽  
Author(s):  
Jeffrey S. Nevid ◽  
Rafael A. Javier
Keyword(s):  
Smoking Cessation ◽  
Smoking Cessation Intervention ◽  
The Self ◽  
Smoking History ◽  
Culturally Specific ◽  
Significant Group ◽  
Self Help ◽  
Cessation Intervention ◽  
Self Help Group

Purpose. The purpose of this study was to compare a culturally specific, multicomponent behavioral smoking cessation program for Hispanic smokers with a low-intensity, enhanced self-help control condition. Design. Participants who completed pretreatment assessment were randomly assigned to treatment conditions. Smoking status was evaluated at posttreatment, 6-month follow-up, and 12-month follow-up intervals. Setting. The study was based in predominantly Hispanic neighborhoods in Queens, New York. Participants. Ninety-three Hispanic smokers participated: 48 men and 45 women. Intervention. The multicomponent treatment involved a clinic-based group program that incorporated a culturally specific component consisting of videotaped presentations of culturally laden smoking-related vignettes. The self-help control program was enhanced by the use of an introductory group session and follow-up supportive telephone calls. Measures. Smoking outcomes were based on cotinine-validated abstinence and self-reported smoking rates. Predictors of abstinence were examined, including sociodemographic variables, smoking history, nicotine dependence, acculturation, partner interactions, reasons for quitting, self-efficacy, and linguistic competence. Results. Significant group differences in cotinine-validated abstinence rates in favor of the multicomponent group were obtained, but only at posttreatment. With missing data included and coded for nonabstinence, validated abstinence rates at posttreatment were 21% for the multicomponent group and 6% for the self-help group. At the 6-month follow-up, the rates were 13% for the multicomponent group and 9% for the self-help group. By the 12-month follow-up, the rates declined to 8% and 7% for the multicomponent and self-help groups, respectively. A dose-response relationship between attendance at group sessions and abstinence status was shown at posttreatment and 6-month follow-up intervals. Conclusions. The results of the present study failed to show any long-term benefit from use of a clinic-based, culturally specific multicomponent smoking cessation intervention for Hispanic smokers relative to a minimal-contact, enhanced self-help control.

Mixed methods assessment of impact on health awareness in adult childhood cancer survivors after viewing their personalized digital treatment summary and follow-up recommendations.

2020 ◽  
Author(s):  
Helena Linge ◽  
Cecilia Follin
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Health Literacy ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Childhood Cancer Survivors ◽  
The Self ◽  
Health Related ◽  
Treatment Summary

Abstract Background: The survival rate after childhood cancer has improved to 80%. The majority of childhood cancer survivors (CCS) will experience late complications which require follow up care, including access to their individual cancer treatment summary. The need to understand CCS needs and preferences in terms of ways to receive information e.g. digitally, becomes important. This study aims to through a mixed methods approach a) examine how CCS’ health awareness was impacted by viewing their personalized digital treatment summary and follow-up recommendations, b) explore E health literacy, and c) determine self-reported survivorship experiences and health care usage. Methods Survivors with a recent visit to the Late effects clinic were eligible for the study (n=70). A representative sample of primary diagnoses were invited (n=28). 16 CCS were enrolled. Recent medical visits, e health literacy and impressions of the digital treatment summary were assessed by a survey in conjunction with viewing their digital treatment summary on a computer screen. Their experience of reading and understanding their digital treatment summary in the context of their health related survivorship experiences were assessed in focus groups. The transcribed data was analyzed with conventional qualitative content analysis. Results The self-reported medical problems largely reflected that, only 6,3% reported no cancer-related reasons for seeking medical attention. Of the medical specialists, the primary care physician was the most frequently visited specialist (68.8%). High E health literacy was not associated with treatment features but with educational level (p=0.003, CI: 3.9-14.6) and sex (p=0.022, CI :-13.6- -1.3). All survivors graded the digital treatment summary above average in terms of being valuable, agreeable and comprehensive. The focus group interviews identified three themes: 1) The significance of information, 2) The impact of awareness; and 3) Empowerment. Conclusions Reading the treatment summaries furthered the survivors understanding of their health situation and consequently aided empowerment. A digital treatment summary, provided by knowledgeable health care professionals, may increase the self-managed care and adherence to follow-up recommendations. Further insights into e health literacy in larger samples of CCS may determine to what extent health-related information can be communicated via digital resources to this at risk population.

Smoking Among Participants in the Childhood Cancer Survivors Cohort: The Partnership for Health Study

2003 ◽  
Vol 21 (2) ◽  
pp. 189-196 ◽  
Author(s):  
Karen M. Emmons ◽  
Rita M. Butterfield ◽  
Elaine Puleo ◽  
Elyse R. Park ◽  
Ann Mertens ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Self Efficacy ◽  
Childhood Cancer Survivors ◽  
Smoking Rate ◽  
Quit Smoking ◽  
Quit Attempts ◽  
Smoking Behaviors ◽  
Readiness To Quit

Purpose: This article describes baseline data collection and the intervention design of Partnership for Health, a smoking cessation intervention for smokers in the Childhood Cancer Survivors Study. The purpose of this article is to evaluate demographic, psychosocial, and cancer-related factors that are associated with smoking behavior and mediators of smoking cessation. Patients and Methods: This study includes 796 smokers from the Childhood Cancer Survivors Study database who were diagnosed with cancer before the age of 21, had survived at least 5 years, and were at least 18 years of age at the time of the baseline survey. Correlates of smoking behaviors included smoking rate, number of recent quit attempts, and nicotine dependence; two key mediators of smoking cessation, readiness to quit smoking and self-efficacy, were also assessed. Results: Participants smoked, on average, 14 cigarettes/day; 53.2% were nicotine dependent, and 58% had made at least one quit attempt in the past year. Smoking behaviors were primarily associated with demographic variables; mediators of cessation were primarily associated with age at cancer diagnosis and perceived vulnerability to smoking-related illnesses. Severity of psychologic symptoms was associated with increased smoking rate, high nicotine dependence, and low self-efficacy. Support for quitting was related to smoking rate, number of quit attempts, readiness to quit smoking, and self-efficacy. Conclusion: These findings indicate that many cancer survivors who smoke are receptive to smoking cessation interventions. Factors related to mediators of smoking cessation might be particularly good targets for intervention.

Risk Factors for Small Adult Height in Childhood Cancer Survivors

2020 ◽  
Vol 38 (16) ◽  
pp. 1785-1796 ◽  
Author(s):  
Charlotte Demoor-Goldschmidt ◽  
Rodrigue S. Allodji ◽  
Neige Journy ◽  
Carole Rubino ◽  
Wael Salem Zrafi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Growth Hormone ◽  
Standard Deviation ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Adult Height ◽  
Childhood Cancer Survivors ◽  
Hormone Deficiency ◽  
Health Study ◽  
Pituitary Irradiation

PURPOSE Between 10% and 20% of childhood cancer survivors (CCS) experience impaired growth, leading to small adult height (SAH). Our study aimed to quantify risk factors for SAH or growth hormone deficiency among CCS. METHODS The French CCS Study holds data on 7,670 cancer survivors treated before 2001. We analyzed self-administered questionnaire data from 2,965 CCS with clinical, chemo/radiotherapy data from medical records. SAH was defined as an adult height ≤ 2 standard deviation scores of control values obtained from a French population health study. RESULTS After exclusion of 189 CCS treated with growth hormone, 9.2% (254 of 2,776) had a SAH. Being young at the time of cancer treatment (relative risk [RR], 0.91 [95% CI, 0.88 to 0.95] by year of age), small height at diagnosis (≤ 2 standard deviation scores; RR, 6.74 [95% CI, 4.61 to 9.86]), pituitary irradiation (5-20 Gy: RR, 4.24 [95% CI, 1.98 to 9.06]; 20-40 Gy: RR, 10.16 [95% CI, 5.18 to 19.94]; and ≥ 40 Gy: RR, 19.48 [95% CI, 8.73 to 43.48]), having received busulfan (RR, 4.53 [95% CI, 2.10 to 9.77]), or > 300 mg/m2 of lomustine (300-600 mg/m2: RR, 4.21 [95% CI, 1.61 to 11.01] and ≥ 600 mg/m2: RR, 9.12 [95% CI, 2.75 to 30.24]) were all independent risk factors for SAH. Irradiation of ≥ 7 vertebrae (≥ 15 Gy on ≥ 90% of their volume) without pituitary irradiation increased the RR of SAH by 4.62 (95% CI, 2.77 to 7.72). If patients had also received pituitary irradiation, this increased the RR by an additional factor of 1.3 to 2.4. CONCLUSION CCS are at a high risk of SAH. CCS treated with radiotherapy, busulfan, or lomustine should be closely monitored for growth, puberty onset, and potential pituitary deficiency.

Group Physical Activity Intervention for Childhood Cancer Survivors: A Pilot Study

2016 ◽  
Vol 13 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Kathy Ruble ◽  
Susan Scarvalone ◽  
Lisa Gallicchio ◽  
Catherine Davis ◽  
Diane Wells
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Self Efficacy ◽  
Intervention Group ◽  
Childhood Cancer Survivors ◽  
Control Group ◽  
Post Measure ◽  
Group A

Background:: Inadequate physical activity (PA) in childhood cancer survivors may lead to compromised health outcomes. The purpose of this pilot study was to evaluate the feasibility and effect of a PA intervention in childhood cancer survivors ages 8–12 who report < 1 hour of moderate-to-vigorous physical (MVPA) per day.Methods:Twenty survivors were randomized to a 6-month group PA intervention or to a control group. A pre/post measure of MVPA was completed by all participants, and a pre/post measure of self-efficacy was completed by the intervention group. Analysis included measures of feasibility, change in percentage of awake time spent in MVPA, self-efficacy scores, and correlations in MVPA and self-efficacy.Results:All feasibility parameters were confirmed. Increases in percent of awake time spent in MVPA were seen in 67% of the intervention group and 14% of the control group. A medium effect size (r = 0.55) was calculated for the correlation between change in MVPA and change in total self-efficacy scores; the largest effect size (r = 0.62) was found for the subscale for adequacy.Conclusions:Increases in MVPA can be seen in childhood cancer survivors who participate in a group intervention that includes support of self-efficacy.

scholarly journals Pemberdayaan Pasien Dengan Pendekatan Self Help Group Terhadap Perubahan Mekanisme Koping Pada Pasien Gangguan Jiwa Skizoprenia Di RSJD Dr Arif Z Surakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Endang Caturini Sulistyowati ◽  
Dwi Sulistyowati
Keyword(s):  
Mental Disorders ◽  
Intervention Group ◽  
Coping Mechanisms ◽  
The Self ◽  
Control Group ◽  
Coping Mechanism ◽  
Self Help ◽  
Before And After ◽  
Group Members ◽  
Self Help Group

Background: Schizophrenia is one of the most common forms of mental disorders in Indonesia. Effective treatments for mental disorders are coming from themselves (WHO, 2018), for some mental disorders require empowerment, one of which is Self Help Group therapy. Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual support to form adaptive coping. This study aims to determine the effect of empowering patients with the Self Help Group approach to coping mechanisms in patients with schizophrenic mental disorders. Method: The research is quasi-experiment with a pre-post test design with a control group design. Data were taken before and after the administration of self-help intervention groups in schizophrenia in the intervention group. The number of samples is 66 clients divided by 2, namely 33 respondents for the intervention group and 33 respondents for the control group. This study measured coping mechanisms. The research instrument used a coping mechanism questionnaire. Data were analyzed using a dependent t-test, independent multiple linear regression t-test. Results: The study proved that there are significant differences in the coping mechanism before and after giving the Self Help Group (p-value, 0.000). Self Help Group if implemented by the patient has the opportunity to improve coping mechanisms by 20.1% and is expected to improve the coping mechanism by 4.909 points. Conclusion: The Self Help Group used for interventions is considered effective to increase coping skills.

scholarly journals Peningkatan Kualitas Hidup Orang Dengan Gangguan Jiwa Dengan Self Help Group Di Kota Surakarta

2020 ◽  
Vol 9 (2) ◽  
pp. 260-268
Author(s):  
Endang Caturini ◽  
Insiyah Insiyah
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Intervention Group ◽  
The Self ◽  
Control Group ◽  
Self Help ◽  
Group Members ◽  
Self Help Groups ◽  
Self Help Group

Introduction: People who experience mental disorders who experience various problems, with different symptoms, generally they have characteristics with some combination of abnormal thoughts, emotions, behavior and relationships with other people that manifest in the form of a series of symptoms and / or changes in behavior which is meaningful and can cause suffering and obstacles in carrying out people's functions as humans (UU Kesehatan no 18 tahun  2014; WHO, 2017; &  WHO, 2018). This is a serious health problem, which usually has problems with poor quality of life. They are associated with feelings of distress, lack of control over symptoms and life in general, negative perceptions of self, stigmatization and rejection, reduced activity and difficulty with daily functioning, and negative outlook. (Connell, J, Brazier, J, O'Cathain, A, Jones, M.L. & Paisley, S., 2012). Group interventions carried out by nurses such as group activity therapy, supportive therapy and self-help groups to help individuals improvement in  their quality of life. Group therapy, one of the self help group, is a group where each member has the same desire to overcome mental disorders or increase the level of cognitive or emotional well-being among group members (Sulistyowati., E.C. & Sulistyowati D, 2018). Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual reinforcement which has an impact on improving the quality of life. This study aims to determine the improvement of the quality of life of people with mental disorders (ODGJ) with the self help group in the city of Surakarta. Methods: This was a quasi-experimental study with a pre-post test control group design. Data were taken before and after giving the intervention of self-help groups of schizophrenia patients in the intervention group. The total sample was 160 clients divided into  2 groups, namely 80 respondents for group 1 at Griya PMI and 80 respondents for group 2 at RSJD Dr Arif Z Surakarta, each group consisting of 40 respondents for intervention and 40 respondents for the control group. This study measures the quality of life with a research instrument using a life quality questionnaire. Data were analyzed using Paired t-test, Wilcoxon signed ranks test, independent t-test and Mann Whitney-test. Results: The study proved that there was a statistically significant difference in the quality of life before and after giving the self help group (p value, 0.000) between the intervention group and the control group, both at Griya PMI with a mean difference of 20.23 and at RSJD Dr. Arif Z. self help group with a mean difference of 10.85. Conclusion: self help group which is used for intervention is considered effective to improve quality of life. Suggestion: self help group is used as a mental nursing group intervention in caring for mentally ill patients.

Sign in / Sign up

Export Citation Format

Share Document