Randomized trial of a presurgical scheduled reduced smoking intervention for patients newly diagnosed with cancer Journal Article
| Authors: | Ostroff, J. S.; Burkhalter, J. E.; Cinciripini, P. M.; Li, Y.; Shiyko, M. P.; Lam, C. Y.; Hay, J. L.; Dhingra, L. K.; Lord-Bessen, J.; Holland, S. M.; Manna, R. |
| Article Title: | Randomized trial of a presurgical scheduled reduced smoking intervention for patients newly diagnosed with cancer |
| Abstract: | Objective: Cancer patients who smoke are advised to quit smoking to reduce treatment complications and future cancer risk. This study's main objective was to evaluate the efficacy of a novel, presurgical cessation intervention in newly diagnosed cancer patients scheduled for surgical hospitalization. Method: We conducted a parallel-arm, randomized controlled trial comparing the efficacy of our hospital-based, tobacco cessation "best practices" treatment model (BP; cessation counseling and nicotine replacement therapy) with BP enhanced by a behavioral tapering regimen (scheduled reduced smoking; BP + SRS) administered by a handheld computer before hospitalization for surgery. Cessation outcomes were short (hospital admission and 3 months) and longer-term (6 months) biochemically verified smoking abstinence. We hypothesized that BP + SRS would be superior to BP alone. One hundred eighty-five smokers were enrolled. Results: Overall, 7-day-point prevalence, confirmed abstinence rates at 6 months for BP alone (32%) and BP + SRS (32%) were high; however, no main effect of treatment was observed. Patients who were older and diagnosed with lung cancer were more likely to quit smoking. Conclusion: Compared to best practices for treating tobacco dependence, a presurgical, scheduled reduced smoking intervention did not improve abstinence rates among newly diagnosed cancer patients. © 2013 American Psychological Association. |
| Keywords: | adult; controlled study; patient satisfaction; major clinical study; cancer patient; follow up; cancer diagnosis; randomized controlled trial; prevalence; lung cancer; smoking cessation; self report; hospitalization; head and neck cancer; program evaluation; medical practice; tobacco dependence; hospital admission; clinical effectiveness; employment status; patient counseling; nicotine replacement therapy; smoking cessation program; human; male; female; article; microcomputer; hospitalized smokers; patients with cancer; scheduled reduced smoking; best practice |
| Journal Title: | Health Psychology |
| Volume: | 33 |
| Issue: | 7 |
| ISSN: | 0278-6133 |
| Publisher: | American Psychological Association |
| Date Published: | 2014-07-01 |
| Start Page: | 737 |
| End Page: | 747 |
| Language: | English |
| DOI: | 10.1037/a0033186 |
| PROVIDER: | scopus |
| PUBMED: | 23895203 |
| PMCID: | PMC4116187 |
| DOI/URL: | |
| Notes: | Export Date: 1 August 2014 -- CODEN: HEPSE -- Source: Scopus |
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