Comparing cancer patients who enroll in a smoking cessation program at a comprehensive cancer center with those who decline enrollment
- 8 January 2004
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 26 (3), 278-286
- https://doi.org/10.1002/hed.10368
Abstract
Background. Despite the availability of smoking interventions for cancer patients, many eligible patients decline enrollment into such programs. We examined reasons patients provide for declining smoking treatment and compared treatment decliners to enrollees. Methods. Eligible cancer patients (N = 231) were offered smoking cessation treatment. During recruitment, demographic, medical (eg, cancer stage), and smoking‐related behavioral (eg, readiness to quit) data were collected, and decliners stated a reason for refusal. Patients who enrolled in the cessation program (N = 109) were compared with those who declined (N = 122) in terms of recruitment data, and reasons for declining were compiled. Results. Decliners were significantly more likely to: (1) have head and neck cancer (vs lung cancer); (2) exhibit fewer physical symptoms (eg, shortness of breath); (3) report a lower readiness to quit smoking; (4) indicate no intention to quit smoking; and (5) smoke fewer cigarettes. A preference to quit without professional assistance was the most common reason for declining treatment. Conclusions. Our findings highlight important differences between patients who enroll in a smoking cessation program and those who decline and underscore the need for motivational interventions to facilitate enrollment into smoking interventions for cancer patients. © 2004 Wiley Periodicals, Inc. Head Neck 26: 278–286, 2004Keywords
This publication has 48 references indexed in Scilit:
- Differences among African American light, moderate, and heavy smokersNicotine & Tobacco Research, 2001
- Smoking withdrawal and relapse in head and neck cancer patientsHead & Neck, 1999
- Evaluation of a Motivational Smoking Cessation Intervention for Women in Public Health ClinicsPreventive Medicine, 1999
- A smoking cessation intervention with hospitalized surgical cancer patientsCancer Nursing, 1994
- Second Cancers Following Oral and Pharyngeal Cancers: Role of Tobacco and AlcoholJNCI Journal of the National Cancer Institute, 1994
- Influence of Cigarette Smoking on the Efficacy of Radiation Therapy in Head and Neck CancerNew England Journal of Medicine, 1993
- Using a Low-Cost, Prize-Drawing Incentive To Improve Recruitment Rate at a Work-Site Smoking Cessation ClinicJournal of Occupational and Environmental Medicine, 1992
- Smokers who are hospitalized: A window of opportunity for cessation interventionsPreventive Medicine, 1992
- Cigarette smoking patterns in patients after treatment of upper aerodigestive tract cancersJournal of Cancer Education, 1990
- Evaluation of a minimal-contact smoking cessation program in a health care settingPatient Education and Counseling, 1985