Smoking Cessation Interventions in Cancer Care: Opportunities for Oncology Nurses and Nurse Scientists
Open Access
- 1 December 2009
- journal article
- review article
- Published by Springer Publishing Company in Annual Review of Nursing Research
- Vol. 27 (1), 243-272
- https://doi.org/10.1891/0739-6686.27.243
Abstract
Smoking cessation is essential after the diagnosis of cancer to improve clinical outcomes. The purpose of this chapter is to provide a systematic review of research on smoking cessation in the context of cancer care with an emphasis on nursing contributions to the field. Data sources included research reports of smoking cessation interventions conducted in people with cancer. Nineteen primary studies were reviewed. High intensity interventions, targeting multiple behaviors, and/or using a multicomponent intervention that included pharmacotherapy, behavioral counseling, and social support were characteristics of the most successful treatments for tobacco dependence. The majority of interventions were conducted in adults with smoking-related malignancies during acute phases of illness. The most striking finding was that more than one half of the studies tested the efficacy of nurse-delivered interventions. Conceptual and methodological issues that can be improved in future studies include: using theoretical frameworks to specify how the intervention will affect outcomes, ensuring adequate sample sizes, using biochemical verification to monitor smoking outcomes, and using standardized outcome measures of abstinence. Although effective interventions are available for healthy populations, further research is needed to determine if tailored cessation interventions are needed for patients with cancer. To provide optimal quality care it is imperative that delivery of evidence-based smoking cessation interventions be integrated into the cancer treatment trajectory. Multiple barriers, including patient and nurse attitudes toward smoking and lack of knowledge related to tobacco treatment, prevent translating evidence-based tobacco dependence treatment into clinical practice. Further nursing research is needed to address these barriers.Keywords
This publication has 58 references indexed in Scilit:
- Health Behaviors, Medical Care, and Interventions to Promote Healthy Living in the Childhood Cancer Survivor Study CohortJournal of Clinical Oncology, 2009
- Adolescent survivors: A secondary analysis of a clinical trial targeting behavior changePediatric Blood & Cancer, 2005
- Impact of Respiratory Symptoms and Pulmonary Function on Quality of Life of Long-term Survivors of Non-Small Cell Lung CancerSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2004
- Nursing interventions for smoking cessationPublished by Wiley ,2004
- Measures of abstinence in clinical trials: issues and recommendationsNicotine & Tobacco Research, 2003
- Biochemical verification of tobacco use and cessationNicotine & Tobacco Research, 2002
- Barriers to tobacco cessation in clinical practice: Report from a national survey of oncology nursesNursing Outlook, 2001
- Evaluation of a Minimal Self-Help Smoking Cessation Intervention Following Cervical Cancer ScreeningPreventive Medicine, 1999
- A nurse-delivered smoking cessation intervention among hospitalized postoperative patients--influence of a smoking-related diagnosis: a pilot study.1994
- Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, 1977