PURPOSE: This study examined a cancer diagnosis, versus orthopedic surgery, as a teachable moment for recruiting smokers and treating nicotine dependence among patients' relatives. METHODS: Cancer patients and, for comparison, orthopedic patients at the University of Pennsylvania Health System were approached for referrals of relatives for a smoking cessation program, which involved behavioral counseling and nicotine patches. Primary outcomes were rate of program enrollment and rate of smoking abstinence. Potential mediators of smoking cessation were explored (e.g., treatment adherence, depression, anxiety). Two hundred and thirty-four relatives (113 cancer, 121 orthopedic) were considered eligible for the cessation program and comprised the study sample. RESULTS: Relatives of oncology patients were significantly more likely to enroll in the smoking cessation program, vs. orthopedic relatives (75 % vs. 60%; OR = 1.96, 95% CI 1.07-3.61, p = .03), but they were not significantly more likely to remain in the program (61% vs. 52%) or quit smoking (19% vs. 26%; p's > .05). Compared to orthopedic relatives, oncology relatives showed significantly lower nicotine patch adherence and significantly greater levels of negative affect and depression and anxiety symptoms during treatment (p's < .05). Further, orthopedic relatives, compared to oncology relatives, showed a greater reduction in the perceived benefits of smoking (p = .06), which was significantly associated with abstinence (p = .02). CONCLUSIONS: While a family member's cancer diagnosis may serve as a teachable moment for a smoker to enroll in a smoking cessation treatment program, high levels of psychological distress and perceptions of the benefits of smoking and low levels of treatment adherence may undermine successful abstinence among this population.
PURPOSE: This study examined a cancer diagnosis, versus orthopedic surgery, as a teachable moment for recruiting smokers and treating nicotine dependence among patients' relatives. METHODS:Cancerpatients and, for comparison, orthopedic patients at the University of Pennsylvania Health System were approached for referrals of relatives for a smoking cessation program, which involved behavioral counseling and nicotine patches. Primary outcomes were rate of program enrollment and rate of smoking abstinence. Potential mediators of smoking cessation were explored (e.g., treatment adherence, depression, anxiety). Two hundred and thirty-four relatives (113 cancer, 121 orthopedic) were considered eligible for the cessation program and comprised the study sample. RESULTS: Relatives of oncology patients were significantly more likely to enroll in the smoking cessation program, vs. orthopedic relatives (75 % vs. 60%; OR = 1.96, 95% CI 1.07-3.61, p = .03), but they were not significantly more likely to remain in the program (61% vs. 52%) or quit smoking (19% vs. 26%; p's > .05). Compared to orthopedic relatives, oncology relatives showed significantly lower nicotine patch adherence and significantly greater levels of negative affect and depression and anxiety symptoms during treatment (p's < .05). Further, orthopedic relatives, compared to oncology relatives, showed a greater reduction in the perceived benefits of smoking (p = .06), which was significantly associated with abstinence (p = .02). CONCLUSIONS: While a family member's cancer diagnosis may serve as a teachable moment for a smoker to enroll in a smoking cessation treatment program, high levels of psychological distress and perceptions of the benefits of smoking and low levels of treatment adherence may undermine successful abstinence among this population.
Authors: Peter Gariti; Sarah Levin; Thomas Whittingham; Daniela Barou; Kyle M Kampman; Kevin Lynch; Chanita Hughes Halbert; Arthur Alterman Journal: J Subst Abuse Treat Date: 2007-10-10
Authors: Saul Shiffman; Christine T Sweeney; Stuart G Ferguson; Mark A Sembower; Joseph G Gitchell Journal: Clin Ther Date: 2008-10 Impact factor: 3.393
Authors: J O Prochaska; W F Velicer; J S Rossi; M G Goldstein; B H Marcus; W Rakowski; C Fiore; L L Harlow; C A Redding; D Rosenbloom Journal: Health Psychol Date: 1994-01 Impact factor: 4.267
Authors: Freda Patterson; Christopher Jepson; Andrew A Strasser; James Loughead; Kenneth A Perkins; Ruben C Gur; Joseph M Frey; Steven Siegel; Caryn Lerman Journal: Biol Psychiatry Date: 2008-10-08 Impact factor: 13.382
Authors: Colleen M McBride; Michelle Blocklin; Isaac M Lipkus; William M P Klein; Thomas H Brandon Journal: Psychooncology Date: 2015-10-30 Impact factor: 3.894
Authors: S Myers Virtue; S L Manne; D Kashy; C J Heckman; T Zaider; D W Kissane; I Kim; D Lee; G Olekson Journal: Eur J Cancer Care (Engl) Date: 2015-03-26 Impact factor: 2.520
Authors: Lisa A Howell; Tabetha A Brockman; Pamela S Sinicrope; Christi A Patten; Paul A Decker; Shawna L Ehlers; Noralane M Lindor; Sandra K Nigon; Gloria M Petersen Journal: J Behav Health Date: 2013
Authors: Michelle Brust; Winifred A Gebhardt; Nadine A E van der Voorde; Mattijs E Numans; Jessica C Kiefte-de Jong Journal: Prev Med Rep Date: 2022-06-27
Authors: Lisa A Howell; Tabetha A Brockman; Pamela S Sinicrope; Christi A Patten; Paul A Decker; Allan Busta; Shawn Stoddard; Sheila R McNallan; Ping Yang Journal: Adv Cancer Prev Date: 2016-06-20
Authors: Mary Wells; Patricia Aitchison; Fiona Harris; Gozde Ozakinci; Andrew Radley; Linda Bauld; Vikki Entwistle; Alastair Munro; Sally Haw; Bill Culbard; Brian Williams Journal: BMC Cancer Date: 2017-05-19 Impact factor: 4.430