Borger Tia, Feather Abigayle R, Wakeman Kathleen E, Bowling William, Burris Jessica L
Department of Psychology, University of Kentucky, Lexington, KT, USA.
Markey Cancer Center, University of Kentucky, Lexington, KT, USA.
Nicotine Tob Res. 2024 Apr 22;26(5):629-633. doi: 10.1093/ntr/ntad207.
Many cancer patients who smoke cigarettes want to quit. Unfortunately, many of these cancer patients prefer to quit without the aid of pharmacotherapy or behavioral counseling. The teachable moment of cancer diagnosis might still position these cancer patients to make meaningful changes in their smoking behavior, but no study has documented the trajectory of smoking cessation outcomes among cancer patients who want to quit "on their own." This study aimed to fill this gap in the literature.
In this mixed-methods, longitudinal study, 35 cancer patients who declined tobacco treatment because of the desire to quit "on their own" provided data via three surveys and 1-2 semi-structured interviews. The observation period spanned 60 days. Participants were recently diagnosed at and recruited from outpatient cancer clinics.
Participants were mostly female (68.57%), White, non-Hispanic (85.71%), unemployed due to disability (57.14%), and rural residents (54.29%). Across time, 43.76% of participants achieved 50% smoking reduction, 21.88% achieved 3-day floating abstinence, 18.75% achieved 7-day floating abstinence, and 12.50% achieved 30-day point-prevalence abstinence. Key themes that emerged from the interviews centered on intention and confidence to quit and types of tobacco treatment used/received.
This study with cancer patients who desired to quit smoking without assistance found some evidence of quit success, but success waned as criteria grew more stringent. Results showed participants' initial intention to quit unassisted was quite strong, as few reported tobacco treatment use. Interventions to increase the uptake of evidence-based tobacco treatment among cancer patients are sorely needed.
The preference to quit smoking without assistance is common among cancer patients, even given lack of evidence supporting its effectiveness. This study is the first to explore the trajectory of smoking cessation outcomes among cancer patients who desire to quit without assistance. These data can be used to develop interventions to increase the uptake of tobacco treatment and increase quit success among cancer patients.
许多吸烟的癌症患者想要戒烟。不幸的是，这些癌症患者中的许多人更倾向于在没有药物治疗或行为咨询帮助的情况下戒烟。癌症诊断这个契机可能仍会促使这些癌症患者在吸烟行为上做出有意义的改变，但尚无研究记录那些想“自行”戒烟的癌症患者戒烟结果的轨迹。本研究旨在填补这一文献空白。
在这项混合方法的纵向研究中，35名因想“自行”戒烟而拒绝烟草治疗的癌症患者通过三次调查和1至2次半结构化访谈提供了数据。观察期为60天。参与者均为近期在门诊癌症诊所确诊并招募的患者。
参与者大多为女性（68.57%），白人、非西班牙裔（85.71%），因残疾失业（57.14%），且为农村居民（54.29%）。随着时间推移，43.76%的参与者吸烟量减少了50%，21.88%的参与者实现了3天浮动戒烟，18.75%的参与者实现了7天浮动戒烟，12.50%的参与者实现了30天点流行率戒烟。访谈中出现的关键主题集中在戒烟的意图和信心以及所使用/接受的烟草治疗类型上。
这项针对希望在无帮助情况下戒烟的癌症患者的研究发现了一些戒烟成功的证据，但随着标准变得更加严格，成功率有所下降。结果显示参与者最初自行戒烟的意愿相当强烈，因为很少有人报告使用过烟草治疗。迫切需要采取干预措施，以提高癌症患者对循证烟草治疗的接受度。
即使缺乏支持其有效性的证据，癌症患者中偏好无帮助戒烟的情况仍很常见。本研究首次探索了希望在无帮助情况下戒烟的癌症患者戒烟结果的轨迹。这些数据可用于制定干预措施，以提高烟草治疗的接受度并增加癌症患者的戒烟成功率。
