Pebley Kinsey, Williams Tianna, Moody Kathryn, Rojewski Alana M
Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States.
Hollings Cancer Center, Medical University of South Carolina, 86 Jonathan Lucas St, Charleston, SC, 29425, United States, 1 843-779-5794.
JMIR Form Res. 2025 Oct 23;9:e76792. doi: 10.2196/76792.
Smoking after a cancer diagnosis has significant health consequences, and there are substantial benefits if cancer survivors cease smoking. However, there are few smoking cessation interventions for cancer survivors that have been effective, and they are highly resource intensive. Thus, novel low resource cessation interventions are needed. One such intervention modality that has not been tested among cancer survivors is using pre-recorded videos to deliver information about skills and resources to achieve smoking cessation.
This study aimed to assess barriers to smoking cessation, interest in a video-based smoking cessation intervention, and video content preferences (eg, topic, video length, age and gender of video presenter, presenter type [peer, medical professional]) among individuals with cancer who smoke cigarettes.
Participants were recruited from a cancer center in the southeast United States that houses an opt-out tobacco treatment program in which tobacco treatment specialists proactively call all patients who have a current smoking status in their medical record. Patients were informed about the study, and their contact information was sent to the study team. Verbal consent was obtained from individuals who were cancer survivors, who were currently smoking, and who agreed to participate; semi-structured qualitative interviews were conducted (n=10). Participants were asked questions about smoking history, previous quit attempts, barriers to quitting smoking, previous experience with and openness to watching videos about quitting smoking, and participant preferences related to video content and presentation. Interviews were transcribed and coded by two reviewers, and a codebook was developed. A thematic analysis was then conducted.
Results indicated that all participants had previously tried to quit smoking, but other substance use (5/10; 50%), negative affect (eg, depression [4/10; 40%], anxiety [1/10; 10%], stress [2/10; 20%], and loneliness [1/10; 10%]), the social environment (eg, being around others who smoke [2/10; 20%] and risky social situations [2/10; 20%]), and habits surrounding smoking were significant barriers for cessation. All participants were open to watching smoking cessation videos and expressed a desire to see a peer with lived experience in the videos. Most (8/10; 80%) participants did not have preferences related to the age or gender of video presenters. Many participants had difficulty articulating content preferences for the videos.
Cancer survivors who smoke may not be aware of their knowledge gaps related to smoking cessation, and videos may be an acceptable way to provide evidence-based information to fill knowledge gaps.
癌症诊断后吸烟会产生重大的健康后果，如果癌症幸存者戒烟则会带来诸多益处。然而，针对癌症幸存者的有效戒烟干预措施很少，而且资源消耗巨大。因此，需要新颖的低资源戒烟干预措施。一种尚未在癌症幸存者中进行测试的干预方式是使用预先录制的视频来提供有关戒烟技能和资源的信息。
本研究旨在评估吸烟的癌症患者戒烟的障碍、对基于视频的戒烟干预的兴趣以及视频内容偏好（例如主题、视频长度、视频主持人的年龄和性别、主持人类型[同伴、医学专业人员]）。
参与者从美国东南部的一家癌症中心招募，该中心设有一个退出式烟草治疗项目，烟草治疗专家会主动致电病历中有当前吸烟状态的所有患者。向患者介绍了该研究，并将他们的联系信息发送给研究团队。获得了癌症幸存者、当前吸烟且同意参与的个体的口头同意；进行了半结构化定性访谈（n = 10）。询问参与者有关吸烟史、以前的戒烟尝试、戒烟障碍、以前观看戒烟视频的经历和接受程度，以及与视频内容和呈现相关的参与者偏好。访谈由两名评审员转录和编码，并制定了编码手册。然后进行了主题分析。
结果表明，所有参与者以前都曾尝试戒烟，但其他物质使用（5/10；50%）、负面影响（例如抑郁[4/10；40%]、焦虑[1/10；10%]、压力[2/10；20%]和孤独[1/10；10%]）、社会环境（例如周围有吸烟的人[2/10；20%]和危险的社交场合[2/10；20%]）以及吸烟相关习惯是戒烟的重大障碍。所有参与者都愿意观看戒烟视频，并表示希望在视频中看到有实际经历的同伴。大多数（8/10；80%）参与者对视频主持人的年龄或性别没有偏好。许多参与者难以阐明对视频内容的偏好。
吸烟的癌症幸存者可能没有意识到他们在戒烟方面的知识差距，而视频可能是提供循证信息以填补知识差距的可接受方式。
