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Considerations for a head and neck smoking cessation support programme ; a qualitative study of the challenges in quitting smoking after treatment for head and neck cancer
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Abdelrahim, Ameera, Balmer, Claire E., Jones, June, Mehanna, Hisham M. and Dunn, Janet A. (2018) Considerations for a head and neck smoking cessation support programme ; a qualitative study of the challenges in quitting smoking after treatment for head and neck cancer. European Journal of Oncology Nursing, 35 . pp. 54-61. doi:10.1016/j.ejon.2018.05.003
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Official URL: http://dx.doi.org/10.1016/j.ejon.2018.05.003
Abstract
Smoking is a major cause of head and neck squamous cell carcinoma (HNSCC), yet many patients who receive a diagnosis continue to smoke. This has an adverse effect on treatment and recovery, and leads to increased risks of recurrence and second cancers. There is evidence that stopping smoking after diagnosis can lead to better outcomes and reversal of risks. However, there is limited evidence for effective smoking cessation interventions in this population, and little about patient opinions regarding quitting smoking and support provided by healthcare professionals.
Methods
This qualitative study was conducted as part of a larger project with the objective of developing a smoking cessation support programme. Eleven patients who had completed head and neck cancer (HNC) treatment were interviewed about smoking and quitting attempts. Interviews were semi-structured and took place face-to-face or over the phone.
Results
Participants gave detailed accounts of their smoking journey. Thematic analysis of the data led to the identification of 2 overarching themes and four interlinking themes. Themes describe the 'guilty habit' of smoking, perceived 'barriers to quit’, the 'teachable moment' of a diagnosis and the contrary 'social motivation' to both smoke and quit.
Conclusions
The results of this study highlight some missed needs for this group and major gaps in the support that is available. It is intended that the results will be used to develop a support programme for quitting smoking long term in a way that is useful and relevant to this complex population.
| Item Type: | Journal Article | ||||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Head -- Cancer -- Treatment, Neck -- Cancer -- Treatment, Smoking cessation , Cigarette smokers -- Rehabilitation , Cancer -- Patients -- Rehabilitation | ||||||||||
| Journal or Publication Title: | European Journal of Oncology Nursing | ||||||||||
| Publisher: | Elsevier | ||||||||||
| ISSN: | 1462-3889 | ||||||||||
| Official Date: | August 2018 | ||||||||||
| Dates: |
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| Volume: | 35 | ||||||||||
| Page Range: | pp. 54-61 | ||||||||||
| DOI: | 10.1016/j.ejon.2018.05.003 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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