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BMC Health Services Research

, 14:636

Organization, structure and delivery of healthcare

Abstract

BackgroundThe government has recognised the role of healthcare professionals in smoking cessation interventions with integrated care pathways for identification and referral of at-risk patients who smoke. Referral for suspected cancers has been suggested as a ‘teachable moment’, whereby individuals are motivated and more likely to adopt risk-reducing behaviours. A head and neck cancer referral clinic could therefore provide opportunities for smoking cessation intervention.

This study aims to pilot a brief smoking cessation intervention during a consultation visit for patients referred with suspected head and neck cancer and evaluate its acceptability and impact.

MethodsA brief script for smoking cessation intervention which included a smoking cessation referral was designed to be delivered to patients attending a rapid access clinic. Patient outcome data was collected by the stop smoking team for patients who accepted the referral. A subset of these patients was also interviewed by telephone; these findings were combined with data provided by the stop smoking services to assess the acceptability and impact of pilot smoking cessation intervention on patients.

ResultsIn total, 473 new patients attended the clinic during the study period, of whom 102 22% were smokers. Of these, 80 78% accepted a referral to stop smoking services. A total of 75 74% patients were approached subsequently in a telephone survey. Of the 80 newly referred patients, 29 36% quit smoking at least temporarily. Another eight patients reduced their smoking or set a quit date 10%, so the experience of attending the clinic and the intervention impacted favourably on almost half of the patients 46%. The patient survey found the intervention to be acceptable for 94% n = 50 of patients. Qualitative analysis of patient responses revealed five elements which support the acceptability of the intervention.

ConclusionsThe findings of this pilot study suggest that discussion of smoking cessation with patients referred for suspected head and neck cancer may have an impact and facilitate the process towards quitting. A possible diagnosis of cancer appears to present a ‘teachable moment’ to encourage positive health behaviour change.

KeywordsSmoking cessation Stop smoking Head and neck cancer Oral cancer Prevention Electronic supplementary materialThe online version of this article doi:10.1186-s12913-014-0636-8 contains supplementary material, which is available to authorized users.

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Author: Ming Wei Tang - Richard Oakley - Catherine Dale - Arnie Purushotham - Henrik Møller - Jennifer Elizabeth Gallagher

Source: https://link.springer.com/







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