Abstract LB142: Implementation and efficacy of a novel multimedia tobacco cessation video to enhance cancer treatment
Authors: Yeung Sophia , Gascon Brenda , Presant Cary , Macalintal Jonjon , Stewart Alexis , Sandoval Argelia , Ashing Kimlin T. 
Published: April 2024

Background: Tobacco use is a major risk factor in cancer care. Tobacco cessation improves health outcomes. However, the specific efficacy of a targeted multimedia tobacco cessation video on cancer treatment is underexplored.

Objective:This study assessed the acceptability and effectiveness of a novel tailored multimedia tobacco cessation video in facilitating cancer treatment among individuals undergoing cancer surgery.

Method: A novel multimedia tobacco cessation video was developed. An implementation study was conducted with cancer patients (n=48) undergoing surgical treatment. Participants viewed the tobacco cessation video preoperatively. Outcome measures included knowledge of tobacco use and tobacco cessation, motivational and confidence levels to take steps towards living a tobacco-free life, self-reported demographic information and tobacco use rates.

Results: Among all the participants, 45.8% were everyday tobacco users and 20.8% were some day users. 37.5% were living or working with a person who uses tobacco. Self-reported race/ethnicity included 56% European-American/white, Asian/Pacific Islander 8%, Blacks 6.3%, and 16.7% chose not to answer or other. Among all, 23% are Hispanic, and 71% are non-Hispanics. Educational attainment included 8% less than high school, 25% completed high school, 35% some college or associate degree, 23% a bachelor's or higher degree, and 8% chose not to answer. The reported annual incomes were: 14.6% less than $20,000, 10.4% $20,000 to $34,999, 4% $35,000 to $49,999, 12.5% $50,000 to $74,999, 2% $75,000 to $99,999, and 46% chose not to answer. Patient evaluation showed adequate knowledge (Strongly agree 51.1%, Agree 36.2%), motivation to take steps towards tobacco cessation (Strongly agree 50%, Agree 38.1%), and confidence to achieve tobacco cessation (Strongly agree 57.7%, Agree 36.6%). Importantly, 29.2% of patients reported tobacco abstinence (not using tobacco) after watching the video.

Conclusion: Pilot analyses of the tobacco cessation video intervention demonstrated high feasibility with adoption and implementation preoperatively. The video promoted tobacco cessation and influenced positive changes in health behaviors preoperatively. The findings suggest the inclusion of multimedia approaches as valuable tools in addressing tobacco control preoperatively. For future steps, we will collaborate with healthcare providers to integrate and disseminate the tobacco cessation video into other cancer treatment venues. A randomized study with longitudinal follow-up assessment will be implemented to assess the sustainability of tobacco cessation and the persistence of tobacco cessation practices among participants.

Citation Format: Sophia Yeung, Brenda Gascon, Cary Presant, Jonjon Macalintal, Alexis Stewart, Argelia Sandoval, Kimlin T. Ashing. Implementation and efficacy of a novel multimedia tobacco cessation video to enhance cancer treatment [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 2 (Late-Breaking, Clinical Trial, and Invited Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(7_Suppl):Abstract nr LB142.