Abstract A095: Enhancing minority patient participation in tobacco cessation by a personal pathway to success program
Authors: Presant Cary A. , Ashing Kimlin , Yeung Sophia , Macalintal Jonjon , Gascon Brenda , Sandoval Argiela , Cianfrocca Mary , Salgia Ravi , Raz Dan , Erhunmwunsee Loretta , Fong Yuman , Rosen Steven 
Published: January 2023

Abstract
Background: Minority cancer patients (pts) who use tobacco often decline tobacco cessation programs due to variable personal barriers and priorities. We developed a Personal Pathway to Success (PPS) program to overcome barriers and improve patient (pt) engagement. PPS allowed pts to choose cessation components they were willing to initially use. Methods: City of Hope (COH) tobacco cessation program developed a comprehensive list of evidence-based cessation services. Pts completed tobacco use and a Lifestress Scale assessing societal determinants of distress. PPS was then tailored and offered to pts to create their iquit strategy. Pts could add or delete components at any time as engaged partners in cessation care. Pts were evaluated by demographic group. Since tobacco use is associated with adverse surgical outcomes, we tested the PPS program in the preoperative anesthesia testing clinic (PATC). Results were compared by Chi square statistics. Study data collection was 9/2021 to 2/2022. Results: The components of PPS were individual cessation counseling, individual motivational counseling, nicotine replacement and cessation medications, signed personal commitment agreement, English and Spanish cessation support groups, choosing a buddy partner (family, friends or support group), lung cancer screening, letter to primary care physicians requesting assistance for non-responding pts, SmokeFree Text support, Kick It California or Asian Smokers' Quitline support, rapid action plan for relapses, 5Ds cessation and 7 self-care skills, COH relaxation and/or hypnosis videos, guidance for cinnamon stick/bubble blowing, stress management and smoking cessation apps, Tobacco Cessation as Recovery Enhancement video and audios, educational brochures, advice on vaping, assistance with internet and digital devices, family education and support, and psycho-social or substance abuse referrals. Current results are based on the initial 53 evaluable pts. 100% viewed the educational video. Only 7 pts (13%) were passive-refusal despite 3 attempts and were referred back to their attending physician for added cessation referral. 26 patients (49%) agreed to cessation counseling. Of these 88% completed the counseling. 36% of pts were minority (47% were Latinx, 21% Black/African American, and 32% Asians). All minority pts had motivational counseling. 67% of Latinx and 75% of Black pts also had cessation counseling. Abstinence was achieved by 58% of minority pts, but only 24% of Caucasian pts (p=0.015). Abstinence was achieved by 50% of pts accepting cessation counseling, and even 35% of pts who received only video and brochure education (p=0.28). Overall program metrics showed cessation counseling was increased from 8.7% pre-PPS to 49% with PPS (p&lt;.001). Conclusions: PPS activated pts to accept tobacco cessation. Findings suggest that minority pts were more successful in abstinence compared to Caucasian pts. Offering culturally responsive cessation pre-operatively may be an opportune time (teachable moment) for cessation success, especially among ethnic minority pts.
Citation Format: Cary A. Presant, Kimlin Ashing, Sophia Yeung, Jonjon Macalintal, Brenda Gascon, Argiela Sandoval, Mary Cianfrocca, Ravi Salgia, Dan Raz, Loretta Erhunmwunsee, Yuman Fong, Steven Rosen. Enhancing minority patient participation in tobacco cessation by a personal pathway to success program [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr A095.