Evidence-Based Tobacco Cessation Strategies in Patients With Cancer

Study Overview
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Brief Summary
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This pilot clinical trial studies evidence-based tobacco cessation strategies in patients with cancer. Stop-smoking plans suggested by doctors may help patients with cancer quit smoking.

Detailed Description
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PRIMARY OBJECTIVES: I. To assess oncology providers' self-reported need for training on evidence-based tobacco cessation strategies and assess their level of interest in future training on evidence-based tobacco cessation strategies. II. To test the feasibility of the implementation of evidence-based tobacco cessation strategies in community oncology clinics. III. To test the feasibility of surveying community oncology patients after a clinic visit to assess provider behavior regarding screening and brief intervention for tobacco use. OUTLINE: Patients complete a survey over approximately 10-15 minutes related to their provider's cessation advice and assistance with quitting. After completion of study, patients are followed up at 1 month.

Official Title
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Implementing Evidence-Based Tobacco Cessation Strategies in Oncology Clinics

Conditions
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Malignant Neoplasm

Intervention / Treatment
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* Behavioral: smoking cessation intervention
* Other: survey administration
* Other: questionnaire administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients with cancer who saw a provider will be eligible Exclusion Criteria: Having a nurse or lab visit only
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Health Services Research (smoking cessation intervention)<br>Participants complete a survey over approximately 10-15 minutes related to their provider's cessation advice and assistance with quitting. | Behavioral: smoking cessation intervention<br>* Receive evidence-based tobacco cessation strategies<br>Other: survey administration<br>* Ancillary studies<br>Other: questionnaire administration<br>* Ancillary studies<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of providers from the Piedmont Oncology Association (POA) reporting a need for training on evidence-based tobacco cessation strategies | Will be estimated and 95% confidence intervals (CI) constructed. | Up to 1 month | 
| Percentage reporting feeling very confident in their ability to counsel smokers | Will be estimated and 95% CI constructed. | Up to 1 month | 
| Percentage reporting they would be willing to participate in training on evidence-based tobacco cessation strategies | Will be estimated and 95% CI constructed. | Up to 1 month | 
| Proportion of oncology patients willing to complete a survey in an oncology clinic | Will be estimated and 95% CI constructed. | Up to 1 month | 
| Proportion of patients who report that their provider asked about tobacco use during their visit | These prevalences will be estimated at pre- and post-intervention, and 95% CIs calculated adjusting for the expected within-clinic correlation of patient outcomes. These outcomes will be analyzed further using a subject-specific modeling approach to account for the correlation that occurs due to patients being clustered within clinics. | Up to 1 month | 
| Proportion of current smokers who report that their provider advised them to quit during their visit and provided tobacco-cessation strategies | These prevalences will be estimated at pre- and post-intervention, and 95% CIs calculated adjusting for the expected within-clinic correlation of patient outcomes. These outcomes will be analyzed further using a subject-specific modeling approach to account for the correlation that occurs due to patients being clustered within clinics. | Up to 1 month |