Background: Despite smoking cessation can largely improve cancer prognosis and quality of life, many patients continued smoking after the diagnosis of cancer. This study aims to test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking, and to improve their health related quality of life. Methods: A cluster randomized controlled trial will be employed. Cancer patients who continued smoking after the diagnosis of cancer and have medical follow-up at the out-patient clinics of the five acute hospitals in Hong Kong will be invited to participate. Subjects in the experimental group will receive (1) health warnings of smoking based on a special designed leaflet; and (2) a patient-centred counseling from nurse counselors with emphasis on risk perceptions of smoking to cancer prognosis. Additionally, they will receive two more telephone counseling at 1-week and 1-month. Control group receive standard care and a generic self-help smoking cessation booklet. Outcomes measure include (a) self-reported and the biochemically validated quit rate, (b) patient's smoking reduction by at least 50 % compared to baseline, (c) quit attempt(s), (d) change in the intention to quit, (e) change in risk perceptions of smoking, and (f) change in health related quality of life. Discussion: This study will make an important contribution to evidence-based practice by testing the effectiveness of a tailored smoking cessation intervention for cancer patients. The results will support the development of clinical practice guidelines to promote smoking cessation in cancer patients to improve their prognosis and quality of life.
机构:
Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Univ Washington, Dept Psychol, Seattle, WA USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Bricker, Jonathan B.
Westmaas, Johann Lee
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Amer Canc Soc, Atlanta, GA USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Westmaas, Johann Lee
Ostroff, Jamie S.
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Mem Sloan Kettering, Dept Psychiat & Behav Sci, New York, NY USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Ostroff, Jamie S.
Mull, Kristin E.
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Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Mull, Kristin E.
Sullivan, Brianna M.
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Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Sullivan, Brianna M.
Santiago-Torres, Margarita
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Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
Fred Hutchinson Canc Ctr, Canc Prevent Program, Div Publ Hlth Sci, 1100 Fairview Ave North, Seattle, WA 98109 USAFred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA
机构:
Univ Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R ChinaUniv Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R China
Chan, Sophia S. C.
Leung, Gabriel M.
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Univ Hong Kong, Dept Community Med, Hong Kong, Hong Kong, Peoples R China
Univ Hong Kong, Sch Publ Hlth, Hong Kong, Hong Kong, Peoples R ChinaUniv Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R China
Leung, Gabriel M.
Wong, David C. N.
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Univ Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R ChinaUniv Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R China
Wong, David C. N.
Lam, Tai-Hing
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Univ Hong Kong, Dept Community Med, Hong Kong, Hong Kong, Peoples R China
Univ Hong Kong, Sch Publ Hlth, Hong Kong, Hong Kong, Peoples R ChinaUniv Hong Kong, Dept Nursing Studies, Hong Kong, Hong Kong, Peoples R China