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Randomized Controlled Trial
. 2014 Jul;33(7):737-47.
doi: 10.1037/a0033186. Epub 2013 Jul 29.

Randomized trial of a presurgical scheduled reduced smoking intervention for patients newly diagnosed with cancer

Jamie S Ostroff  1 , Jack E Burkhalter  1 , Paul M Cinciripini  2 , Yuelin Li  1 , Mariya P Shiyko  1 , Cho Y Lam  3 , Jennifer L Hay  1 , Lara K Dhingra  1 , Jennifer Lord-Bessen  1 , Susan M Holland  1 , Ruth Manna  1
Affiliations
Randomized Controlled Trial

Randomized trial of a presurgical scheduled reduced smoking intervention for patients newly diagnosed with cancer

Jamie S Ostroff et al. Health Psychol. 2014 Jul.

Abstract

Objective: Cancer patients who smoke are advised to quit smoking to reduce treatment complications and future cancer risk. This study's main objective was to evaluate the efficacy of a novel, presurgical cessation intervention in newly diagnosed cancer patients scheduled for surgical hospitalization.

Method: We conducted a parallel-arm, randomized controlled trial comparing the efficacy of our hospital-based, tobacco cessation "best practices" treatment model (BP; cessation counseling and nicotine replacement therapy) with BP enhanced by a behavioral tapering regimen (scheduled reduced smoking; BP + SRS) administered by a handheld computer before hospitalization for surgery. Cessation outcomes were short (hospital admission and 3 months) and longer-term (6 months) biochemically verified smoking abstinence. We hypothesized that BP + SRS would be superior to BP alone. One hundred eighty-five smokers were enrolled.

Results: Overall, 7-day-point prevalence, confirmed abstinence rates at 6 months for BP alone (32%) and BP + SRS (32%) were high; however, no main effect of treatment was observed. Patients who were older and diagnosed with lung cancer were more likely to quit smoking.

Conclusion: Compared to best practices for treating tobacco dependence, a presurgical, scheduled reduced smoking intervention did not improve abstinence rates among newly diagnosed cancer patients.reserved).

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Figures

Figure 1
Figure 1. CONSORT flow diagram of the BP vs BP+SRS intervention for cancer patients scheduled for hospitalization for cancer surgery
See this image and copyright information in PMC

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