Barriers and facilitators to smoking cessation in a cancer context: A qualitative study of patient, family and professional views

Mary Wells; Patricia Aitchison; Fiona Harris; Gozde Ozakinci; Andrew Radley; Linda Bauld; Vikki Entwistle; Alastair Munro; Sally Haw; Bill Culbard; Brian Williams

doi:10.1186/s12885-017-3344-z

Barriers and facilitators to smoking cessation in a cancer context: A qualitative study of patient, family and professional views

Mary Wells (Lead / Corresponding author), Patricia Aitchison, Fiona Harris, Gozde Ozakinci, Andrew Radley, Linda Bauld, Vikki Entwistle, Alastair Munro, Sally Haw, Bill Culbard, Brian Williams

Research output: Contribution to journal › Article › peer-review

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Abstract

Background: Continued smoking after cancer adversely affects quality of life and survival, but one fifth of cancer survivors still smoke. Despite its demands, cancer presents an opportunity for positive behaviour change. Smoking often occurs in social groups, therefore interventions which target families and individuals may be more successful. This qualitative study explored patients, family members and health professionals' views and experiences of smoking and smoking cessation after cancer, in order to inform future interventions.

Methods: In-depth qualitative interviews (n = 67) with 29 patients, 14 family members and 24 health professionals. Data were analysed using the 'Framework' method.

Results: Few patients and family members had used National Health Service (NHS) smoking cessation services and more than half still smoked. Most recalled little 'smoking-related' discussion with clinicians but were receptive to talking openly. Clinicians revealed several barriers to discussion. Participants' continued smoking was explained by the stress of diagnosis; desire to maintain personal control; and lack of connection between smoking, cancer and health.

Conclusions: A range of barriers to smoking cessation exist for patients and family members. These are insufficiently assessed and considered by clinicians. Interventions must be more effectively integrated into routine practice.

Original language	English
Article number	348
Pages (from-to)	1-15
Number of pages	15
Journal	BMC Cancer
Volume	17
DOIs	https://doi.org/10.1186/s12885-017-3344-z
Publication status	Published - 19 May 2017

Keywords

Journal article
Smoking cessation
Patients
Health professionals
Family members
Cancer
Qualitative research

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12885-017-3344-zLicence: CC BY

Final Published Version
© The Author(s). 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Final published version, 507 KBLicence: CC BY

Cancer Diagnosis as an Opportunity for Increasing Uptake of Smoking Cessation Services Among Families: an Exploratory Study of Patients', Family Members' and Health Professionals' Views (joint with Universities of Stirling, St Andrews and Aberdeen)
Entwistle, V. (Investigator), Munro, A. (Investigator) & Wells, M. (Investigator)
1/10/12 → 31/03/15
Project: Research

Cite this

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title = "Barriers and facilitators to smoking cessation in a cancer context: A qualitative study of patient, family and professional views",

abstract = "Background: Continued smoking after cancer adversely affects quality of life and survival, but one fifth of cancer survivors still smoke. Despite its demands, cancer presents an opportunity for positive behaviour change. Smoking often occurs in social groups, therefore interventions which target families and individuals may be more successful. This qualitative study explored patients, family members and health professionals' views and experiences of smoking and smoking cessation after cancer, in order to inform future interventions.Methods: In-depth qualitative interviews (n = 67) with 29 patients, 14 family members and 24 health professionals. Data were analysed using the 'Framework' method.Results: Few patients and family members had used National Health Service (NHS) smoking cessation services and more than half still smoked. Most recalled little 'smoking-related' discussion with clinicians but were receptive to talking openly. Clinicians revealed several barriers to discussion. Participants' continued smoking was explained by the stress of diagnosis; desire to maintain personal control; and lack of connection between smoking, cancer and health.Conclusions: A range of barriers to smoking cessation exist for patients and family members. These are insufficiently assessed and considered by clinicians. Interventions must be more effectively integrated into routine practice.",

keywords = "Journal article, Smoking cessation , Patients , Health professionals , Family members , Cancer , Qualitative research",

author = "Mary Wells and Patricia Aitchison and Fiona Harris and Gozde Ozakinci and Andrew Radley and Linda Bauld and Vikki Entwistle and Alastair Munro and Sally Haw and Bill Culbard and Brian Williams",

note = "This study was funded by the Chief Scientist Office, Scotland CZH/4/807.",

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month = may,

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doi = "10.1186/s12885-017-3344-z",

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T1 - Barriers and facilitators to smoking cessation in a cancer context

T2 - A qualitative study of patient, family and professional views

AU - Wells, Mary

AU - Aitchison, Patricia

AU - Harris, Fiona

AU - Ozakinci, Gozde

AU - Radley, Andrew

AU - Bauld, Linda

AU - Entwistle, Vikki

AU - Munro, Alastair

AU - Haw, Sally

AU - Culbard, Bill

AU - Williams, Brian

N1 - This study was funded by the Chief Scientist Office, Scotland CZH/4/807.

PY - 2017/5/19

Y1 - 2017/5/19

N2 - Background: Continued smoking after cancer adversely affects quality of life and survival, but one fifth of cancer survivors still smoke. Despite its demands, cancer presents an opportunity for positive behaviour change. Smoking often occurs in social groups, therefore interventions which target families and individuals may be more successful. This qualitative study explored patients, family members and health professionals' views and experiences of smoking and smoking cessation after cancer, in order to inform future interventions.Methods: In-depth qualitative interviews (n = 67) with 29 patients, 14 family members and 24 health professionals. Data were analysed using the 'Framework' method.Results: Few patients and family members had used National Health Service (NHS) smoking cessation services and more than half still smoked. Most recalled little 'smoking-related' discussion with clinicians but were receptive to talking openly. Clinicians revealed several barriers to discussion. Participants' continued smoking was explained by the stress of diagnosis; desire to maintain personal control; and lack of connection between smoking, cancer and health.Conclusions: A range of barriers to smoking cessation exist for patients and family members. These are insufficiently assessed and considered by clinicians. Interventions must be more effectively integrated into routine practice.

AB - Background: Continued smoking after cancer adversely affects quality of life and survival, but one fifth of cancer survivors still smoke. Despite its demands, cancer presents an opportunity for positive behaviour change. Smoking often occurs in social groups, therefore interventions which target families and individuals may be more successful. This qualitative study explored patients, family members and health professionals' views and experiences of smoking and smoking cessation after cancer, in order to inform future interventions.Methods: In-depth qualitative interviews (n = 67) with 29 patients, 14 family members and 24 health professionals. Data were analysed using the 'Framework' method.Results: Few patients and family members had used National Health Service (NHS) smoking cessation services and more than half still smoked. Most recalled little 'smoking-related' discussion with clinicians but were receptive to talking openly. Clinicians revealed several barriers to discussion. Participants' continued smoking was explained by the stress of diagnosis; desire to maintain personal control; and lack of connection between smoking, cancer and health.Conclusions: A range of barriers to smoking cessation exist for patients and family members. These are insufficiently assessed and considered by clinicians. Interventions must be more effectively integrated into routine practice.

KW - Journal article

KW - Smoking cessation

KW - Patients

KW - Health professionals

KW - Family members

KW - Cancer

KW - Qualitative research

U2 - 10.1186/s12885-017-3344-z

DO - 10.1186/s12885-017-3344-z

M3 - Article

C2 - 28526000

SN - 1471-2407

VL - 17

SP - 1

EP - 15

JO - BMC Cancer

JF - BMC Cancer

M1 - 348

ER -

Barriers and facilitators to smoking cessation in a cancer context: A qualitative study of patient, family and professional views

Abstract

Keywords

UN SDGs

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Projects

Cancer Diagnosis as an Opportunity for Increasing Uptake of Smoking Cessation Services Among Families: an Exploratory Study of Patients', Family Members' and Health Professionals' Views (joint with Universities of Stirling, St Andrews and Aberdeen)

Cite this