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Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative

Background: Delivering evidence-based tobacco dependence treatment in oncology settings improves smoking abstinence and cancer outcomes. Leadership engagement/buy-in is critical for implementation success, but few studies have defined buy-in or described how to secure buy-in for tobacco treatment pr...

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Autores principales: Hohl, Sarah D., Bird, Jennifer E., Nguyen, Claire V. T., D’Angelo, Heather, Minion, Mara, Pauk, Danielle, Adsit, Robert T., Fiore, Michael, Nolan, Margaret B., Rolland, Betsy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032473/
https://www.ncbi.nlm.nih.gov/pubmed/35448169
http://dx.doi.org/10.3390/curroncol29040195
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author Hohl, Sarah D.
Bird, Jennifer E.
Nguyen, Claire V. T.
D’Angelo, Heather
Minion, Mara
Pauk, Danielle
Adsit, Robert T.
Fiore, Michael
Nolan, Margaret B.
Rolland, Betsy
author_facet Hohl, Sarah D.
Bird, Jennifer E.
Nguyen, Claire V. T.
D’Angelo, Heather
Minion, Mara
Pauk, Danielle
Adsit, Robert T.
Fiore, Michael
Nolan, Margaret B.
Rolland, Betsy
author_sort Hohl, Sarah D.
collection PubMed
description Background: Delivering evidence-based tobacco dependence treatment in oncology settings improves smoking abstinence and cancer outcomes. Leadership engagement/buy-in is critical for implementation success, but few studies have defined buy-in or described how to secure buy-in for tobacco treatment programs (TTPs) in cancer care. This study examines buy-in during the establishment of tobacco treatment programs at National Cancer Institute (NCI)-designated cancer centers. Methods: We utilized a sequential, explanatory mixed-methods approach to analyze quantitative data and qualitative interviews with program leads in the U.S.-based NCI Moonshot-supported Cancer Center Cessation Initiative (n = 20 Centers). We calculated descriptive statistics and applied structural coding and content analysis to qualitative data. Results: At least 75% of participating centers secured health care system administrative, clinical, and IT leadership buy-in and support. Six themes emerged from interviews: engaging leadership, access to resources, leveraging federal funding support to build leadership interest, designating champions, identifying training needs, and ensuring staff roles and IT systems support workflows. Conclusions: Buy-in among staff and clinicians is defined by the belief that the TTP is necessary, valuable, and evidence based. Recognizing and securing these dimensions of buy-in can facilitate implementation success, leading to improved cancer outcomes.
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spelling pubmed-90324732022-04-23 Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative Hohl, Sarah D. Bird, Jennifer E. Nguyen, Claire V. T. D’Angelo, Heather Minion, Mara Pauk, Danielle Adsit, Robert T. Fiore, Michael Nolan, Margaret B. Rolland, Betsy Curr Oncol Article Background: Delivering evidence-based tobacco dependence treatment in oncology settings improves smoking abstinence and cancer outcomes. Leadership engagement/buy-in is critical for implementation success, but few studies have defined buy-in or described how to secure buy-in for tobacco treatment programs (TTPs) in cancer care. This study examines buy-in during the establishment of tobacco treatment programs at National Cancer Institute (NCI)-designated cancer centers. Methods: We utilized a sequential, explanatory mixed-methods approach to analyze quantitative data and qualitative interviews with program leads in the U.S.-based NCI Moonshot-supported Cancer Center Cessation Initiative (n = 20 Centers). We calculated descriptive statistics and applied structural coding and content analysis to qualitative data. Results: At least 75% of participating centers secured health care system administrative, clinical, and IT leadership buy-in and support. Six themes emerged from interviews: engaging leadership, access to resources, leveraging federal funding support to build leadership interest, designating champions, identifying training needs, and ensuring staff roles and IT systems support workflows. Conclusions: Buy-in among staff and clinicians is defined by the belief that the TTP is necessary, valuable, and evidence based. Recognizing and securing these dimensions of buy-in can facilitate implementation success, leading to improved cancer outcomes. MDPI 2022-03-29 /pmc/articles/PMC9032473/ /pubmed/35448169 http://dx.doi.org/10.3390/curroncol29040195 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hohl, Sarah D.
Bird, Jennifer E.
Nguyen, Claire V. T.
D’Angelo, Heather
Minion, Mara
Pauk, Danielle
Adsit, Robert T.
Fiore, Michael
Nolan, Margaret B.
Rolland, Betsy
Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title_full Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title_fullStr Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title_full_unstemmed Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title_short Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative
title_sort operationalizing leadership and clinician buy-in to implement evidence-based tobacco treatment programs in routine oncology care: a mixed-method study of the u.s. cancer center cessation initiative
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032473/
https://www.ncbi.nlm.nih.gov/pubmed/35448169
http://dx.doi.org/10.3390/curroncol29040195
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