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Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program

BACKGROUND: We designed a process to increase tobacco cessation in an academic center and its widely distributed network community sites using clinical champions to overcome referral barriers. METHODS: In 2020 a needs assessment was performed across the City of Hope Medical Center and its 32 communi...

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Autores principales: Presant, Cary A., Ashing, Kimlin, Yeung, Sophia, Macalintal, Jonjon, Tiep, Brian, Sandoval, Argelia, Brown, Susan, Cianfrocca, Mary, Erhunmwunsee, Loretta, Raz, Dan, Amini, Arya, Salgia, Ravi, Fu, Paul, Merla, Amartej, Graves, Heather, Pathak, Ranjan, Dingal, Shaira, Tan, Tingting, Tarkeshian, Kelley, Nikolaenko, Liana, Burns, Kathleen, Sampath, Sagus, Laksana, Beverly, Gascon, Brenda, Tainatongo-Landin, Desirae, Degoma, Veronica, Subbiah, Shanmuga, Rai, Ramnik, Rosen, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9555700/
https://www.ncbi.nlm.nih.gov/pubmed/36224501
http://dx.doi.org/10.1007/s10552-022-01619-1
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author Presant, Cary A.
Ashing, Kimlin
Yeung, Sophia
Macalintal, Jonjon
Tiep, Brian
Sandoval, Argelia
Brown, Susan
Cianfrocca, Mary
Erhunmwunsee, Loretta
Raz, Dan
Amini, Arya
Salgia, Ravi
Fu, Paul
Merla, Amartej
Graves, Heather
Pathak, Ranjan
Dingal, Shaira
Tan, Tingting
Tarkeshian, Kelley
Nikolaenko, Liana
Burns, Kathleen
Sampath, Sagus
Laksana, Beverly
Gascon, Brenda
Tainatongo-Landin, Desirae
Degoma, Veronica
Subbiah, Shanmuga
Rai, Ramnik
Rosen, Steven
author_facet Presant, Cary A.
Ashing, Kimlin
Yeung, Sophia
Macalintal, Jonjon
Tiep, Brian
Sandoval, Argelia
Brown, Susan
Cianfrocca, Mary
Erhunmwunsee, Loretta
Raz, Dan
Amini, Arya
Salgia, Ravi
Fu, Paul
Merla, Amartej
Graves, Heather
Pathak, Ranjan
Dingal, Shaira
Tan, Tingting
Tarkeshian, Kelley
Nikolaenko, Liana
Burns, Kathleen
Sampath, Sagus
Laksana, Beverly
Gascon, Brenda
Tainatongo-Landin, Desirae
Degoma, Veronica
Subbiah, Shanmuga
Rai, Ramnik
Rosen, Steven
author_sort Presant, Cary A.
collection PubMed
description BACKGROUND: We designed a process to increase tobacco cessation in an academic center and its widely distributed network community sites using clinical champions to overcome referral barriers. METHODS: In 2020 a needs assessment was performed across the City of Hope Medical Center and its 32 community treatment sites. We reviewed information science strategies to choose elements for our expanded tobacco control plan, focusing on distributed leadership with tobacco cessation champions. We analyzed smoking patterns in patients with cancer before and following program implementation. We evaluated the champion experience and measured tobacco abstinence after 6 months of follow-up. RESULTS: Cancer center leadership committed to expanding tobacco control. Funding was obtained through a Cancer Center Cessation Initiative (C3I) grant. Multi-disciplinary leaders developed a comprehensive plan. Disease-focused clinics and community sites named cessation champions (a clinician and nurse) supported by certified tobacco treatment specialists. Patient, staff, clinician, and champion training/education were developed. Roles and responsibilities of the champions were defined. Implementation in pilot sites showed increased tobacco assessment from 80.8 to 96.6%, increased tobacco cessation referral by 367%, and moderate smoking abstinence in both academic (27.2%) and community sites (22.5%). 73% of champions had positive attitudes toward the program. CONCLUSION: An efficient process to expand smoking cessation in the City of Hope network was developed using implementation science strategies and cessation champions. This well-detailed implementation process may be helpful to other cancer centers, particularly those with a tertiary care cancer center and community network.
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spelling pubmed-95557002022-10-13 Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program Presant, Cary A. Ashing, Kimlin Yeung, Sophia Macalintal, Jonjon Tiep, Brian Sandoval, Argelia Brown, Susan Cianfrocca, Mary Erhunmwunsee, Loretta Raz, Dan Amini, Arya Salgia, Ravi Fu, Paul Merla, Amartej Graves, Heather Pathak, Ranjan Dingal, Shaira Tan, Tingting Tarkeshian, Kelley Nikolaenko, Liana Burns, Kathleen Sampath, Sagus Laksana, Beverly Gascon, Brenda Tainatongo-Landin, Desirae Degoma, Veronica Subbiah, Shanmuga Rai, Ramnik Rosen, Steven Cancer Causes Control Original Paper BACKGROUND: We designed a process to increase tobacco cessation in an academic center and its widely distributed network community sites using clinical champions to overcome referral barriers. METHODS: In 2020 a needs assessment was performed across the City of Hope Medical Center and its 32 community treatment sites. We reviewed information science strategies to choose elements for our expanded tobacco control plan, focusing on distributed leadership with tobacco cessation champions. We analyzed smoking patterns in patients with cancer before and following program implementation. We evaluated the champion experience and measured tobacco abstinence after 6 months of follow-up. RESULTS: Cancer center leadership committed to expanding tobacco control. Funding was obtained through a Cancer Center Cessation Initiative (C3I) grant. Multi-disciplinary leaders developed a comprehensive plan. Disease-focused clinics and community sites named cessation champions (a clinician and nurse) supported by certified tobacco treatment specialists. Patient, staff, clinician, and champion training/education were developed. Roles and responsibilities of the champions were defined. Implementation in pilot sites showed increased tobacco assessment from 80.8 to 96.6%, increased tobacco cessation referral by 367%, and moderate smoking abstinence in both academic (27.2%) and community sites (22.5%). 73% of champions had positive attitudes toward the program. CONCLUSION: An efficient process to expand smoking cessation in the City of Hope network was developed using implementation science strategies and cessation champions. This well-detailed implementation process may be helpful to other cancer centers, particularly those with a tertiary care cancer center and community network. Springer International Publishing 2022-10-12 2023 /pmc/articles/PMC9555700/ /pubmed/36224501 http://dx.doi.org/10.1007/s10552-022-01619-1 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Presant, Cary A.
Ashing, Kimlin
Yeung, Sophia
Macalintal, Jonjon
Tiep, Brian
Sandoval, Argelia
Brown, Susan
Cianfrocca, Mary
Erhunmwunsee, Loretta
Raz, Dan
Amini, Arya
Salgia, Ravi
Fu, Paul
Merla, Amartej
Graves, Heather
Pathak, Ranjan
Dingal, Shaira
Tan, Tingting
Tarkeshian, Kelley
Nikolaenko, Liana
Burns, Kathleen
Sampath, Sagus
Laksana, Beverly
Gascon, Brenda
Tainatongo-Landin, Desirae
Degoma, Veronica
Subbiah, Shanmuga
Rai, Ramnik
Rosen, Steven
Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title_full Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title_fullStr Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title_full_unstemmed Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title_short Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
title_sort increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9555700/
https://www.ncbi.nlm.nih.gov/pubmed/36224501
http://dx.doi.org/10.1007/s10552-022-01619-1
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