Training oncology care providers in the assessment and treatment of tobacco use and dependence

• Published in: Cancer 2021-08, Vol.127 (16), p.3010-3018
• Main Authors: Ostroff, Jamie S., Bolutayo Gaffney, Kemi L., O’Brien, Maureen, deLeon‐Sanchez, Suhana T., Whitlock, C. Will, Kotsen, Chris S., Carter‐Harris, Lisa, Banerjee, Smita C., Schofield, Elizabeth
• Format: Article
• Language: English
• Subjects: Best practice; Cancer; Cigarette smoking; Drug addiction; Guidelines; Humans; Medical Oncology; Oncology; Program Evaluation; Skills; Smoking; Smoking cessation; Smoking Cessation - methods; Tobacco; tobacco treatment; Tobacco Use; Tobacco Use Disorder - diagnosis; Tobacco Use Disorder - therapy; Training; training and education; Videoconferencing
• ISSN: 0008-543X; 1097-0142
• DOI: 10.1002/cncr.33545

BACKGROUND Clinical practice guidelines for promoting smoking cessation in cancer care exist; however, most oncology settings have not established tobacco use assessment and treatment as standard care. Inadequate staff training and other implementation challenges have been identified as barriers for delivery of evidence‐based tobacco treatment. Providing training in tobacco treatment tailored to the unique needs of tobacco‐dependent patients with cancer is one strategy to improve adoption of best practices to promote smoking cessation in cancer care. METHODS A tobacco treatment training program for oncology care providers (tobacco treatment training‐oncology [TTT‐O]) consisting of a 2‐day didactic and experiential workshop followed by 6 monthly, collaboratory videoconference calls supporting participants in their efforts to implement National Comprehensive Cancer Network guidelines in their oncology settings was developed and implemented. This article presents preliminary results on program evaluation, changes in participants' self‐efficacy, and progress in implementing tobacco treatment. RESULTS Data have been obtained from the first 5 cohorts of TTT‐O participants (n = 110) who completed training, course evaluations, baseline and follow‐up surveys. Participants rated the training as highly favorable and reported significant gains in self‐efficacy in their ability to assess and treat tobacco dependence. Participants also demonstrated significant improvements in tobacco treatment skills and implementation of several indicators of improved adoption of best practices for tobacco treatment in their cancer care settings. CONCLUSIONS Implementation of tobacco treatment training for cancer care providers is feasible, acceptable, and can have a significant positive impact on participants' tobacco treatment skills, self‐efficacy, and greater adoption of tobacco treatment delivery in cancer care. Inadequate training is widely acknowledged as a key barrier for implementation of tobacco use assessment and treatment in cancer care. These program evaluation findings demonstrate that tobacco treatment training for cancer care providers is feasible, is acceptable, and can improve tobacco treatment skills, self‐efficacy, and greater adoption of tobacco treatment delivery in cancer care.