Cancer patients' interest and preferences for an inpatient smoking cessation program (SCP).
Notice bibliographique
Résumé
10090 Background: Smoking cessation is becoming an integral part of cancer survivorship care. We assessed cancer patients’ interest and preferences in the design of a SCP. Methods: Cancer patients from all subtypes were cross-sectionally surveyed. Multivariable logistic regression analyses identified factors associated with patient interest and preferences. Thematic qualitative analyses supplemented survey data. Results: Of 985 cancer patients, 23% smoked in the year prior to diagnosis (“current smokers”), of whom 56% quit afterwards; 55% had tobacco related cancers. Among current smokers, 35% of patients were interested in an ambulatory SCP; while 51% were interested in an inpatient SCP (ISCP). Multivariable analysis revealed that higher income (aOR = 3.22 95%CI [1.47-7.14]) and receiving palliative treatment (aOR = 2.90 [1.14-7.38]) were associated with interest in an ISCP. Perceiving that smoking was harmful to quality of life, survival and fatigue were each associated with a greater belief that SCPs are beneficial (aORs = 3.39-4.75, P< 0.001). Believing that a SCP was beneficial to patients (51%) (aOR = 4.65 [2.15-10.03]) or that a SCP should be routine cancer care (64%) (aOR = 4.22 [1.90-9.39]) were each associated with preference for joining an ISCP. Major reasons for lack of interest in joining an ISCP include having just quit prior to diagnosis (26%) and wanting to quit alone (23%). Only 65% of patients interested in ISCPs wished to discuss it at their first oncology visit. Feeling overwhelmed (50%) and wanting to control discussion about smoking cessation (31%) were the major barriers to discussing at first visit. Interestingly, neither level of patient knowledge nor perceptions of smoking on outcomes were associated with interest in ISCP. Significantly fewer patients wanted phone (24%) or WebApp (15%) counselling. Conclusions: ISCPs were favored by cancer patients smoking at diagnosis. Believing in a benefit of a SCP was a more important factor in wanting to join an ISCP than knowledge and perception of the effects of smoking on cancer outcomes. Initial cancer care discussions with patients should highlight the effectiveness of SCPs. ISCPs should be explored as options for cancer patients being admitted for any reason.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».