Browsing by Subject "smoking cessation"

Now showing 1 - 4 of 4
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    Current Smokers’ Preferences for Receiving Cessation Information in a Lung Cancer Screening Setting
    (Springer, 2017) Carter-Harris, Lisa; Schwindt, Rhonda; Bakkoyannis, Giorgos; Ceppa, DuyKhanh Pham; School of Nursing
    The purpose of this study was to identify current smokers’ communication format preferences for receiving smoking cessation information in a lung cancer screening setting. A cross-sectional correlational design using survey methodology with 159 screening-eligible current smokers was the method used. Data was dichotomized (digital versus traditional preference) and analyzed using Pearson’s chi-squared test, Mann-Whitney U test, and logistic regression. Race was a statistically significant predictor with White participants having four times greater odds of reporting preference for a digital format for receiving smoking cessation information such as social media and/or supportive text messages (OR: 4.06; p = 0.004). Lung cancer screening is a new venue where current long-term smokers can be offered information about smoking cessation while they are engaging in a health-promoting behavior and potentially more likely to contemplate quitting. It is important to consider the communication format preference of current smokers to support cessation uptake. This study is the first to examine communication format preference of current smokers in the context of the lung cancer screening venue. Key differences noted by race support the need for further research examining multiple formats of communication with efforts to maximize options in the cancer screening setting.
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    Faculty perceptions of a tobacco cessation train-the-trainer workshop and experiences with implementation: A qualitative follow-up study
    (Elsevier, 2019) Elkhadragy, Nervana; Corelli, Robin L.; Russ, Alissa L.; Snyder, Margie; Clabaugh, Mercedes; Suchanek Hudmon, Karen; Medicine, School of Medicine
    Background Between 2003 and 2005, pharmacy faculty members (n = 191) participated in a national train-the-trainer workshop designed to equip faculty with the necessary knowledge and skills to implement a shared curriculum, Rx for Change: Clinician-Assisted Tobacco Cessation, at pharmacy schools across the United States. Objective To conduct a long-term, qualitative follow-up study of faculty participants to describe (a) perceptions of the train-the-trainer workshop, and (b) subsequent experiences with curricular implementation. Results of this investigation will inform a national survey of all train-the-trainer participants. Methods Participants were selected via random sampling from the group of 191 faculty members who participated in the workshop. Semi-structured telephone interviews with participants were audio-recorded and transcribed, and qualitative thematic analysis was conducted. Results Eighteen (62%) of 29 invited individuals participated in the interviews. All participants reported implementing components of Rx for Change at their institution. The analysis yielded eight major themes pertaining to faculty perceptions and experiences with implementation: (1) accessibility to tools for teaching, (2) increased confidence and skills, (3) flexibility delivering the curriculum, (4) factors facilitating implementation and challenges encountered by faculty, (5) enhancement in treating tobacco users in clinical practice, (6) students' confidence and cognizance of the pharmacists' role as a public health advocate, (7) networking and career development opportunities, and (8) useful background for research. Conclusion Participation in the train-the-trainer workshop increased self-reported confidence for teaching tobacco cessation, and faculty valued access to useful, updated tools for teaching. Furthermore, their newly acquired counseling skills were deemed helpful for treating patients' tobacco use and dependence in clinical practice. Participants also perceived improved pharmacy students' confidence and beneficial networking opportunities. Results can help future trainers understand faculty experiences with implementing a shared, national curriculum and inform faculty participants of some of the potential long-term outcomes as a result of participation.
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    Gender Differences: Smokers With and Without Substance Abuse History
    (Office of the Vice Chancellor for Research, 2013-04-05) Bennett, Sonia M.; Romito, Laura M.; Christen, Arden G.
    Previous research suggests that individuals with chemical dependence history experience more intense nicotine addiction, and during smoking cessation may be more likely to demonstrate increased negative affect and unfavorable scores on psychometric assessments. It is unknown how men and women may differ in their susceptibilities to such undesirable outcomes. From 1992-2004, The Indiana University Nicotine Dependence Program (IUNDP) treated over 1200 patients using a Mayo Clinic-based protocol which assesses the behavioral, social, and physiological aspects of nicotine dependence. The IUNDP was instituted at Fairbanks Hospital’s addictions center to address tobacco use among the patients and staff. Charts of individuals who completed nicotine dependence treatment (1992-2011) were selected from IU School of Dentistry and Fairbanks Hospital for retrospective analysis. Chart selection criteria consisted of the availability of complete pre-and post quit measures for a minimum of four total appointments and two post-quit appointments. Reviewed were 107 charts from patients without a history of chemical dependence (ND) and 123 from those with a chemical dependence history (CD), including 120 men and 110 women. Student researchers used a standardized protocol to capture 16 tobacco use and demographic variables and 12 post-quit measures. Comparisons between CD and ND groups were made using Pearson chi-square tests for binary data, Wilcoxon rank sum tests for all other data, and Wilcoxon signed rank tests for changes between time periods. Despite similarities among CD and ND smokers, males and females appear to face distinct challenges. Results suggest CD males are significantly more negative in mood, and are more likely to have increased withdrawal symptoms at the end of treatment. Males were also more likely to experience adverse events with NRT. Both CD males and females experienced more increased appetite than their ND counterparts. Females scored higher on addiction-related sensorimotor manipulation and may have increased propensity for psychological dependence.
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    Working Together to Combat Tobacco Use
    (2015-07) Schwindt, Rhonda G.; Hudmon, Karen; IU School of Nursing
    It is well-established that tobacco use is associated with a wide range of negative health consequences, and these effects occur at a higher incidence among individuals with co-occurring mental illness. Compared to those in the general population, this vulnerable population smokes more, dies younger, and suffers disproportionately higher rates of cardiovascular disease, diabetes, stroke, and cancer (U.S. Department of Health and Human Services [USDHHS], 2014). The Clinical Practice Guideline for Treating Tobacco Use and Dependence sets forth a series of recommendations for populations of smokers, including those with co-occurring mental illness, and establishes the fact that counseling from a healthcare provider can approximately double patients' odds of quitting (Fiore et al., 2008).