Disseminating a smoking cessation intervention to childhood and young adult cancer survivors: baseline characteristics and study design of the partnership for health-2 study
Disseminating a smoking cessation intervention to childhood and young adult cancer survivors: baseline characteristics and study design of the partnership for health-2 study
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DOI：
10.1186/1471-2407-11-165
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发表时间：
2011-05-11
期刊：
影响因子：
3.8
通讯作者：
Emmons, Karen M.
中科院分区：
文献类型：
--
作者：
de Moor, Janet S.;Puleo, Elaine;Emmons, Karen M.
背景：健康伙伴关系 2 (PFH-2) 是健康伙伴关系的网络版本，是一项针对儿童癌症幸存者的循证戒烟干预措施。本文描述了PFH-2干预和基线数据收集。方法：从五个癌症中心招募374名儿童和青年癌症幸存者并参与基线评估。在基线时，参与者完成了对他们的吸烟行为、自我效能和戒烟变化阶段以及可能影响其吸烟行为的心理和环境因素的测量。结果：在基线时，93% 的幸存者在过去 7 天内吸烟；然而，89% 的人在此期间吸一包或更少。 47% 的人有尼古丁依赖，55% 的人在前一年至少尝试过一次戒烟。 22% 的幸存者正在考虑戒烟；其中 45% 的人对自己可以在六个月内戒烟有一定或非常有信心。百分之六十三正在准备戒烟；然而，他们对下个月戒烟的信心相对较低。在多变量分析中，变化阶段、自我效能、戒烟的社会支持、工作和家庭吸烟政策、对癌症复发的恐惧、感知脆弱性、抑郁、体重指数以及与医疗保健系统的接触与幸存者的吸烟行为相关。讨论/结论：很大一部分样本具有尼古丁依赖性，但有戒烟动机。个体、人际和环境因素与幸存者的吸烟行为相关。吸烟对于儿童和年轻的癌症幸存者来说尤其危险。该人群可能会受益于旨在建立自我效能并解决其他已知的吸烟行为预测因素的戒烟干预措施。
Background: Partnership for Health-2 (PFH-2) is a web-based version of Partnership for Health, an evidence-based smoking cessation intervention for childhood cancer survivors. This paper describes the PFH-2 intervention and baseline data collection.Methods: 374 childhood and young adult cancer survivors were recruited from five cancer centers and participated in the baseline assessment. At baseline, participants completed measures of their smoking behavior, self-efficacy and stage of change for quitting smoking as well as psychological and environmental factors that could impact their smoking behavior.Results: At baseline, 93% of survivors smoked in the past seven days; however, 89% smoked a pack or less during this period. Forty-seven percent were nicotine dependent, and 55% had made at least one quit attempt in the previous year. Twenty-two percent of survivors were in contemplation for quitting smoking; of those 45% were somewhat or very confident that they could quit within six months. Sixty-three percent were in preparation for quitting smoking; however, they had relatively low levels of confidence that they could quit smoking in the next month. In multivariate analyses, stage of change, self-efficacy, social support for smoking cessation, smoking policy at work and home, fear of cancer recurrence, perceived vulnerability, depression, BMI, and contact with the healthcare system were associated with survivors' smoking behavior.Discussions/Conclusions: A large proportion of the sample was nicotine dependent, yet motivated to quit. Individual- interpersonal- and environmental-level factors were associated with survivors' smoking behavior. Smoking is particularly dangerous for childhood and young adult cancer survivors. This population may benefit from a smoking cessation intervention designed to build self-efficacy and address other known predictors of smoking behavior.