Sustainability of Tobacco Cessation Programs at NCI-Designated Cancer Centers

NCI 指定癌症中心戒烟计划的可持续性

• 批准号: 10644630
• 负责人: Ramzi George Salloum
• 金额: $ 65.77万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10644630
• 关键词: Address; Adoption; Advocate; Assessment tool; Cancer Center; Cancer Survivor; Clinical; Collaborations; Communities; Dedications; Development; Effectiveness; Evidence based intervention; Evidence based program; Foundations; Funding; Goals; Health; Health Benefit; Health system; Healthcare Systems; Interview; Investments; Knowledge; Maintenance; Maps; Measures; Methods; Modeling; Modification; National Cancer Institute; Oncology; Outcome; Outcome Assessment; Patient Care; Patients; Phase; Program Sustainability; Provider; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Reporting; Research; Sampling; Smoking; Specific qualifier value; Surgeon; Testing; Time; Tobacco; Tobacco Use Cessation; Tobacco use; cancer care; cancer diagnosis; effectiveness testing; evidence base; implementation science; implementation strategy; improved; improved outcome; innovation; patient screening; programs; public health relevance; smoking cessation; standard of care; sustainability framework; tobacco abstinence; tobacco screening; treatment program; treatment services; user centered design

PROJECT SUMMARY/ABSTRACT The 2014 Surgeon General’s report provided clear evidence that smoking by cancer survivors causes adverse health outcomes and the 2020 report concluded that smoking cessation after a cancer diagnosis improves survival. Though smoking cessation improves outcomes and is advocated as a standard of care in oncology, tobacco treatment is not consistently delivered as a part of cancer care. To address this challenge, the National Cancer Institute (NCI) launched the Cancer Center Cessation Initiative (C3I) in 2017. The C3I provides financial and technical assistance through a Coordinating Center to 52 NCI-designated cancer centers to implement evidence-based tobacco treatment programs and integrate smoking cessation into routine patient care in oncology settings. All funded centers were required to sustain their programs for a minimum of three years following the NCI-funded period. However, the trajectories and determinants of sustainability for tobacco treatment programs in these cancer centers are unknown. More broadly, achieving sustained delivery of evidence-based programs over time has been identified as one of the most crucial yet understudied challenges. Our long-term goal is to develop a generalizable model for sustaining evidence- based tobacco treatment programs in cancer care. The objective of this study is to investigate the trajectories and determinants of sustainability across evidence-based tobacco treatment programs in C3I and to identify appropriate strategies for promoting sustainability using an implementation mapping approach (i.e., “sustainability mapping”). We define sustainability as the extent to which programs maintain core components, implementation strategies, and program outcomes over time. We have demonstrated the feasibility of these assessments in collaboration with the C3I Coordinating Center and participating cancer centers. The proposed study will extend this collaboration and leverage the NCI’s substantial investment in the C3I to pursue the following specific aims: 1) Characterize the sustainment of tobacco treatment programs within cancer centers; 2) Specify the relationships between multilevel determinants, strategies, and outcomes of sustainability for tobacco treatment programs within cancer centers; and 3) Develop and test a toolkit to guide the selection of sustainment strategies for tobacco treatment programs in cancer care. The proposed research offers an unprecedented opportunity for identifying how investment in building evidence-based programs is converted into sustainable healthcare systems change.

项目概要/摘要 2014 年卫生局局长的报告提供了明确的证据，表明癌症幸存者吸烟会导致不良后果 健康结果和 2020 年报告得出的结论是，癌症诊断后戒烟效果有所改善 生存。尽管戒烟可以改善预后并被提倡作为肿瘤学的护理标准， 烟草治疗并未始终作为癌症护理的一部分进行。为了应对这一挑战， 美国国家癌症研究所 (NCI) 于 2017 年启动了癌症中心戒烟计划 (C3I)。C3I 通过协调中心向 52 个 NCI 指定癌症提供财政和技术援助 中心实施循证烟草治疗计划并将戒烟纳入 肿瘤科环境中的常规患者护理。所有受资助的中心都必须维持其计划 NCI 资助期后至少三年。然而，其发展轨迹和决定因素 这些癌症中心烟草治疗计划的可持续性尚不清楚。更广泛地说，实现 随着时间的推移持续实施循证计划已被认为是迄今为止最重要的计划之一 未充分研究的挑战。我们的长期目标是开发一个可推广的模型来维持证据- 基于烟草治疗计划的癌症护理。本研究的目的是调查轨迹 C3I 中基于证据的烟草治疗计划的可持续性的决定因素，并确定 使用实施规划方法促进可持续性的适当战略（即 “可持续性地图”）。我们将可持续性定义为项目维持核心组成部分的程度， 实施策略以及随时间推移的计划成果。我们已经论证了这些的可行性 与 C3I 协调中心和参与的癌症中心合作进行评估。拟议的 研究将扩大这种合作，并利用 NCI 对 C3I 的大量投资来追求 遵循以下具体目标： 1) 描述癌症中心内烟草治疗计划的维持情况； 2) 明确可持续发展的多层次决定因素、战略和结果之间的关系 癌症中心内的烟草治疗计划； 3) 开发和测试工具包以指导选择 癌症护理中烟草治疗计划的维持策略。拟议的研究提供了 确定如何转化建立循证项目的投资的前所未有的机会 转变为可持续的医疗保健系统。