Electronic cigarettes as a smoking cessation aid for patients with cancer: beliefs and behaviours of clinicians in the UK.
epidemiology
health policy
medical education & training
oncology
public health
quality in health care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
19 11 2020
19 11 2020
Historique:
entrez:
14
1
2021
pubmed:
15
1
2021
medline:
11
3
2021
Statut:
epublish
Résumé
To explore UK clinicians' beliefs and behaviours around recommending e-cigarettes as a smoking cessation aid for patients with cancer. Cross-sectional online survey. England, Wales, Scotland and Northern Ireland. Clinicians involved in the care of patients with cancer. Behavioural Change Wheel capability, opportunity and motivation to perform a behaviour, knowledge, beliefs, current practice around e-cigarettes and other smoking cessation practices. Clinicians (n=506) completed an online survey to assess beliefs and behaviours around e-cigarettes and other smoking cessation practices for patients with cancer. Behavioural factors associated with recommending e-cigarettes in practice were assessed. 29% of clinicians would not recommend e-cigarettes to patients with cancer who continue to smoke. Factors associated with recommendation include smoking cessation knowledge (OR 1.56, 95% CI 1.01 to 2.44) and e-cigarette knowledge (OR 1.64, 95% CI 1.06 to 2.55), engagement with patients regarding smoking cessation (OR 2.12, 95% CI 1.12 to 4.03), belief in the effectiveness of e-cigarettes (OR 2.36 95% CI 1.61 to 3.47) and belief in sufficient evidence on e-cigarettes (OR 2.08 95% CI 1.10 to 4.00) and how comfortable they felt discussing e-cigarettes with patients (OR 1.57 95% CI 1.04 to 2.36). Many clinicians providing cancer care to patients who smoke do not recommend e-cigarettes as a smoking cessation aid and were unaware of national guidance supporting recommendation of e-cigarettes as a smoking cessation aid.
Identifiants
pubmed: 33444179
pii: bmjopen-2020-037637
doi: 10.1136/bmjopen-2020-037637
pmc: PMC7678366
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e037637Subventions
Organisme : Cancer Research UK
ID : A24355
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
BMC Med. 2016 Apr 05;14:62
pubmed: 27044418
Ann Fam Med. 2017 Sep;15(5):443-450
pubmed: 28893814
J Thorac Oncol. 2011 Jun;6(6):1059-65
pubmed: 21512406
Implement Sci. 2017 Sep 15;12(1):114
pubmed: 28915815
BMC Cancer. 2017 May 19;17(1):348
pubmed: 28526000
Tob Control. 2017 Jul;26(4):440-445
pubmed: 27903958
Cancer. 2014 Feb 15;120(4):562-9
pubmed: 24496870
Curr Addict Rep. 2019 Jun;6(2):75-85
pubmed: 31555499
J Community Hosp Intern Med Perspect. 2017 Jul 13;7(3):144-150
pubmed: 28808506
Lung Cancer. 2009 Nov;66(2):218-25
pubmed: 19321223
Addiction. 2016 Sep;111(9):1536-53
pubmed: 27003925
Clin Med (Lond). 2012 Feb;12(1):59-62
pubmed: 22372226
JAMA. 2011 Jun 22;305(24):2548-55
pubmed: 21693743
BMJ. 1998 Jun 20;316(7148):1878-81
pubmed: 9632409
Br J Cancer. 2017 Oct 10;117(8):1224-1232
pubmed: 28898236
J Clin Oncol. 2012 Jun 10;30(17):2102-11
pubmed: 22565003
BMJ. 2010 Jan 21;340:b5569
pubmed: 20093278
Br J Gen Pract. 2019 Jan;69(678):e8-e14
pubmed: 30397013
J Clin Oncol. 2015 Mar 10;33(8):885-93
pubmed: 25646196
Cochrane Database Syst Rev. 2014;(12):CD010216
pubmed: 25515689
Addiction. 2014 Nov;109(11):1801-10
pubmed: 25078252
Curr Cardiol Rep. 2019 Aug 28;21(10):111
pubmed: 31463564
N Engl J Med. 2019 Feb 14;380(7):629-637
pubmed: 30699054
Int J Radiat Oncol Biol Phys. 2008 Oct 1;72(2):433-40
pubmed: 18448268
Addict Behav. 2016 Sep;60:78-83
pubmed: 27100472
Int J Cancer. 2013 Jan 15;132(2):401-10
pubmed: 22539012
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
J Natl Cancer Inst. 2007 Mar 7;99(5):365-75
pubmed: 17341728
Respir Res. 2016 May 17;17(1):55
pubmed: 27184050
J Thorac Oncol. 2013 May;8(5):543-8
pubmed: 23529191
Int J Environ Res Public Health. 2018 Nov 07;15(11):
pubmed: 30405035
Ann Surg Oncol. 2012 May;19(5):1430-8
pubmed: 22065194