Abstract
BackgroundPartnership 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.Methods374 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.ResultsAt 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/ConclusionsA 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.
Highlights
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
Studies designed to describe smoking behavior among childhood cancer survivors have found that this de Moor et al BMC Cancer 2011, 11:165 http://www.biomedcentral.com/1471-2407/11/165 population has lower smoking rates than the general population [10] and age-matched controls [11]
Forty-seven percent of the sample was nicotine dependent, and the majority was thinking about quitting smoking–only 15% were in pre-contemplation, 22% were in contemplation and 63% were in preparation
Summary
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. Among participants in the Childhood Cancer Survivors Study (CCSS), a collaborative, multi-institutional study comprised of longterm survivors of childhood cancer, 28% reported ever smoking and 17% were current smokers [12]. Data from the population-based cohort in the UK, The British Childhood Cancer Survivor Study, found that approximately 20% were current smokers [15]. These data indicate that a large number of childhood cancer survivors smoke, and interventions are needed to address tobacco use in this high-risk population
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