Abstract

BackgroundDespite smoking cessation can largely improve cancer prognosis and quality of life, many patients continued smoking after the diagnosis of cancer. This study aims to test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking, and to improve their health related quality of life.MethodsA cluster randomized controlled trial will be employed. Cancer patients who continued smoking after the diagnosis of cancer and have medical follow-up at the out-patient clinics of the five acute hospitals in Hong Kong will be invited to participate. Subjects in the experimental group will receive (1) health warnings of smoking based on a special designed leaflet; and (2) a patient-centred counseling from nurse counselors with emphasis on risk perceptions of smoking to cancer prognosis. Additionally, they will receive two more telephone counseling at 1-week and 1-month. Control group receive standard care and a generic self-help smoking cessation booklet. Outcomes measure include (a) self-reported and the biochemically validated quit rate, (b) patient’s smoking reduction by at least 50 % compared to baseline, (c) quit attempt(s), (d) change in the intention to quit, (e) change in risk perceptions of smoking, and (f) change in health related quality of life.DiscussionThis study will make an important contribution to evidence-based practice by testing the effectiveness of a tailored smoking cessation intervention for cancer patients. The results will support the development of clinical practice guidelines to promote smoking cessation in cancer patients to improve their prognosis and quality of life.Trial registrationClinicalTrials.gov NCT01685723. Registered 9 November 2012.

Highlights

  • Despite smoking cessation can largely improve cancer prognosis and quality of life, many patients continued smoking after the diagnosis of cancer

  • Current study The present study aims to test the effectiveness of a specially designed smoking cessation intervention using a risk communication approach for cancer patients who are smokers, to (i) achieve a higher quit rate, (ii) improve their smoking behaviour, (iii) motivate their intention to quit smoking, (iv) improve their risk perceptions of continued smoking, and (v) improve the quality of life

  • This study aims to test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking, and to improve their health related quality of life

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Summary

Introduction

Despite smoking cessation can largely improve cancer prognosis and quality of life, many patients continued smoking after the diagnosis of cancer. This study aims to test the effectiveness of a smoking cessation intervention using risk communication approach to help cancer patients quit smoking, and to improve their health related quality of life. Cigarette smoking can reduce the effectiveness of medical treatments for cancer including radio- and chemo-therapies [5, 6], and increase the risk of therapy-related sideeffects [7]. There is strong evidence that quitting smoking after being diagnosed with cancer could reduce the risk of disease advancement [8], minimize adverse treatment-related effects, improve prognosis, and enhance the quality of life [9]. Given the beneficial effects of cigarette smoking cessation and the hazardous effects of continued smoking on cancer patients’ physical and

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