Assessment of a Teachable Moment for Smoking Cessation
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation, Tobacco Consumers |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | August 2007 |
| End Date: | February 2012 |
A teachable moment (TM) refers to life events or transitions, such as physician visits,
early detection screening feedback, pregnancy, and hospitalization for, and diagnosis of,
disease, that inspire health behavior change. Despite strong intuitive appeal of the TM
concept and over 150 studies of interventions implemented in a TM, there has been little
investigation of the influence of TMs for smoking, particularly for promoting smoking
cessation among those indirectly affected by a TM (e.g., relatives of cancer patients). This
prospective observational study using a matched-group design will assess whether a lung
cancer diagnosis increases enrollment in a smoking cessation program and cessation, and
reduces smoking, among the patient's relatives/spouse who smoke. We will compare enrollment
in a cessation program and cessation and smoking rates in 2 groups of smokers: 1)
relatives/spouses of newly-diagnosed lung cancer patients, and 2) relatives/spouses of
patients with an orthopedic condition. We will also explore mediators and moderators of a
lung cancer diagnosis as a TM. This study could clarify the TM concept for smoking
cessation, shed light on the underlying mechanisms of TMs, and guide future development and
implementation of TM-based smoking cessation interventions.
early detection screening feedback, pregnancy, and hospitalization for, and diagnosis of,
disease, that inspire health behavior change. Despite strong intuitive appeal of the TM
concept and over 150 studies of interventions implemented in a TM, there has been little
investigation of the influence of TMs for smoking, particularly for promoting smoking
cessation among those indirectly affected by a TM (e.g., relatives of cancer patients). This
prospective observational study using a matched-group design will assess whether a lung
cancer diagnosis increases enrollment in a smoking cessation program and cessation, and
reduces smoking, among the patient's relatives/spouse who smoke. We will compare enrollment
in a cessation program and cessation and smoking rates in 2 groups of smokers: 1)
relatives/spouses of newly-diagnosed lung cancer patients, and 2) relatives/spouses of
patients with an orthopedic condition. We will also explore mediators and moderators of a
lung cancer diagnosis as a TM. This study could clarify the TM concept for smoking
cessation, shed light on the underlying mechanisms of TMs, and guide future development and
implementation of TM-based smoking cessation interventions.
Inclusion Criteria:
1. A relative (i.e., sibling, parent, child, grandparent, aunt, uncle, cousin) or spouse
of a newly-diagnosed lung or head and neck cancer patient or orthopedic patient
(e.g., arthritis, bone and joint infection, foot and ankle conditions, hand, wrist,
and elbow conditions such as carpal tunnel syndrome, shoulder and elbow conditions,
such as rotator cuff injury, and knee conditions, such as ligament damage repair);
2. A regular smoker (i.e., smoke 10 cigarettes/day on average);
3. Able to use NRT (see contraindications under Key Exclusion Criteria);
4. Age 18 or older (to use NRT); and
5. Living within ~50 miles of PENN (to allow for meetings at PENN).
Exclusion Criteria:
1. Cannot communicate in English;
2. Have current alcohol abuse/dependence;
3. Are or have been diagnosed with cancer, asthma, HIV, emphysema, or COPD;
4. Have a current medical problem for which NRT is contraindicated such as uncontrolled
hypertension (> 150 over 90), unstable angina, heart attack or stroke within the past
6 months, and liver and/or kidney failure in the last 6-months;
5. Currently use monoamine oxidase inhibitors or benzodiazepines, anti-psychotics, and
antidepressants, including bupropion;
6. Are allergic to adhesive tape or latex, and
7. Are a female who is pregnant or nursing.
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