1. Smoking Cessation Treatment Needs of Low SES Cervical Cancer Survivors.
- Author
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Hoover, Diana S., Spears, Claire A., Vidrine, Damon J., Walker, Joan L., Ya-Chen Tina Shih, Wetter, David W., Elting, Linda S., Ramondetta, Lois M., Yisheng Li, Gillaspy, Stephen R., and Vidrine, Jennifer I.
- Subjects
ADAPTABILITY (Personality) ,PSYCHOLOGICAL adaptation ,CANCER patient psychology ,DRUG therapy ,COUNSELORS ,DESIRE ,DRUG withdrawal symptoms ,ETHNIC groups ,FOOD habits ,INTERVIEWING ,JUDGMENT (Psychology) ,MARITAL status ,RESEARCH methodology ,MEDICAL needs assessment ,MOTIVATION (Psychology) ,NICOTINE ,SURVIVAL rate ,PROBLEM solving ,RESEARCH funding ,SMOKING ,SMOKING cessation ,STRESS management ,CERVIX uteri tumors ,QUALITATIVE research ,ECONOMIC status ,SOCIAL support ,SOCIOECONOMIC factors ,EDUCATIONAL attainment ,THEMATIC analysis ,AT-risk people ,HEALTH literacy ,PHYSICAL activity ,DATA analysis software ,PATIENTS' attitudes ,DESCRIPTIVE statistics ,PSYCHOEDUCATION - Abstract
Objectives: We investigated the treatment needs and preferences of low socioeconomic status cervical cancer survivors to inform the adaptation of a theoretically- and empirically-based Motivation and Problem-Solving approach to facilitate cessation in this at-risk population. Methods: Individual in-depth interviews were conducted with 12 female smokers with cervical cancer. Interviews were audio-recorded, transcribed, and analyzed using NVivo 10. Results: Most participants did not believe that smoking caused cervical cancer and attributed their diagnosis solely to human papillomavirus. They suggested that cessation treatment for cervical cancer survivors include psychoeducation about the impact of smoking on health and cancer and the benefits of quitting, pharmacotherapy, planning for quitting, strategies for coping with cravings/withdrawal, social support, real-time support, a nonjudgmental and understanding counselor, tailoring, and follow-up. They recommended that negativity/judgment and being told that "smoking is bad" not be included in treatment. Participants also suggested that treatment address stress management, issues specific to cervical cancer survivorship, and physical activity and healthy eating. Conclusions: Results highlight the unique treatment needs of low socioeconomic status smokers with cervical cancer and will inform the adaptation of an existing evidence-based intervention to encourage smoking cessation in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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