Evidence map›Paper›PMID 39037899›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2025

A Qualitative Study to Understand the Barriers and Facilitators in Smoking Cessation Practices Among Oncology Health Care Practitioners in One Health System.

Kate Frazer, Nancy Bhardwaj, Patricia Fox, Ailsa Lyons, Shiraz Syed, Vikram Niranjan, Amanda McCann, Catherine Kelly, Sinead Brennan, Donal Brennan and 3 more

Abstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kate FrazerSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.ORCID 0000-0002-6703-266X
Nancy BhardwajSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin, Ireland.ORCID 0000-0003-1205-9635
Patricia FoxSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.
Ailsa LyonsDepartment of Preventive Medicine and Health Promotion, St. Vincent's University Hospital, Elm Park, Dublin, Ireland.
Shiraz SyedDepartment of Preventive Medicine and Health Promotion, St. Vincent's University Hospital, Elm Park, Dublin, Ireland.
Vikram NiranjanSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin, Ireland.
Amanda McCannConway Institute of Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin, Ireland.
Catherine KellySchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Sinead BrennanSt Luke's Radiation Oncology Network, Rathgar, Dublin, Ireland.
Donal BrennanSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
James GeraghtySchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Michael P KeaneSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Patricia FitzpatrickSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin, Ireland.

Funding

Irish Cancer Society SCA19FIT
6 · The paper itself

Abstract

introductionDespite the benefits of quitting smoking for those who have cancer, including improved health outcomes and reduced therapeutic toxicities, it is unclear how many people are supported in quit attempts during this time. Variations in the availability and provision of smoking cessation (SC) services are reported, with little understanding of the challenges and solutions. This codesigned study aimed to understand the perspectives of health care professionals (HCPs) working in oncology settings to engage in SC practices and identify recommendations for developing a SC pathway. AIMS AND

methodsThis was a qualitative study. Eighteen HCPs participated in semi-structured interviews from July 2021 to May 2022. We used thematic analysis approaches to code data and present four themes and SC strategies at micro, meso, and organizational levels.

resultsFour themes are reported specifically: (1) timing and knowledge, (2) building a relationship, (3) frequent asking with infrequent action, and (4) removing the barriers and tailoring the system. While HCPs discuss SC, there are variations in documentation and when conversations occur. Primarily, HCPs value the time to build therapeutic relationships with patients and thus may limit SC discussions in preference to treatment in clinical interactions. The role of structural barriers, including prescriptive authority for nurses, hinders active SC processes, as it is the lack of continuity and embedding of services supported by a clinical champion for SC.

conclusionsThe study suggests reevaluating the status quo in SC service, highlighting service gaps, and suggesting opportunities at organizational levels to reduce structural barriers. IMPLICATIONS: Variations in SC services exist in designated cancer centers. The data from this study can be used to inform a real-time health systems approach for SC services in oncology settings. Developing tailored SC services and interventions that are patient-centered and informed by their experiences is required. The data in this study suggest developing specialist education and training to upskill HCPs for equitable engagement if we are to meet EU and Cancer Moonshot goals for cancer reduction.

Indexed as

Attitude of Health PersonnelHealth PersonnelMedical OncologySmoking CessationAdultFemaleHumansInterviews as TopicMaleMiddle AgedNeoplasmsQualitative Research

Identifiers

PMID39037899
PMCPMC11750740

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.