Evidence map›Paper›PMID 41366144›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

A mixed-methods study exploring free nicotine replacement therapy as a strategy to promote tobacco treatment equity at Cancer Center Cessation Initiative sites.

Marguerite A Webster, Jessica L Burris, Camille Cipri, Jennifer Bird, Rashelle B Hayes, Christine E Sheffer, Niharika Khanna, Katie Lenhoff, Mara Minion, Elisa K Tong

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Marguerite A WebsterDepartment of Psychology, College of Arts and Sciences, University of Kentucky, 171 Funkhouser Dr, Lexington, KY, 40506, USA. marguerite.webster@uky.edu.ORCID http://orcid.org/0009-0003-7809-6022
Jessica L BurrisDepartment of Psychology, College of Arts and Sciences, University of Kentucky, 171 Funkhouser Dr, Lexington, KY, 40506, USA.
Camille CipriCenter for Healthcare Policy and Research, University of California, Davis, 4900 Broadway, Suite 1430, Sacramento, CA, 95820, USA.
Jennifer BirdCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, 1930 Monroe Street, Suite 200, Madison, WI, USA.
Rashelle B HayesDepartment of Psychiatry, Virginia Commonwealth University School of Medicine, 501 N. 2nd Street, Suite 400B, Richmond, VA, 23219, USA.
Christine E ShefferDepartment of Health Behavior, Roswell Park Cancer Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA.
Niharika KhannaFamily and Community Medicine, University of Maryland School of Medicine, 29 S. Paca Street, Baltimore, MD, 21201, USA.
Katie LenhoffStudent Wellness Center, Dartmouth College, 25 N Main Street, Suite 179, Hanover, NH, 03755, USA.
Mara MinionCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, 1930 Monroe Street, Suite 200, Madison, WI, USA.
Elisa K TongDivision of Internal Medicine, University of California Davis Comprehensive Cancer Center, 4150 V Street Suite 2400, Sacramento, CA, 95817, USA.

Funding

NCI NIH HHS OISE-20-66590-1 (Prime Award) CRDF Award #66590Tobacco-Related Disease Research Program T33PC6880
6 · The paper itself

Abstract

purposeNicotine replacement therapy (NRT) is a safe, efficacious smoking cessation treatment for cancer patients. However, insurance coverage for NRT varies widely, limiting its ability to lessen tobacco-related disease and creating inequities in access. Offering free NRT to cancer patients who smoke has the potential to increase tobacco treatment engagement and promote equity. This mixed-methods study aims to describe how some NCI Cancer Center Cessation Initiative (C3I) sites provided free NRT within their tobacco treatment programs (TTPs).

methodsParticipating sites' (N = 9) TTP and patient population characteristics were measured via site-level survey data and analyzed. The Consolidated Framework for Implementation Research was used to guide and analyze semi-structured interviews among 16 individuals across sites.

resultsOn average, 37.0% of patients who were identified as currently smoking cigarettes engaged with the TTPs, 48.4% of whom were prescribed cessation medications. Interviews revealed heterogeneous TTP structures, funding sources for free NRT, and medication distribution models. Patient financial strain appeared to frequently prompt free NRT program development. Common site factors that supported free NRT programs included inter-team collaborations, policy development, and leadership buy-in.

conclusionResults highlight both significant heterogeneity and shared factors in how cancer centers might implement free NRT programs. Barriers to implementation and sustainability underscore enduring challenges to providing gold standard tobacco treatment to all patients with cancer who use tobacco. Future research should investigate how to best provide equitable access to tobacco treatment among this population.

Indexed as

Cancer Care FacilitiesNeoplasmsSmoking CessationTobacco Use Cessation DevicesAdultFemaleHealth EquityHumansMaleMiddle AgedNicotine Replacement TherapyUnited StatesCancerImplementation scienceNicotine replacement therapySmoking cessationTobacco-related health disparities

Identifiers

PMID41366144

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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.