Date
Summer 2024
Document Type
Scholarly Project
Department
College of Nursing
First Advisor
Sabra Custer
Abstract
Problem Statement: Smoking and tobacco use is the leading cause of preventable death in the United States. Twenty percent of all cancer diagnoses are directly linked to smoking, and tobacco-related diseases and cancers contribute to one in every five deaths annually in the United States. Less than one in ten smokers are successful at quitting. Smokers attempting to quit are more successful in cessation programs after evaluation of self-efficacy, such as the readiness to quit.
Purpose: This evidence-based practice project aimed to evaluate the impact of motivational interviewing with the 5A’s model on smoking cessation efforts in patients at an oncology clinic. The objective was to determine if implementing the 5A’s model of motivational interviewing in this population encouraged complete smoking cessation or a reduction in overall cigarettes smoked per day.
Methods: An evidence-based practice approach was used to implement motivational interviewing with the 5A’s model as an intervention to assess readiness to quit smoking in patients diagnosed with cancer. A one-group, quasi-experimental, pre-intervention, post-intervention design was used to evaluate incremental smoking cessation rates and overall reduction in cigarettes smoked per day.
Inclusion Criteria: Participants were recruited from a rural, ambulatory, oncology clinic. Participants were adult patients, diagnosed with cancer, who currently smoke.
Analysis: Descriptive statistics and frequency distribution of variables were used to describe project sample and data variables. Wilcoxon scores, Pearson correlation, and Spearman correlation coefficients were used to compare mean cigarettes smoked per day from pre- to post-intervention.
Implications for Practice: Implementing the 5A’s model of motivational interviewing may improve smoking cessation rates and decrease the number of cigarettes smoked per day in patients diagnosed with cancer. Maintaining abstinence after a smoking cessation attempt will decrease morbidity and mortality of chronic illnesses, increase quality of life in patients diagnosed with cancer, and reduce the healthcare expenditure burden.
Recommended Citation
Maddox, Victoria Gabriela, "Assessing Readiness to Quit as an Intervention for Tobacco Cessation in Oncology Patients" (2024). Doctor of Nursing Practice Scholarly Projects. 69.
https://scholarcommons.sc.edu/dnp_projects/69
Rights
© 2024, Victoria Gabriela Maddox