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Grant Details

Grant Number: 5R01CA077780-03 Interpret this number
Primary Investigator: Emmons, Karen
Organization: Dana-Farber Cancer Institute
Project Title: Smoking Cessation Among Childhood Cancer Survivors
Fiscal Year: 2000


Abstract

DESCRIPTION: Childhood cancer survivors represent a large and growing group who are at increased risk for developing subsequent cancers. Therefore, it is of critical importance that all preventable risk factors be minimized among this population. Of particular concern is that childhood cancer survivors who smoke are less likely to quit compared to the general population. To date, however, there have been no published smoking cessation studies targeting childhood cancer survivors. Evaluation of interventions that have the potential to reduce smoking prevalence among survivors are greatly needed. The proposed study will evaluate the impact of an innovative intervention that includes peer-delivered telephone counseling on smoking cessation for childhood cancer survivors. A randomized controlled design will be used in which individuals will be assigned to either a peer-delivered telephone counseling intervention or a self-help condition. Study participants will be drawn from the national Childhood Cancer Survivor's Study, a large cohort study of 20,000 childhood cancer survivors. The peer-delivered telephone counseling intervention includes: (1) a letter from a health care provider recommending that the patient quit smoking, and a self-help manual; (2) a series of six telephone counseling calls intended to enhance self-efficacy, reduce barriers, set goals for behavior change, and provide feedback concerning progress in achieving behavior change goals; and (3) tailored self-help materials addressing patient-specific barriers to change. The self-help condition includes a letter from a health care provider recommending that the patient quit smoking, and a self-help-manual. Differences in primary outcomes will be assessed through prospective surveys using validated measures. This study builds on our work in motivational and peer-delivered interventions and is strongly grounded in theoretical perspectives on health behavior change. Reduction of smoking prevalence among childhood cancer survivors is an important public health issue. This study will make significant contributions toward the development of effective smoking cessation interventions for high-risk populations and may serve as an important model for future cancer prevention intervention efforts.



Publications

Long-term smoking cessation outcomes among childhood cancer survivors in the Partnership for Health Study.
Authors: Emmons K.M. , Puleo E. , Mertens A. , Gritz E.R. , Diller L. , Li F.P. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2009-01-01 00:00:00.0; 27(1), p. 52-60.
EPub date: 2009-01-01 00:00:00.0.
PMID: 19047296
Related Citations

Availability of smoking prevention and cessation services for childhood cancer survivors.
Authors: de Moor J.S. , Puleo E. , Butterfield R.M. , Li F.P. , Emmons K.M. .
Source: Cancer Causes & Control : Ccc, 2007 May; 18(4), p. 423-30.
PMID: 17297556
Related Citations

A Process Evaluation Of A Telephone-based Peer-delivered Smoking Cessation Intervention For Adult Survivors Of Childhood Cancer: The Partnership For Health Study
Authors: Park E.R. , Puleo E. , Butterfield R.M. , Zorn M. , Mertens A.C. , Gritz E.R. , Li F.P. , Emmons K.M. .
Source: Preventive Medicine, 2006 Jun; 42(6), p. 435-42.
PMID: 16626797
Related Citations

Peer-delivered Smoking Counseling For Childhood Cancer Survivors Increases Rate Of Cessation: The Partnership For Health Study
Authors: Emmons K.M. , Puleo E. , Park E. , Gritz E.R. , Butterfield R.M. , Weeks J.C. , Mertens A. , Li F.P. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2005-09-20 00:00:00.0; 23(27), p. 6516-23.
PMID: 16116148
Related Citations

Smoking Among Participants In The Childhood Cancer Survivors Cohort: The Partnership For Health Study
Authors: Emmons K.M. , Butterfield R.M. , Puleo E. , Park E.R. , Mertens A. , Gritz E.R. , Lahti M. , Li F.P. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2003-01-15 00:00:00.0; 21(2), p. 189-96.
PMID: 12525509
Related Citations

A Qualitative Exploration Of Health Perceptions And Behaviors Among Adult Survivors Of Childhood Cancers
Authors: Park E.B. , Emmons K.M. , Malloy N.W. , Seifer E. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2002 Winter; 17(4), p. 211-5.
PMID: 12556058
Related Citations

Predictors Of Smoking Initiation And Cessation Among Childhood Cancer Survivors: A Report From The Childhood Cancer Survivor Study
Authors: Emmons K. , Li F.P. , Whitton J. , Mertens A.C. , Hutchinson R. , Diller L. , Robison L.L. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2002-03-15 00:00:00.0; 20(6), p. 1608-16.
PMID: 11896111
Related Citations

A Research Agenda For Tobacco Control
Authors: Emmons K.M. .
Source: Cancer Causes & Control : Ccc, 2000 Feb; 11(2), p. 193-4.
PMID: 10710205
Related Citations

Smoking Cessation And Tobacco Control: An Overview
Authors: Emmons K.M. .
Source: Chest, 1999 Dec; 116(6 Suppl), p. 490S-492S.
PMID: 10619516
Related Citations



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