Project SWITCH Study Protocol: A Tobacco-Free Workplace Program for Dissemination and Implementation in Lung Cancer...

Area of Science:

• Public Health
• Cancer Prevention
• Tobacco Control

Background:

• Cigarette smoking is linked to 90% of lung cancer cases, a leading cause of mortality.
• Lung cancer screening centers utilize low-dose computed tomography but often miss opportunities for tobacco cessation interventions.
• A prior study indicated inconsistent delivery of evidence-based tobacco cessation and relapse prevention at Texas screening centers.

Purpose of the Study:

• To adapt and implement 'Taking Texas Tobacco Free,' an evidence-based tobacco-free workplace program, into lung cancer screening centers.
• To develop 'Project SWITCH' through stakeholder engagement for context-specific adaptations.
• To establish a framework for broader statewide dissemination in Texas.

Main Methods:

• A formative evaluation process will guide program adaptation with center stakeholders.
• Project SWITCH will be implemented in at least nine Texas lung cancer screening centers.
• A convergent parallel mixed methods design will collect quantitative and qualitative data for evaluation and adaptation.

Main Results:

• Data collection from multiple stakeholders will inform program refinement.
• Evaluation will assess the achievement of implementation and dissemination goals.
• The study will provide insights into adapting workplace tobacco cessation programs for clinical settings.

Conclusions:

• Project SWITCH is expected to reduce lung cancer morbidity and mortality in Texas.
• The project aims to establish a sustainable, evidence-based framework for tobacco-free programs in lung cancer screening centers.
• Improved cancer prevention and control practices are anticipated through enhanced tobacco cessation support.