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Implementing specific strategies in cancer care can improve smoking cessation efforts. Training, support, and interactive assistance were linked to increased

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Area of Science:

  • Oncology
  • Public Health
  • Implementation Science

Background:

  • Smoking cessation is crucial for cancer treatment efficacy and survival.
  • Significant variability exists in providing smoking cessation advice and referrals within Ontario's cancer centers.
  • Existing systematic reviews require updating to inform current practices.

Purpose of the Study:

  • To identify implementation strategies and outcomes in oncology settings.
  • To characterize these strategies and outcomes.
  • To assess the association between strategies and the 3As (Ask, Advise, Act) approach to smoking cessation.

Main Methods:

  • Rapid systematic review registered with PROSPERO (CRD42023491391).
  • Searched MEDLINE, Embase, and Cochrane Library databases.
  • Narrative synthesis used for data summarization; risk of bias assessed.

Main Results:

  • Eighteen new studies were included, all with low to moderate risk of bias.
  • Strategies like stakeholder training, iterative approaches, and clinician support correlated with increased 'Ask, Advise, Act' behaviors.
  • Only five studies measured implementation outcomes, with heterogeneity precluding analysis.

Conclusions:

  • While implementation strategies are well-documented, implementation outcomes are sparsely reported.
  • Direct links between specific strategies and measurable outcomes in smoking cessation for cancer patients remain unclear.
  • Future research should focus on piloting and measuring both strategies and outcomes to guide effective implementation.