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Exploring Practices for Implementing Smoking Cessation in Oncology Settings: A Rapid Systematic Review Update
Isabella R DeVuono1,2, Stephanie Posa1, Naomy M C Lafond1
1INTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Cancer Control : Journal of the Moffitt Cancer Center
|August 1, 2025
Summary
Implementing specific strategies in cancer care can improve smoking cessation efforts. Training, support, and interactive assistance were linked to increased
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.
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