Journal of Clinical Oncology, Vol 21, Issue 7
(April), 2003: 1366-1372
© 2003 American Society for Clinical Oncology
Intervention to Reduce Intentions to Use Tobacco Among Pediatric Cancer Survivors
Vida L. Tyc,
Shesh N. Rai,
Shelly Lensing,
James L. Klosky,
Deborah B. Stewart,
Jami Gattuso
From the Division of Behavioral Medicine, the Department of Biostatistics, and the Department of Nursing, St. Jude Children’s Research Hospital; and the Department of Pediatrics, University of Tennessee, College of Medicine, Memphis, TN.
Address reprint requests to Vida L. Tyc, PhD, Division of Behavioral Medicine, St. Jude Children’s Research Hospital, 332 N. Lauderdale, Memphis, TN 38105-2794; email: vida.tyc{at}stjude.org.
Purpose: In this randomized controlled trial, we sought to determine whether a risk counseling intervention would increase knowledge and perceived vulnerability to tobacco-related health risks and decrease future intentions to use tobacco among preadolescents and adolescents previously treated for cancer.
Patients and Methods: Participants included 103 cancer survivors between the ages of 10 and 18 years who were randomly assigned to either a standard care control (SCC) group or a tobacco intervention (TI) group. Patients in the SCC group received standard advice about the risks of tobacco use. Patients in the TI group received more intensive late effects risk counseling in addition to an educational video, goal setting, written physician feedback, smoking literature, and follow-up telephone counseling. The effect of our intervention was assessed by self-reported knowledge, perceived vulnerability, and intentions at baseline, 6, and 12 months.
Results: Compared with the SCC group, patients who received our intervention had significantly higher knowledge scores, higher perceived vulnerability scores, and lower intention scores at 12 months. No significant differences between the SCC and TI groups at 6 months, across all measures, were found.
Conclusion: Pediatric survivors’ knowledge, perceived vulnerability to health risks, and intentions to use tobacco can be modified by a risk counseling intervention. The delayed effect of our intervention indicates that these changes may evolve over time. Implications for health care providers who engage in tobacco counseling with young cancer survivors are discussed. Additional longitudinal studies are needed to determine definitive long-term intervention effects on actual tobacco use in this high-risk population.
Supported in part by grants CA 21765 and CA 70267 from the National Cancer Institute and the American Lebanese Syrian Associated Charities (ALSAC).
This article has been cited by other articles:
|
|
|
|
 
C. Frobisher, D. L. Winter, E. R. Lancashire, R. C. Reulen, A. J. Taylor, C. Eiser, M. C. G. Stevens, M. M. Hawkins, and on behalf of the British Childhood Cancer Survivor
Extent of Smoking and Age at Initiation of Smoking Among Adult Survivors of Childhood Cancer in Britain
J Natl Cancer Inst,
August 6, 2008;
100(15):
1068 - 1081.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. A. Robinson, K. M. Emmons, E. T. Moolchan, and J. S. Ostroff
Developing Smoking Cessation Programs for Chronically Ill Teens: Lessons Learned from Research with Healthy Adolescent Smokers
J. Pediatr. Psychol.,
March 1, 2008;
33(2):
133 - 144.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. L. Tyc
Introduction to the Special Issue: Tobacco Control Strategies for Medically At-Risk Youth
J. Pediatr. Psychol.,
March 1, 2008;
33(2):
113 - 118.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Eiser
Beyond Survival: Quality of Life and Follow-up After Childhood Cancer
J. Pediatr. Psychol.,
October 1, 2007;
32(9):
1140 - 1150.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. L. Tyc
Strategies for Tobacco Control Among Youngsters with Cancer
J. Pediatr. Psychol.,
October 1, 2007;
32(9):
1067 - 1078.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. A. Sabatino, R. J. Coates, R. J. Uhler, L. A. Pollack, L. G. Alley, and L. J. Zauderer
Provider Counseling About Health Behaviors Among Cancer Survivors in the United States
J. Clin. Oncol.,
May 20, 2007;
25(15):
2100 - 2106.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. B. Crom, V. L. Tyc, S. N. Rai, X. Deng, M. M. Hudson, A. Booth, L. N. Rodrigues, L. Zhang, E. Mccammon, and S. C. Kaste
Retention of survivors of acute lymphoblastic leukemia in a longitudinal study of bone mineral density.
J Child Health Care,
December 1, 2006;
10(4):
337 - 350.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. B. Smith and L. Bashore
The Effect of Clinic-Based Health Promotion Education on Perceived Health Status and Health Promotion Behaviors of Adolescent and Young Adult Cancer Survivors
Journal of Pediatric Oncology Nursing,
November 1, 2006;
23(6):
326 - 334.
[Abstract]
[PDF]
|
|
|
|
|
|
|
V. L. Tyc and L. Throckmorton-Belzer
Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness
Pediatrics,
August 1, 2006;
118(2):
e471 - e487.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. P. Tercyak, J. R. Donze, S. Prahlad, R. B. Mosher, and A. T. Shad
Identifying, Recruiting, and Enrolling Adolescent Survivors of Childhood Cancer into a Randomized Controlled Trial of Health Promotion: Preliminary Experiences in the Survivor Health and Resilience Education (SHARE) Program
J. Pediatr. Psychol.,
April 1, 2006;
31(3):
252 - 261.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. L. Tyc, S. Lensing, J. Klosky, S. N. Rai, and L. Robinson
A Comparison of Tobacco-Related Risk Factors Between Adolescents With and Without Cancer
J. Pediatr. Psychol.,
June 1, 2005;
30(4):
359 - 370.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. E. Kazak
Evidence-Based Interventions for Survivors of Childhood Cancer and Their Families
J. Pediatr. Psychol.,
January 1, 2005;
30(1):
29 - 39.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Hudson, A. Hester, T. Sweeney, S. Kippenbrock, R. Majcina, S. Vear, S. Wiard, and S. Kaplan
A Model of Care for Childhood Cancer Survivors That Facilitates Research
Journal of Pediatric Oncology Nursing,
May 1, 2004;
21(3):
170 - 174.
[Abstract]
[PDF]
|
|
|
|
