Therapeutic radiographers' perceptions of the barriers and enablers to effective smoking cessation support
AffiliationFaculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, S10 2BP, UK.
MetadataShow full item record
AbstractINTRODUCTION: Tobacco smoking during and post radiotherapy is associated with increased treatment toxicity and increased cancer related mortality. Routine delivery of smoking cessation advice is inconsistent in practice. This study identifies the key barriers and facilitators to the provision of effective smoking cessation conversations in radiotherapy practice. METHODS: A baseline questionnaire (n = 43) was used to identify current practice, barriers and facilitators to smoking cessation in radiotherapy and to inform a topic guide for follow up focus groups (n = 5). Ethical approval was obtained through the 4 NHS trusts and the Health Research Authority. Focus group transcription was coded by two researchers. RESULTS: Therapeutic Radiographers initiate health behaviour conversations with patients; there are a number of factors that facilitate the likelihood of a health behaviour conversation; indication that a patient smokes anatomical site and presence of acute effects. Key barriers to smoking cessation provision include; lack of training, limited knowledge, limitations as a result of poor clinical infrastructure, local culture and perceptions that patients do not prioritise smoking cessation during treatment. CONCLUSION: Therapeutic Radiographers have the motivation to provide smoking cessation advice, however they require further training to develop knowledge and skills in relation to benefits of smoking cessation and cessation strategies. Therapeutic Radiographers also expect that patients will respond negatively to smoking cessation advice, and that this might be damaging to the therapeutic relationship. Departmental culture and trust infrastructure can also significantly inhibit the provision of smoking cessation in radiotherapy practice and further support to implement NICE guidance is required.
CitationCharlesworth L, Hutton D, Hussain H. Therapeutic radiographers' perceptions of the barriers and enablers to effective smoking cessation support. Radiography (Lond). 2019 May;25(2):121-8.
- Therapeutic radiographers supporting individuals undergoing radiotherapy to stop smoking: Testing a training resource in clinical practice.
- Authors: Charlesworth L, Hutton D, Hussain H, Wong H
- Issue date: 2021 Sep 7
- Exploring mental health professionals' practice in relation to smoke-free policy within a mental health trust: a qualitative study using the COM-B model of behaviour.
- Authors: Smith CA, McNeill A, Kock L, Shahab L
- Issue date: 2019 Feb 4
- Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia.
- Authors: Harutyunyan A, Abrahamyan A, Hayrumyan V, Petrosyan V
- Issue date: 2019 Jan
- A Survey of Therapeutic Radiographers' Knowledge, Practices, and Barriers in Delivering Health Behaviour Advice to Cancer Patients.
- Authors: Pallin ND, Beeken RJ, Jones KP, Woznitza N, Fisher A
- Issue date: 2020 Oct 15
- Barriers and promoters of an evidenced-based smoking cessation counseling during prenatal care in Argentina and Uruguay.
- Authors: Colomar M, Tong VT, Morello P, Farr SL, Lawsin C, Dietz PM, Aleman A, Berrueta M, Mazzoni A, Becu A, Buekens P, Belizán J, Althabe F
- Issue date: 2015 Jul