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    Therapeutic radiographers' perceptions of the barriers and enablers to effective smoking cessation support

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    Authors
    Charlesworth, L
    Hutton, D
    Hussain, Hannan
    Affiliation
    Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, S10 2BP, UK.
    Issue Date
    2019
    
    Metadata
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    Abstract
    INTRODUCTION: 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.
    Citation
    Charlesworth 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.
    Journal
    Radiography
    URI
    http://hdl.handle.net/10541/621864
    DOI
    10.1016/j.radi.2018.12.002
    PubMed ID
    30955684
    Additional Links
    https://dx.doi.org/10.1016/j.radi.2018.12.002
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.radi.2018.12.002
    Scopus Count
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