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Smoking behavior after a diagnosis of lung cancer

Browning, Kristine Kihm
http://rave.ohiolink.edu/etdc/view?acc_num=osu1190039881

Abstract Details

2007, Doctor of Philosophy, Ohio State University, Nursing.
Lung cancer is the leading cause of cancer death in the United States. Despite known benefits of quitting smoking after a diagnosis of lung cancer, 13-20% of patients still do not quit. The variables and relationships that influence smoking behavior among lung cancer patients are poorly understood. The Self-Regulation Model of Illness (SRMI) provides a framework for furthering an understanding of why individuals diagnosed with lung cancer continue to smoke. The purpose of this study was to examine sociodemographic (age, education, income) and biobehavioral (nicotine dependence, social support) characteristics, patient perception of illness (illness representation), and quality of life after a recent diagnosis of lung cancer at baseline and 6 months to further describe smoking behavior. This study had a prospective, one-group longitudinal design and included patients who were 18 years or older, had a confirmed diagnosis of lung cancer within the past 60 days, and self-reported current smoking within the past 7 days. After obtaining informed consent, patients produced a 1mL saliva sample for cotinine analysis and completed a series of questionnaires at baseline and 6 months. Patients who self-reported abstinence from smoking at 6 months provided a saliva cotinine sample for biochemical verification. Descriptive statistics were calculated on sociodemographic, medical history, tobacco use, illness representation, and quality of life data. Differences between mean scores for each illness representation attribute over time were calculated. Fifty-three patients enrolled and only 27 (50.9%) reached the 6 month study endpoint. At 6 months, five (18.5%) patients were biochemically confirmed to be abstinent by saliva cotinine. Due to the small sample size at 6 months, statistical comparison between smokers and quitters was not conducted. Importantly, most patients (78.1%) made at least one attempt to quit smoking in the previous 6 months. Significant differences over time were detected among the identity, timeline (acute/chronic), and person and treatment control attributes. There were a high percentage of depressive symptoms reported by the sample at baseline (60.8%) and at 6 months (40.0%). The results of this study will be used to develop future smoking cessation interventions with lung cancer patients, and guide future research questions.
Mary Ellen Wewers (Advisor)
127 p.
Health Sciences, Nursing
Smoking Behavior; Lung Cancer; Illness Representation; Quality of Life

Recommended Citations

Citations

  • Browning, K. K. (2007). Smoking behavior after a diagnosis of lung cancer [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1190039881

    APA Style (7th edition)

  • Browning, Kristine. Smoking behavior after a diagnosis of lung cancer. 2007. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1190039881.

    MLA Style (8th edition)

  • Browning, Kristine. "Smoking behavior after a diagnosis of lung cancer." Doctoral dissertation, Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1190039881

    Chicago Manual of Style (17th edition)

osu1190039881
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© 2007, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.