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Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative

Authors :
Sarah D. Hohl
Jennifer E. Bird
Claire V. T. Nguyen
Heather D’Angelo
Mara Minion
Danielle Pauk
Robert T. Adsit
Michael Fiore
Margaret B. Nolan
Betsy Rolland
Source :
Current Oncology, Vol 29, Iss 4, Pp 2406-2421 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Background: Delivering evidence-based tobacco dependence treatment in oncology settings improves smoking abstinence and cancer outcomes. Leadership engagement/buy-in is critical for implementation success, but few studies have defined buy-in or described how to secure buy-in for tobacco treatment programs (TTPs) in cancer care. This study examines buy-in during the establishment of tobacco treatment programs at National Cancer Institute (NCI)-designated cancer centers. Methods: We utilized a sequential, explanatory mixed-methods approach to analyze quantitative data and qualitative interviews with program leads in the U.S.-based NCI Moonshot-supported Cancer Center Cessation Initiative (n = 20 Centers). We calculated descriptive statistics and applied structural coding and content analysis to qualitative data. Results: At least 75% of participating centers secured health care system administrative, clinical, and IT leadership buy-in and support. Six themes emerged from interviews: engaging leadership, access to resources, leveraging federal funding support to build leadership interest, designating champions, identifying training needs, and ensuring staff roles and IT systems support workflows. Conclusions: Buy-in among staff and clinicians is defined by the belief that the TTP is necessary, valuable, and evidence based. Recognizing and securing these dimensions of buy-in can facilitate implementation success, leading to improved cancer outcomes.

Details

Language :
English
ISSN :
17187729 and 11980052
Volume :
29
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Current Oncology
Publication Type :
Academic Journal
Accession number :
edsdoj.52e048e0296408386c72378ad2416d0
Document Type :
article
Full Text :
https://doi.org/10.3390/curroncol29040195