Author ORCID Identifier
https://orcid.org/0009-0003-7809-6022
Date Available
10-19-2025
Year of Publication
2024
Document Type
Master's Thesis
Degree Name
Master of Science (MS)
College
Arts and Sciences
Department/School/Program
Psychology
Advisor
Dr. Jessica L. Burris
Abstract
Nicotine replacement therapy (NRT) is a safe, efficacious smoking cessation treatment for cancer patients; however, equitable access is limited due to insurance gaps. Offering free NRT to patients with cancer has potential to increase tobacco treatment engagement and promote equity. This mixed-methods study aims to describe how some Cancer Center Cessation Initiative (C3I) sites implemented free NRT within their tobacco treatment programs (TTPs) to inform future development of equitable TTPs. Participating sites’ (N=9) TTP and patient population characteristics were assessed via survey and analyzed with descriptive statistics. Semi-structured interviews were conducted with 16 individuals and analyzed using directed content analysis. On average, 37.0% of patients who smoke engaged in TTPs, 48.4% of whom were prescribed cessation medication. Interviews revealed heterogeneous TTP structures, free NRT funding sources, and medication distribution models. Shared characteristics of sites’ outer settings (e.g., high proportion of patients with financial strain) often prompted free NRT program development. Shared inner setting characteristics such as inter-team collaborations, policy development, and leadership buy-in promoted implementation. Results highlight both significant heterogeneity and shared characteristics in how cancer centers might implement free NRT programs. Barriers to implementation underscore enduring challenges to providing gold standard tobacco treatment to all cancer patients in need.
Digital Object Identifier (DOI)
https://doi.org/10.13023/etd.2024.416
Funding Information
This research was supported by the Psychology Fellowship from the University of Kentucky Department of Psychology from 2023-2024.
Recommended Citation
Webster, Marguerite A., "A Mixed-Methods Study Exploring Free Nicotine Replacement Therapy as a Strategy to Promote Tobacco Treatment Equity at Cancer Center Cessation Initiative Sites" (2024). Theses and Dissertations--Psychology. 262.
https://uknowledge.uky.edu/psychology_etds/262
