{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T17:36:59Z","timestamp":1783100219302,"version":"3.54.6"},"reference-count":22,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T00:00:00Z","timestamp":1675641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIH","award":["P30 CA033572"],"award-info":[{"award-number":["P30 CA033572"]}]},{"name":"NIH","award":["P30 CA033572-37S5"],"award-info":[{"award-number":["P30 CA033572-37S5"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["P30 CA033572"],"award-info":[{"award-number":["P30 CA033572"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["P30 CA033572-37S5"],"award-info":[{"award-number":["P30 CA033572-37S5"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Tobacco control is important for cancer patient health, but delivering effective low-dose CT (LDCT) screening and tobacco cessation is more difficult in underserved and patients from racial and ethnic minority groups. At City of Hope (COH), we have developed strategies to overcome barriers to the delivery of LDCT and tobacco cessation. Methods: We performed a needs assessment. New tobacco control program services were implemented focusing on patients from racial and ethnic minority groups. Innovations included Whole Person Care with motivational counseling, placing clinician and nurse champions at points of care, training module and leadership newsletters, and a patient-centric personalized medicine Personalized Pathways to Success (PPS) program. Results: Emphasis on patients from racial and ethnic minority groups was implemented by training cessation personnel and lung cancer control champions. LDCT increased. Tobacco use assessment increased and abstinence was 27.2%. The PPS pilot program achieved 47% engagement in cessation, with self-reported abstinence at 3 months of 38%, with both results slightly higher in patients from racial and ethnic minority groups than in Caucasian patients. Conclusions: Tobacco cessation barrier-focused innovations can result in increased lung cancer screening and tobacco cessation reach and effectiveness, especially among patients from racial and ethnic minority groups. The PPS program is promising as a personalized medicine patient-centric approach to cessation and lung cancer screening.<\/jats:p>","DOI":"10.3390\/jcm12041275","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T03:34:30Z","timestamp":1675654470000},"page":"1275","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Overcoming Barriers to Tobacco Cessation and Lung Cancer Screening among Racial and Ethnic Minority Groups and Underserved Patients in Academic Centers and Community Network Sites: The City of Hope Experience"],"prefix":"10.3390","volume":"12","author":[{"given":"Cary A.","family":"Presant","sequence":"first","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimlin","family":"Ashing","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Raz","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Yeung","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Gascon","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Stewart","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonjon","family":"Macalintal","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argelia","family":"Sandoval","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5847-9312","authenticated-orcid":false,"given":"Loretta","family":"Ehrunmwunsee","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanyanika","family":"Phillips","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9643-7626","authenticated-orcid":false,"given":"Ravi","family":"Salgia","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amartej","family":"Merla","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmuga","family":"Subbiah","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"El-Hajjouie","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Staley","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Graves","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjan","family":"Pathak","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaira","family":"Dingal","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagus","family":"Sampath","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverly","family":"Laksana","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Joseph","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4949-2715","authenticated-orcid":false,"given":"Tricia","family":"Eugenio","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Degoma","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Burns","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Phillips","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Tan","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Tarkshian","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Sun","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya","family":"Amini","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khristie","family":"Davy","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Cronkhite","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Cianfrocca","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Brown","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuman","family":"Fong","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Rosen","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center, 1500 East Duarte Rd, Duarte, CA 91010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1001\/jamainternmed.2016.6530","article-title":"State-Level Cancer Mortality Attributable to Cigarette Smoking in the United States","volume":"176","author":"Sauer","year":"2016","journal-title":"JAMA Intern. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.jtho.2022.09.005","article-title":"Stage Shift Improves Lung Cancer Survival: Real-World Evidence","volume":"18","author":"Yang","year":"2022","journal-title":"J. Thorac. Oncol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.jtho.2021.12.005","article-title":"Quitting Smoking At or Around Diagnosis Improves the Overall Survival of Lung Cancer Patients: A Systematic Review and Meta-Analysis","volume":"17","author":"Caini","year":"2022","journal-title":"J. Thorac. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e1912264","DOI":"10.1001\/jamanetworkopen.2019.12264","article-title":"Effective Cessation Treatment for Patients With Cancer Who Smoke\u2014The Fourth Pillar of Cancer Care","volume":"2","author":"Fiore","year":"2019","journal-title":"JAMA Netw. Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1200\/JCO.2020.39.28_suppl.17","article-title":"Potential barriers to lung cancer screening in a minority population: Assessing attitudes, beliefs, and values towards screening with low-dose computed tomography amongst a high-risk minority population","volume":"39","author":"Sheppard","year":"2021","journal-title":"J. Clin. Oncol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1093\/jnci\/djab208","article-title":"Smoking Cessation Prevalence and Inequalities in the United States: 2014-2019","volume":"114","author":"Leventhal","year":"2022","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Presant, C.A., Salgia, R., Kulkarni, P., Tiep, B.L., Sanani, S., Leach, B., Ashing, K., Sandoval, J., Sedrak, M.S., and Landau, S. (2020). Implementing Lung Cancer Screening and Prevention in Academic Centers, Affiliated Network Offices and Collaborating Care Sites. J. Clin. Med., 9.","DOI":"10.3390\/jcm9061820"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"CT087","DOI":"10.1158\/1538-7445.AM2020-CT087","article-title":"A geospacial approach to explore the socioecological context of tobacco and vape shop location","volume":"80","author":"Ashing","year":"2020","journal-title":"Cancer Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s10552-022-01619-1","article-title":"Increasing clinician participation in tobacco cessation by an implementation science-based tobacco cessation champion program","volume":"34","author":"Presant","year":"2022","journal-title":"Cancer Causes Control"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e115","DOI":"10.1016\/j.cllc.2018.09.013","article-title":"Perceptions and Utilization of Lung Cancer Screening Among Smokers Enrolled in a Tobacco Cessation Program","volume":"20","author":"Raz","year":"2019","journal-title":"Clin. Lung Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1856","DOI":"10.1016\/j.jtho.2016.06.010","article-title":"Perceptions and Utilization of Lung Cancer Screening Among Primary Care Physicians","volume":"11","author":"Raz","year":"2016","journal-title":"J. Thorac. Oncol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.athoracsur.2014.04.105","article-title":"Augmented Meaningful Use Criteria to Identify Patients Eligible for Lung Cancer Screening","volume":"98","author":"Raz","year":"2014","journal-title":"Ann. Thorac. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"12","DOI":"10.18332\/tpc\/115166","article-title":"Incorporating lung cancer screening education into tobacco cessation group counseling","volume":"6","author":"Raz","year":"2020","journal-title":"Tob. Prev. Cessat."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.cllc.2021.12.002","article-title":"A Lung Cancer Screening Education Program Impacts both Referral Rates and Provider and Medical Assistant Knowledge at Two Federally Qualified Health Centers","volume":"23","author":"Akhtar","year":"2022","journal-title":"Clin. Lung Cancer"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1056\/NEJMp2003255","article-title":"Redoubling Efforts to Help Americans Quit Smoking\u2014Federal Initiatives to Tackle the Country\u2019s Longest-Running Epidemic","volume":"383","author":"Redfield","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"The US Preventive Services Task Force (2021). Interventions for Smoking Cessation in adults, including pregnant persons: US Preventive Services Task Force recommendation statement. JAMA, 325, 265\u2013279.","DOI":"10.1001\/jama.2020.25019"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"The US Preventive Services Task Force (2021). Screening for lung cancer: US Preventive Services Task Force recommendation statement; CCN Guidelines\u00ae Insights: Lung Cancer Screening, Version 1.2022. JAMA, 325, 962\u2013970.","DOI":"10.1001\/jama.2021.1117"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1093\/ntr\/ntac160","article-title":"The Impact of the COVID-19 Pandemic on Tobacco Treatment Program Implementation at National Cancer Institute-Designated Cancer Centers","volume":"25","author":"Hohl","year":"2022","journal-title":"Nicotine Tob. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e206","DOI":"10.1016\/j.cllc.2019.09.002","article-title":"Lung Cancer Screening Registry Reveals Low-dose CT Screening Remains Heavily Underutilized","volume":"21","author":"Pham","year":"2020","journal-title":"Clin. Lung Cancer"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Cancer Center Cessation Initiative Sustainability Working Group (2022). Sustainability of tobacco treatment programs in the cancer center cessation initiative. J. Natl. Compr. Cancer Netw., 19, S16\u2013S20.","DOI":"10.6004\/jnccn.2021.7093"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Hohl, S.D., Matulewicz, R.S., Salloum, R.G., Ostroff, J.S., Baker, T.B., Schnoll, R., Warren, G., Bernstein, S.L., Minion, M., and Lenhoff, K. Integrating tobacco treatment into oncology care: Reach and effectiveness of evidence-based tobacco treatment across NCI-designated cancer centers. J. Clin. Oncol., 2022. in press.","DOI":"10.1200\/JCO.22.00936"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"488","DOI":"10.6004\/jnccn.2021.7333","article-title":"Increased Reach and Effectiveness With a Low-Burden Point-of-Care Tobacco Treatment Program in Cancer Clinics","volume":"20","author":"Ramsey","year":"2022","journal-title":"J. Natl. Compr. Cancer Netw."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1275\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:25:23Z","timestamp":1760120723000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,6]]},"references-count":22,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["jcm12041275"],"URL":"https:\/\/doi.org\/10.3390\/jcm12041275","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,6]]}}}