Publications by authors named "Wayne K Deruiter"

Background: Women's smoking and cessation behaviors are influenced by various sex- and gender- (SaG) related factors; however, most smoking cessation programs that do not target pregnant women follow a gender-neutral approach. We aimed to systematically review the literature on smoking cessation programs for women outside reproductive contexts to assess their effectiveness and how they address SaG-related barriers.

Methods: We selected experimental studies published between June 1, 2009, and June 7, 2023, that describe smoking cessation interventions designed exclusively for women.

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  • - The "Picking up the PACE" study aimed to investigate the impact of physical activity and diet on smoking cessation, but the results showed no significant changes in these areas among participants.
  • - A qualitative study involving interviews with 25 healthcare providers revealed that while many believed exercise and diet could help with quitting smoking, they faced challenges like social determinants of health and lack of time.
  • - Healthcare providers emphasized the importance of training and collaboration with allied health professionals to effectively implement the intervention, but also noted the need for a personalized approach for patients.
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  • A study was conducted to examine whether integrating a Clinical Decision Support System (CDSS) for physical activity and diet with smoking cessation programs could improve smoking quit rates among individuals who smoke.
  • The trial involved over 5,300 participants from primary care practices in Ontario, and results showed only a slight difference in quit rates between the intervention group using the CDSS and the control group, with 29.7% and 27.3% reporting abstinence, respectively.
  • Additionally, changes in physical activity levels and diet were minimal in both groups, indicating that the implementation of the CDSS did not significantly impact these health behaviors or smoking cessation outcomes.
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Patients who achieve smoking cessation following a cancer diagnosis can experience an improvement in treatment response and lower morbidity and mortality compared to individuals who continue to smoke. It is therefore imperative for publicly funded cancer centres to provide appropriate training and education for healthcare providers (HCP) and treatment options to support smoking cessation for their patients. However, system-, practitioner-, and patient-level barriers exist that hamper the integration of evidence-based cessation programs within publicly funded cancer centres.

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Coronavirus disease 2019 (COVID-19)-related stressors and restrictions, in the absence of social and institutional support, have led many individuals to either increase their substance consumption or relapse. Consequently, treatment programs for substance use disorders (SUDs) made a transition from in-person to remote care delivery. This review discusses the following evidence regarding changes prompted by the COVID pandemic to the clinical care of individuals with SUDs: (1) reduction in availability of care, (2) increase in demand for care, (3) transition to telemedicine use, (4) telemedicine for treatment of opioid use disorders, and (5) considerations for use of telemedicine in treating SUDs.

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Background: Given the harms associated with tobacco use, continuing the provision of smoking cessation treatment during the COVID-19 pandemic is critical. The aim of this study was to examine pandemic-related changes in enrolment, total treatment use and participant characteristics in a large, publicly funded smoking cessation program in Ontario, Canada.

Methods: We conducted a secondary data analysis of patients who enrolled in the program between Jan.

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  • Primary care organizations can effectively support patients in changing unhealthy behaviors through risk communication and self-monitoring strategies.
  • The study aimed to create tailored resources for behavior change by involving patients with lived experiences, specifically those in smoking cessation programs.
  • Participants expressed a preference for positive affirmation messages from practitioners and a unified self-report tracking sheet to monitor their health behaviors, which could guide healthcare providers in promoting healthier habits.
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As food addiction is being more commonly recognized within the scientific community, parallels can be drawn between it and other addictive substance use disorders, including tobacco use disorder. Given that both unhealthy diets and smoking are leading risk factors for disability and death, a greater understanding of how food addiction and tobacco use disorder overlap with one another is necessary. This narrative review aimed to highlight literature that investigated prevalence, biology, psychology, and treatment options of food addiction and tobacco use disorder.

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Background: Modifiable risk factors such as tobacco use, physical inactivity, and poor diet account for a significant proportion of the preventable deaths in Canada. These factors are also known to cluster together, thereby compounding the risks of morbidity and mortality. Given this association, smoking cessation programs appear to be well-suited for integration of health promotion activities for other modifiable risk factors.

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  • Smoking is a major factor in preventable diseases, healthcare costs, and lost productivity, often linked with other unhealthy behaviors like excessive drinking and poor diet.
  • A rapid realist review was conducted to find effective contexts and mechanisms in interventions that target smoking and other risk behaviors, with 138 relevant studies included from a screening of over 20,000 articles.
  • The review found that increasing external opportunities for healthy behaviors consistently aided in smoking cessation success, while enhancing individual capability or motivation was context-dependent, suggesting a need for broader public health strategies.
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  • Health behaviors significantly affect individual and population health, leading to community interventions targeting multiple unhealthy habits like smoking and poor diet together.* -
  • The study utilizes a rapid realist review to identify factors that successfully lead to changes in tobacco use and other unhealthy behaviors, involving a thorough literature search and evaluation of selected studies.* -
  • Findings from this review aim to inform a government-funded project in Canada, focusing on enhancing smoking cessation efforts by integrating strategies to address multiple health behaviors.*
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Introduction: While the benefits of complying with health recommendations is well documented, a considerable proportion of Canadians engage in multiple modifiable risk behaviors. The purpose of this multi-wave longitudinal study was to identify the individual period prevalence and co-occurrence of multiple modifiable risk behaviors, particularly excessive alcohol consumption, physical inactivity, and tobacco use, within a nationally representative sample of Canadians.

Methods: Secondary data analysis was conducted on the first seven cycles of the National Population Health Survey.

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Background: Evaluating the interrelationship of health behaviors could assist in the development of effective public health interventions. Furthermore, the ability to identify cognitive mediators that may influence multiple behavioral changes requires evaluation.

Purpose: To evaluate covariation among health behaviors, specifically alcohol consumption, leisure-time physical activity, and smoking, and examine whether mastery acts as a mediating social-cognitive mechanism that facilitates multiple health behavior change in a longitudinal analysis.

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Background: Most of the early psychosis intervention (EPI) training has focused on family physicians participants. In Northern Ontario, there is a shortage of primary care. This paper will present evaluation results of a pilot training programme for rural and remote youth mental health service providers.

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Individuals experiencing their first psychotic episode report rates of substance and tobacco use that are higher than observed in the general population. In this sample of individuals diagnosed with first episode psychosis, rural/non-rural variations in substance use and smoking behaviour were evaluated. Analyses were performed utilizing data from a sample of individuals enrolled in early intervention programs located throughout the province of Ontario.

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Objectives: We sought to establish the prevalence of physical activity among smokers, whether or not physically active smokers were more likely to attempt cessation, and who these physically active smokers were.

Methods: We used logistic regression to contrast physically active and inactive smokers in a secondary data analysis of the Canadian Community Health Survey Cycle 1.1.

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