Qualitative study for betel quid cessation among oral cancer patients
The psychoactive effects of using areca nut and its potential for dependence have been observed. However, the factors that create barriers to or promote chewing cessation are not well understood. This study aims to explore the behavioral changes of betel quid chewers who have been diagnosed with ora...
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| description | The psychoactive effects of using areca nut and its potential for dependence have been observed. However, the factors that create barriers to or promote chewing cessation are not well understood. This study aims to explore the behavioral changes of betel quid chewers who have been diagnosed with oral cancer within a transtheoretical model framework. Thirty oral cancer patients with betel quid chewing history were chosen for in-depth interviews. Qualitative content analysis was used to analyze the data and identify themes that described the behavioral changes of betel quid cessation. Our research showed that betel quid chewers with oral cancer typically experience four significant stages of behavior: pre-contemplation, contemplation, action, and maintenance. Each stage change was marked by specific characteristics. At first, chewers showed positive attitudes toward the psychoactive or social effects of betel quid. They then realized the negative effects of betel quid, such as dental or other physical problems. Some also realized that they were addicted to betel quid. When they decided to quit, most chewers reported going "cold turkey." Some chewers successfully quit betel quid and attributed it to willpower. Those quitting because of the loss of oral functions were unable to chew anymore, though some chewers had experienced a relapse. In the maintenance stage, ex-chewers reported overcoming their addiction; however, relapse was possible. In this study, those who quit betel quid because of oral cancer usually quit tobacco and alcohol as well, with a lesser chance of recurrence. As the maintenance of chewing betel quid is multifactorial, this study provides information for betel quid cessation and oral cancer prevention. |
| doi_str_mv | 10.1371/journal.pone.0199503 |
| format | Article |
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However, the factors that create barriers to or promote chewing cessation are not well understood. This study aims to explore the behavioral changes of betel quid chewers who have been diagnosed with oral cancer within a transtheoretical model framework. Thirty oral cancer patients with betel quid chewing history were chosen for in-depth interviews. Qualitative content analysis was used to analyze the data and identify themes that described the behavioral changes of betel quid cessation. Our research showed that betel quid chewers with oral cancer typically experience four significant stages of behavior: pre-contemplation, contemplation, action, and maintenance. Each stage change was marked by specific characteristics. At first, chewers showed positive attitudes toward the psychoactive or social effects of betel quid. They then realized the negative effects of betel quid, such as dental or other physical problems. Some also realized that they were addicted to betel quid. When they decided to quit, most chewers reported going "cold turkey." Some chewers successfully quit betel quid and attributed it to willpower. Those quitting because of the loss of oral functions were unable to chew anymore, though some chewers had experienced a relapse. In the maintenance stage, ex-chewers reported overcoming their addiction; however, relapse was possible. In this study, those who quit betel quid because of oral cancer usually quit tobacco and alcohol as well, with a lesser chance of recurrence. As the maintenance of chewing betel quid is multifactorial, this study provides information for betel quid cessation and oral cancer prevention.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0199503</identifier><identifier>PMID: 30016322</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Addictions ; Addictive behaviors ; Adolescent ; Adult ; Aged ; Alcohol ; Alcohols ; Areca - adverse effects ; Behavior ; Betel (Piper betle) ; Biology and Life Sciences ; Cancer ; Cancer patients ; Chewing ; Content analysis ; Data processing ; Dentistry ; Dependence ; Diagnosis ; Disease prevention ; Female ; Health aspects ; Health Knowledge, Attitudes, Practice ; Hospitals ; Humans ; Maintenance ; Male ; Mastication ; Medical diagnosis ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Mouth cancer ; Mouth Neoplasms - epidemiology ; Mouth Neoplasms - etiology ; Mouth Neoplasms - pathology ; Neoplasm Staging ; Oral cancer ; Pathogens ; Patients ; Psychological aspects ; Public health ; Qualitative analysis ; Qualitative research ; Recurrence ; Risk factors ; Social Sciences ; Tobacco ; Young Adult</subject><ispartof>PloS one, 2018-07, Vol.13 (7), p.e0199503-e0199503</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Lee et al 2018 Lee et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-bb4669a8e68abf93ec94f9ed3fdbe220fc35a7c94a6a08a5e8939e9bee1e208c3</citedby><cites>FETCH-LOGICAL-c692t-bb4669a8e68abf93ec94f9ed3fdbe220fc35a7c94a6a08a5e8939e9bee1e208c3</cites><orcidid>0000-0002-8234-1524</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049897/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049897/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30016322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Chen-Yi</creatorcontrib><creatorcontrib>Wu, Chih-Feng</creatorcontrib><creatorcontrib>Chen, Chun-Ming</creatorcontrib><creatorcontrib>Chang, Yong-Yuan</creatorcontrib><title>Qualitative study for betel quid cessation among oral cancer patients</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The psychoactive effects of using areca nut and its potential for dependence have been observed. However, the factors that create barriers to or promote chewing cessation are not well understood. This study aims to explore the behavioral changes of betel quid chewers who have been diagnosed with oral cancer within a transtheoretical model framework. Thirty oral cancer patients with betel quid chewing history were chosen for in-depth interviews. Qualitative content analysis was used to analyze the data and identify themes that described the behavioral changes of betel quid cessation. Our research showed that betel quid chewers with oral cancer typically experience four significant stages of behavior: pre-contemplation, contemplation, action, and maintenance. Each stage change was marked by specific characteristics. At first, chewers showed positive attitudes toward the psychoactive or social effects of betel quid. They then realized the negative effects of betel quid, such as dental or other physical problems. Some also realized that they were addicted to betel quid. When they decided to quit, most chewers reported going "cold turkey." Some chewers successfully quit betel quid and attributed it to willpower. Those quitting because of the loss of oral functions were unable to chew anymore, though some chewers had experienced a relapse. In the maintenance stage, ex-chewers reported overcoming their addiction; however, relapse was possible. In this study, those who quit betel quid because of oral cancer usually quit tobacco and alcohol as well, with a lesser chance of recurrence. As the maintenance of chewing betel quid is multifactorial, this study provides information for betel quid cessation and oral cancer prevention.</description><subject>Addictions</subject><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alcohol</subject><subject>Alcohols</subject><subject>Areca - adverse effects</subject><subject>Behavior</subject><subject>Betel (Piper betle)</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Chewing</subject><subject>Content analysis</subject><subject>Data processing</subject><subject>Dentistry</subject><subject>Dependence</subject><subject>Diagnosis</subject><subject>Disease prevention</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Maintenance</subject><subject>Male</subject><subject>Mastication</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mouth cancer</subject><subject>Mouth Neoplasms - epidemiology</subject><subject>Mouth Neoplasms - etiology</subject><subject>Mouth Neoplasms - pathology</subject><subject>Neoplasm Staging</subject><subject>Oral cancer</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Qualitative research</subject><subject>Recurrence</subject><subject>Risk factors</subject><subject>Social Sciences</subject><subject>Tobacco</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkttq3DAQhk1paQ7tG5TWUCjtxW51sCXrphBC2i4EQo-3QpZHu1q01kaSQ_P20XadsC65KL6Qmfnm18zoL4pXGM0x5fjj2g-hV26-9T3MERaiRvRJcYwFJTNGEH168H9UnMS4RqimDWPPiyOKEGaUkOPi4tugnE0q2RsoYxq629L4ULaQwJXXg-1KDTHmtO9LtfH9svRBuVKrXkMotzkBfYovimdGuQgvx_O0-PX54uf519nl1ZfF-dnlTDNB0qxtK8aEaoA1qjWCghaVEdBR07VACDKa1ornoGIKNaqGRlABogXAQFCj6WnxZq-7dT7KcQNREsQxrokgLBOLPdF5tZbbYDcq3EqvrPwb8GEpVUhWO5AtMi03LDdFmyr31CKuDWnrjnbMYEqz1qfxtqHdQKfzpHn2ieg009uVXPobyVAlGsGzwPtRIPjrAWKSGxs1OKd68MO-75pzykVG3_6DPj7dSC1VHsD2xud79U5UntUV47zhtM7U_BEqfx1srM52MTbHJwUfJgWZSfAnLdUQo1z8-P7_7NXvKfvugF2BcmkVvRt2bopTsNqDOvgYA5iHJWMkd26_34bcuV2Obs9lrw8f6KHo3t70Dl2K-uw</recordid><startdate>20180717</startdate><enddate>20180717</enddate><creator>Lee, Chen-Yi</creator><creator>Wu, Chih-Feng</creator><creator>Chen, Chun-Ming</creator><creator>Chang, Yong-Yuan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8234-1524</orcidid></search><sort><creationdate>20180717</creationdate><title>Qualitative study for betel quid cessation among oral cancer patients</title><author>Lee, Chen-Yi ; Wu, Chih-Feng ; Chen, Chun-Ming ; Chang, Yong-Yuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-bb4669a8e68abf93ec94f9ed3fdbe220fc35a7c94a6a08a5e8939e9bee1e208c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Addictions</topic><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alcohol</topic><topic>Alcohols</topic><topic>Areca - adverse effects</topic><topic>Behavior</topic><topic>Betel (Piper betle)</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Chewing</topic><topic>Content analysis</topic><topic>Data processing</topic><topic>Dentistry</topic><topic>Dependence</topic><topic>Diagnosis</topic><topic>Disease prevention</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Maintenance</topic><topic>Male</topic><topic>Mastication</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Mouth cancer</topic><topic>Mouth Neoplasms - epidemiology</topic><topic>Mouth Neoplasms - etiology</topic><topic>Mouth Neoplasms - pathology</topic><topic>Neoplasm Staging</topic><topic>Oral cancer</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Psychological aspects</topic><topic>Public health</topic><topic>Qualitative analysis</topic><topic>Qualitative research</topic><topic>Recurrence</topic><topic>Risk factors</topic><topic>Social Sciences</topic><topic>Tobacco</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Chen-Yi</creatorcontrib><creatorcontrib>Wu, Chih-Feng</creatorcontrib><creatorcontrib>Chen, Chun-Ming</creatorcontrib><creatorcontrib>Chang, Yong-Yuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Chen-Yi</au><au>Wu, Chih-Feng</au><au>Chen, Chun-Ming</au><au>Chang, Yong-Yuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Qualitative study for betel quid cessation among oral cancer patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-07-17</date><risdate>2018</risdate><volume>13</volume><issue>7</issue><spage>e0199503</spage><epage>e0199503</epage><pages>e0199503-e0199503</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The psychoactive effects of using areca nut and its potential for dependence have been observed. However, the factors that create barriers to or promote chewing cessation are not well understood. This study aims to explore the behavioral changes of betel quid chewers who have been diagnosed with oral cancer within a transtheoretical model framework. Thirty oral cancer patients with betel quid chewing history were chosen for in-depth interviews. Qualitative content analysis was used to analyze the data and identify themes that described the behavioral changes of betel quid cessation. Our research showed that betel quid chewers with oral cancer typically experience four significant stages of behavior: pre-contemplation, contemplation, action, and maintenance. Each stage change was marked by specific characteristics. At first, chewers showed positive attitudes toward the psychoactive or social effects of betel quid. They then realized the negative effects of betel quid, such as dental or other physical problems. Some also realized that they were addicted to betel quid. When they decided to quit, most chewers reported going "cold turkey." Some chewers successfully quit betel quid and attributed it to willpower. Those quitting because of the loss of oral functions were unable to chew anymore, though some chewers had experienced a relapse. In the maintenance stage, ex-chewers reported overcoming their addiction; however, relapse was possible. In this study, those who quit betel quid because of oral cancer usually quit tobacco and alcohol as well, with a lesser chance of recurrence. As the maintenance of chewing betel quid is multifactorial, this study provides information for betel quid cessation and oral cancer prevention.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30016322</pmid><doi>10.1371/journal.pone.0199503</doi><tpages>e0199503</tpages><orcidid>https://orcid.org/0000-0002-8234-1524</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Addictions Addictive behaviors Adolescent Adult Aged Alcohol Alcohols Areca - adverse effects Behavior Betel (Piper betle) Biology and Life Sciences Cancer Cancer patients Chewing Content analysis Data processing Dentistry Dependence Diagnosis Disease prevention Female Health aspects Health Knowledge, Attitudes, Practice Hospitals Humans Maintenance Male Mastication Medical diagnosis Medicine Medicine and Health Sciences Middle Aged Mouth cancer Mouth Neoplasms - epidemiology Mouth Neoplasms - etiology Mouth Neoplasms - pathology Neoplasm Staging Oral cancer Pathogens Patients Psychological aspects Public health Qualitative analysis Qualitative research Recurrence Risk factors Social Sciences Tobacco Young Adult |
| title | Qualitative study for betel quid cessation among oral cancer patients |
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