Table 1.

Sample Strategies for Involving Family and Social Support Systems of Patients With Cancer in Tobacco Treatment Programs

	Dartmouth-Hitchcock Norris Cotton Cancer Center (NCCC)	Memorial Sloan Kettering Cancer Center (MSK)	University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC)
Geographic Location/Catchment Area	Rural New Hampshire Bistate catchment area (New Hampshire and Vermont)	Metropolitan New York City	Across North Carolina
Example Activities to Address Barriers and Engage Family and Social Support Persons in Tobacco Cessation Treatment	Collaborates with the NCCC Community Outreach and Engagement (COE) team to increase the visibility of tobacco treatment via in-person and virtual outreach events Developed a game to educate >4,500 attendees at NCCC’s annual fundraising event about emerging tobacco product concerns; Tobacco Treatment Specialists spoke about TTP services Organized a resource fair for the Great American Smokeout, inviting representatives from American Cancer Society, state quitlines, and hospital employee wellness program to speak about tobacco use and their tobacco treatment services	Administers MSK TTP intake form that includes questions to identify and engage support persons in TTP, including: What are your main triggers for smoking (includes a response option for other smokers or tobacco users)? Please indicate family members who regularly smoke or use other tobacco products Please indicate whether you have a smoke-free home and/or car Many of my family members, friends and/or coworkers smoke and/or use tobacco products (0 [not at all] to 10 [extremely true])	The UNC Quit Together (QT) program provides free, individualized tobacco cessation treatment to patients and their support persons who smoke. Developed a support person recruitment toolkit,a including: Workflow outlining steps for recruiting and enrolling support persons Promotional flyer, program information and consent document Introduction email to patient with a request to forward to their support persons Introduction email to support person with request to forward to the patient (when support person is first to enroll in QT)
Targeted Activities to Address Patients’ Support Persons in Tobacco Cessation Treatment	✓Offer/Refer resources ✓Intervene to reduce secondhand smoke exposure	✓Identify support persons who use tobacco ✓Offer/Refer resources ✓Involve support persons in patient’s TTP ✓Assess secondhand smoke exposure	✓Identify support persons who use tobacco ✓Offer/Refer resources ✓Involve support persons in patient’s TTP ✓Provide treatment to support persons who smoke

Abbreviation: TTP, tobacco treatment program.

^aThe UNC Quit Together Program Toolkit is available at: https://www.med.unc.edu/fammed/tobacco-treatment-program/quit-together-program/.