Provider Training in Increasing Patient Tobacco Cessation Counseling and Referrals for Patients With Cancer Undergoing Radiation Therapy

Inclusion Criteria: * MEDICAL CHART REVIEW * Pre-intervention: 200 patient records between January 1, 2016 and December 31, 2016 are subject to review; the first 50 records with a diagnoses of each cancer type: head and neck, lung, prostate, or breast will be utilized for the review * Post-intervention: 200 patient records receiving care beginning six months post training are subject to review; the first 50 records with a diagnoses of head and neck, lung, prostate, or breast will be utilized * PROVIDER TRAINING * OHSU Radiation Medicine department has agreed to participate as pilot department for this project; all active Radiation Medicine providers are requested to participate in the training; providers have the option to not participate * TOBACCO CESSATION COACHING * Patients who are at least 18 years of age * Speak English * Report tobacco use within the past 7 days * Willing to consider quitting smoking * Patients must be willing to meet four times in person or on the phone to discuss tobacco use * Patients must be willing to be audio recorded during the sessions * Patients who meet this criteria will be referred to OHSU Health Promotion Sports Medicine researcher, Carol DeFrancesco, to complete assessment using stages of change tobacco use readiness ruler and question set * Patient smoking status will be documented in their electronic health record, per routine care Exclusion Criteria: * Vulnerable Populations * The following groups will be excluded from participation: * Children * Decisionally impaired adults * Prisoners * Pregnant women