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Understanding the decision to screen for lung cancer or not: A qualitative analysis

BACKGROUND: Although new screening programmes with low‐dose computed tomography (LDCT) for lung cancer have been implemented throughout the United States, screening uptake remains low and screening‐eligible persons' decisions to screen or not remain poorly understood. OBJECTIVE: To describe how...

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Autores principales: Draucker, Claire Burke, Rawl, Susan M., Vode, Emilee, Carter‐Harris, Lisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882261/
https://www.ncbi.nlm.nih.gov/pubmed/31560837
http://dx.doi.org/10.1111/hex.12975
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author Draucker, Claire Burke
Rawl, Susan M.
Vode, Emilee
Carter‐Harris, Lisa
author_facet Draucker, Claire Burke
Rawl, Susan M.
Vode, Emilee
Carter‐Harris, Lisa
author_sort Draucker, Claire Burke
collection PubMed
description BACKGROUND: Although new screening programmes with low‐dose computed tomography (LDCT) for lung cancer have been implemented throughout the United States, screening uptake remains low and screening‐eligible persons' decisions to screen or not remain poorly understood. OBJECTIVE: To describe how current and former long‐term smokers explain their decisions regarding participation in lung cancer screening. DESIGN: Phone interviews using a semi‐structured interview guide were conducted to ask screening‐eligible persons to describe their decisions regarding screening with LDCT. The interviews were transcribed and analysed with conventional content analytic techniques. SETTING AND PARTICIPANTS: A subsample of 40 participants (20 who had screened and 20 who had not) were drawn from the sample of a survey study whose participants were recruited by Facebook targeted advertisements. RESULTS: The sample was divided into the following five groups based on their decisions regarding lung cancer screening participation: Group 1: no intention to be screened, Group 2: no deliberate consideration but somewhat open to being screened, Group 3: deliberate consideration but no definitive decision to be screened, Group 4: intention to be screened and Group 5: had been screened. Reasons for screening participation decisions are described for each group. Across groups, data revealed that screening‐eligible persons have a number of misconceptions regarding LDCT, including that a scan is needed only if one is symptomatic or has not had a chest x‐ray. A physician recommendation was a key influence on decisions to screen. DISCUSSION AND CONCLUSIONS: Education initiatives aimed at providers and long‐term smokers regarding LDCT is needed. Quality patient/provider communication is most likely to improve screening rates.
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spelling pubmed-68822612019-12-04 Understanding the decision to screen for lung cancer or not: A qualitative analysis Draucker, Claire Burke Rawl, Susan M. Vode, Emilee Carter‐Harris, Lisa Health Expect Original Research Papers BACKGROUND: Although new screening programmes with low‐dose computed tomography (LDCT) for lung cancer have been implemented throughout the United States, screening uptake remains low and screening‐eligible persons' decisions to screen or not remain poorly understood. OBJECTIVE: To describe how current and former long‐term smokers explain their decisions regarding participation in lung cancer screening. DESIGN: Phone interviews using a semi‐structured interview guide were conducted to ask screening‐eligible persons to describe their decisions regarding screening with LDCT. The interviews were transcribed and analysed with conventional content analytic techniques. SETTING AND PARTICIPANTS: A subsample of 40 participants (20 who had screened and 20 who had not) were drawn from the sample of a survey study whose participants were recruited by Facebook targeted advertisements. RESULTS: The sample was divided into the following five groups based on their decisions regarding lung cancer screening participation: Group 1: no intention to be screened, Group 2: no deliberate consideration but somewhat open to being screened, Group 3: deliberate consideration but no definitive decision to be screened, Group 4: intention to be screened and Group 5: had been screened. Reasons for screening participation decisions are described for each group. Across groups, data revealed that screening‐eligible persons have a number of misconceptions regarding LDCT, including that a scan is needed only if one is symptomatic or has not had a chest x‐ray. A physician recommendation was a key influence on decisions to screen. DISCUSSION AND CONCLUSIONS: Education initiatives aimed at providers and long‐term smokers regarding LDCT is needed. Quality patient/provider communication is most likely to improve screening rates. John Wiley and Sons Inc. 2019-09-27 2019-12 /pmc/articles/PMC6882261/ /pubmed/31560837 http://dx.doi.org/10.1111/hex.12975 Text en © 2019 The Authors Health Expectations published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Draucker, Claire Burke
Rawl, Susan M.
Vode, Emilee
Carter‐Harris, Lisa
Understanding the decision to screen for lung cancer or not: A qualitative analysis
title Understanding the decision to screen for lung cancer or not: A qualitative analysis
title_full Understanding the decision to screen for lung cancer or not: A qualitative analysis
title_fullStr Understanding the decision to screen for lung cancer or not: A qualitative analysis
title_full_unstemmed Understanding the decision to screen for lung cancer or not: A qualitative analysis
title_short Understanding the decision to screen for lung cancer or not: A qualitative analysis
title_sort understanding the decision to screen for lung cancer or not: a qualitative analysis
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882261/
https://www.ncbi.nlm.nih.gov/pubmed/31560837
http://dx.doi.org/10.1111/hex.12975
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