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Understanding the decision to screen for lung cancer or not

A qualitative analysis

Bibliographic Data

ID19506035
AuthorsClaire Draucker (0000-0001-9844-351X, Indiana University School of Nursing Indianapolis Indiana, corresponding author), Susan M Rawl (0000-0003-2052-2853, Indiana University School of Nursing Indianapolis Indiana), Emilee Vode (0000-0003-0006-914X, Indiana University School of Nursing Indianapolis Indiana), Lisa Carter‐harri (0000-0002-6448-6033, Department of Psychiatry & Behavioral Sciences Memorial Sloan Kettering Cancer Center New York New York)
Year2019
Volume22
Issue6
Pages1314-1321
Publication date2019-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12975
PMID31560837
OpenAlexW2975116392
LanguageEN
Citations received3
References cited20

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

Family medicine · Lung cancer · Lung cancer screening · Pathology · Phone · Qualitative research · Global Cancer Incidence and Screening · Lung Cancer Diagnosis and Treatment · Medicine · Radiology practices and education

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Unique citing works3
Citations per year0,75
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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