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


Authors: Draucker, C. B.; Rawl, S. M.; Vode, E.; Carter-Harris, L.
Article Title: Understanding the decision to screen for lung cancer or not: A qualitative analysis
Abstract: 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. © 2019 The Authors Health Expectations published by John Wiley & Sons Ltd
Keywords: qualitative; lung cancer screening; behaviour; long-term smokers
Journal Title: Health Expectations
Volume: 22
Issue: 6
ISSN: 1369-6513
Publisher: Wiley Blackwell  
Date Published: 2019-12-01
Start Page: 1314
End Page: 1321
Language: English
DOI: 10.1111/hex.12975
PUBMED: 31560837
PROVIDER: scopus
PMCID: PMC6882261
DOI/URL:
Notes: Article -- Source: Scopus
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