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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