Understanding lung cancer screening behaviour using path analysis Journal Article

Authors: Carter-Harris, L.; Slaven, J. E. 2nd; Monahan, P. O.; Draucker, C. B.; Vode, E.; Rawl, S. M.
Article Title: Understanding lung cancer screening behaviour using path analysis
Abstract: Objective Understanding lung cancer screening behaviour is crucial to identifying potentially modifiable factors for future intervention. Qualititative work has explored attitudes and beliefs about lung cancer screening from the perspective of the participant, but the theoretically grounded factors that influence screening-eligible individuals to screen are unknown. We tested an explanatory framework for lung cancer screening participation from the individual's perspective. Methods Data were collected as part of a sequential explanatory mixed methods study, the quantitative component of which is reported here. A national purposive sample of 515 screening-eligible participants in the United States was recruited using Facebook-targeted advertisement. Participants completed surveys assessing constructs of the Conceptual Model for Lung Cancer Screening Participation. Path analysis was used to assess the relationships between variables. Results Path analyses revealed that a clinician recommendation to screen, higher self-efficacy scores, and lower mistrust scores were directly associated with screening participation (p < 0.05). However, the link between screening behaviour and self-efficacy appeared to be fully mediated by fatalism, lung cancer fear, lung cancer family history, knowledge of lung cancer risk and screening, income, clinician recommendation, and social influence (p < 0.05). Conclusions This study found that medical mistrust, self-efficacy, and clinician recommendation were significant in the decision of whether to screen for lung cancer. These findings offer insight into potentially modifiable targets most appropriate on which to intervene. This understanding is critical to design meaningful clinician- and patient-focused interventions.
Keywords: model; attitudes; participation; recommendation; beliefs; lung cancer screening; health beliefs; path analysis; dose computed-tomography; health behaviour; conceptual
Journal Title: Journal of Medical Screening
Volume: 27
Issue: 2
ISSN: 0969-1413
Publisher: Sage Publications Ltd  
Date Published: 2020-06-01
Start Page: 105
End Page: 112
Language: English
ACCESSION: WOS:000532311400008
DOI: 10.1177/0969141319876961
PMCID: PMC7089840
PUBMED: 31550991
Notes: Article -- Source: Wos
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