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"To know or not to know...?" Push and pull in ever smokers lung screening uptake decision‐making intentions.
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- Author(s): Tonge, Janet E.; Atack, Melanie; Crosbie, Phil A.; Barber, Phil V.; Booton, Richard; Colligan, Denis
- Source:
Health Expectations; Apr2019, Vol. 22 Issue 2, p162-172, 11p, 1 Diagram, 1 Chart- Subject Terms:
LUNG tumors; COMMUNITY health services; EMOTIONS; EX-smokers; INFORMED consent (Medical law); INTENTION; INTERVIEWING; RESEARCH methodology; NATIONAL health services; RESEARCH funding; SMOKING; QUALITATIVE research; PILOT projects; JUDGMENT sampling; THEMATIC analysis; HEALTH literacy; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics; EARLY detection of cancer; PATIENT decision making; PREVENTION - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: In the United States, lung cancer screening aims to detect cancer early in nonsymptomatic current and former smokers. A lung screening pilot service in an area of high lung cancer incidence in the United Kingdom has been designed based on United States trial evidence. However, our understanding of acceptability and reasons for lung screening uptake or decline in a United Kingdom nontrial context are currently limited. Objective: To explore with ever smokers the acceptability of targeted lung screening and uptake decision‐making intentions. Design: Qualitative study using semistructured focus groups and inductive thematic analysis to explore acceptability and uptake decision‐making intentions with people of similar characteristics to lung screening eligible individuals. Setting and participants: Thirty‐three participants (22 ex‐smokers; 11 smokers) men and women, smokers and ex‐smokers, aged 50‐80 were recruited purposively from community and health settings in Manchester, England. Results: Lung screening was widely acceptable to participants. It was seen as offering reassurance about lung health or opportunity for early detection and treatment. Participant's desire to know about their lung health via screening was impacted by perceived benefits; emotions such as worry about a diagnosis and screening tests; practicalities such as accessibility; and smoking‐related issues including perceptions of individual risk and smoking stigma. Discussion: Decision making was multifaceted with indications that current smokers faced higher participation barriers than ex‐smokers. Reducing participation barriers through careful service design and provision of decision support information will be important in lung screening programmes to support informed consent and equitable uptake. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Health Expectations is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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