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"To know or not to know...?" Push and pull in ever smokers lung screening uptake decision‐making intentions.
- Source :
- Health Expectations; Apr2019, Vol. 22 Issue 2, p162-172, 11p, 1 Diagram, 1 Chart
- Publication Year :
- 2019
-
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]
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 22
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 135538791
- Full Text :
- https://doi.org/10.1111/hex.12838