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Understanding the decision to screen for lung cancer or not: A qualitative analysis
- Source :
- Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, Health Expectations, Vol 22, Iss 6, Pp 1314-1321 (2019)
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
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.
- Subjects :
- Male
medicine.medical_specialty
Lung Neoplasms
Decision Making
Computed tomography
Interview guide
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Qualitative analysis
Phone
lung cancer screening
Humans
Medicine
030212 general & internal medicine
Lung cancer
Lung
Early Detection of Cancer
Qualitative Research
Aged
lcsh:R5-920
Smokers
medicine.diagnostic_test
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
long‐term smokers
Survey research
Middle Aged
Patient Acceptance of Health Care
medicine.disease
behaviour
3. Good health
Original Research Paper
Family medicine
qualitative
Female
lcsh:Medicine (General)
Tomography, X-Ray Computed
0305 other medical science
business
Original Research Papers
Lung cancer screening
Subjects
Details
- ISSN :
- 13697625 and 13696513
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Health Expectations
- Accession number :
- edsair.doi.dedup.....d13e638cb11a4b188e61ece17a377ce8