School of Health Sciences, Manchester Centre for Health Psychology, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Wales Cancer Research Centre, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Health Expect. 2022 Aug;25(4):1703-1716. doi: 10.1111/hex.13513. Epub 2022 May 5.
There is limited research exploring how smoking cessation treatment should be implemented into lung cancer screening in the United Kingdom. This study aimed to understand attitudes and preferences regarding the integration of smoking cessation support within lung cancer screening from the perspective of those eligible.
Thirty-one lung cancer screening eligible individuals aged 55-80 years with current or former smoking histories were recruited using community outreach and social media. Two focus groups (three participants each) and 25 individual telephone interviews were conducted. Data were analysed using the framework approach to thematic analysis.
Three themes were generated: (1) bringing lung cancer closer to home, where screening was viewed as providing an opportunity to motivate smoking cessation, depending on perceived personal risk and screening result; (2) a sensitive approach to cessation with the uptake of cessation support considered to be largely dependent on screening practitioners' communication style and expectations of stigma and (3) creating an equitable service that focuses on ease of access as a key determinant of uptake, where integrating cessation within the screening appointment may sustain increased quit motivation and prevent loss to follow-up.
The integration of smoking cessation into lung cancer screening was viewed positively by those eligible to attend. Screening appointments providing personalized lung health information may increase cessation motivation. Services should proactively support participants with possible fatalistic views regarding risk and decreased cessation motivation upon receiving a good screening result. To increase engagement in cessation, services need to be person-centred.
This study has included patient and public involvement throughout, including input regarding study design, research materials, recruitment strategies and research summaries.
英国针对如何将戒烟治疗纳入肺癌筛查的研究有限。本研究旨在从符合条件的人群角度，了解他们对将戒烟支持纳入肺癌筛查的态度和偏好。
通过社区外联和社交媒体，招募了 31 名年龄在 55-80 岁之间、有当前或既往吸烟史的肺癌筛查合格者。共进行了 2 次焦点小组（每组 3 名参与者）和 25 次单独的电话访谈。采用框架方法对主题分析进行数据分析。
产生了 3 个主题：（1）将肺癌拉近家庭，认为筛查为戒烟提供了机会，取决于个人感知风险和筛查结果；（2）以敏感的方式戒烟，戒烟支持的采用很大程度上取决于筛查从业者的沟通方式和对污名的期望；（3）创建一个公平的服务，注重便捷的获取，将戒烟纳入筛查预约可能会维持更高的戒烟动机，防止失去随访。
符合参加条件的人对将戒烟纳入肺癌筛查持积极态度。筛查预约提供个性化的肺部健康信息可能会增加戒烟动机。对于那些可能对风险持宿命论观点且在获得良好筛查结果后戒烟动机降低的参与者，服务应主动提供支持。为了提高戒烟的参与度，服务需要以人为本。
本研究始终包括患者和公众的参与，包括对研究设计、研究材料、招募策略和研究摘要的投入。
