Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up
BACKGROUND: The National Lung Screening Trial (NLST) research team reported reduced lung cancer mortality among current and former smokers with a minimum 30 pack‐year history who were screened with spiral computed tomography scans compared with chest x‐rays. The objectives of the current study were...
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| Veröffentlicht in: | Cancer 2013-04, Vol.119 (7), p.1306-1313 |
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| container_title | Cancer |
| container_volume | 119 |
| creator | Park, Elyse R. Gareen, Ilana F. Jain, Amanda Ostroff, Jamie S. Duan, Fenghai Sicks, JoRean D. Rakowski, William Diefenbach, Michael Rigotti, Nancy A. |
| description | BACKGROUND:
The National Lung Screening Trial (NLST) research team reported reduced lung cancer mortality among current and former smokers with a minimum 30 pack‐year history who were screened with spiral computed tomography scans compared with chest x‐rays. The objectives of the current study were to examine, at 1‐year follow‐up: 1) risk perceptions of lung cancer and smoking‐related diseases and behavior change determinants, 2) whether changes in risk perceptions differed by baseline screening result; and 3) whether changes in risk perceptions affected smoking behavior.
METHODS:
A 25‐item risk perception questionnaire was administered to a subset of participants at 8 American College of Radiology Imaging Network/NLST sites before initial and 1‐year follow‐up screens. Items assessed risk perceptions of lung cancer and smoking‐related diseases, cognitive and emotional determinants of behavior change, and knowledge of smoking risks.
RESULTS:
Among 430 NLST participants (mean age, 61.0 years; 55.6% men; 91.9% white), half were current smokers at baseline. Overall, risk perceptions and associated cognitive and emotional determinants of behavior change did not change significantly from prescreen trial enrollment to 1‐year follow‐up and did not differ significantly by screening test result. Changes in risk perceptions were not associated with changes in smoking status (9.7% of participants quit, and 6.6% relapsed) at 1‐year follow‐up.
CONCLUSIONS:
Lung screening did not change participants' risk perceptions of lung cancer or smoking‐related disease. A negative screening test, which was the most common screening result, did not appear to decrease risk perceptions nor provide false reassurance to smokers. Cancer 2013. © 2012 American Cancer Society.
Overall, lung screening does not significantly change risk perceptions for lung cancer or smoking‐related disease. The authors recommend that tobacco risk communication and cessation become an integral part of the lung screening process. |
| doi_str_mv | 10.1002/cncr.27925 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1434012831</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1434012831</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4285-da5eb8ba5e42535429e628e5afb6baefa4e87f4db088212e6818bf2cb726a1593</originalsourceid><addsrcrecordid>eNqFkctu1DAUhq2Kqh0Kmz4A8gYJIaX4OnHYoVELlUatBEViF514TjoGT5LaiaazqNRH4Bl5kjqdadnBxsf_0Xdu-gk55uyEMyY-2MaGE5EXQu-RCWdFnjGuxAsyYYyZTCv545C8jPFnkrnQ8oAcCikMk8pMyN3pLaxc45prul5iv8RA_ZBEtAHxMW2X0FxjpMHFX7TDYLHrXdvEj_QCxg94Oh8rvj1XXAWXkh2E3lnXQdNHCj3lf-5_bxACrVvv23VSQ_eK7NfgI77exSPy_ez0avYlm19-Pp99mmdWCaOzBWisTJVelfbXShQ4FQY11NW0AqxBoclrtaiYMYILnBpuqlrYKhdT4LqQR-Tdtm8X2psBY1-uXLToPTTYDrHkSirGhZH8_6jkhhUilyah77eoDW2MAeuyC24FYVNyVo7OlKMz5aMzCX6z6ztUK1w8o09WJODtDoBowdcBGuviXy7nUksz3sK33Np53PxjZDm7mH3dDn8AVzmpgg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1318092738</pqid></control><display><type>article</type><title>Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>Alma/SFX Local Collection</source><creator>Park, Elyse R. ; Gareen, Ilana F. ; Jain, Amanda ; Ostroff, Jamie S. ; Duan, Fenghai ; Sicks, JoRean D. ; Rakowski, William ; Diefenbach, Michael ; Rigotti, Nancy A.</creator><creatorcontrib>Park, Elyse R. ; Gareen, Ilana F. ; Jain, Amanda ; Ostroff, Jamie S. ; Duan, Fenghai ; Sicks, JoRean D. ; Rakowski, William ; Diefenbach, Michael ; Rigotti, Nancy A.</creatorcontrib><description>BACKGROUND:
The National Lung Screening Trial (NLST) research team reported reduced lung cancer mortality among current and former smokers with a minimum 30 pack‐year history who were screened with spiral computed tomography scans compared with chest x‐rays. The objectives of the current study were to examine, at 1‐year follow‐up: 1) risk perceptions of lung cancer and smoking‐related diseases and behavior change determinants, 2) whether changes in risk perceptions differed by baseline screening result; and 3) whether changes in risk perceptions affected smoking behavior.
METHODS:
A 25‐item risk perception questionnaire was administered to a subset of participants at 8 American College of Radiology Imaging Network/NLST sites before initial and 1‐year follow‐up screens. Items assessed risk perceptions of lung cancer and smoking‐related diseases, cognitive and emotional determinants of behavior change, and knowledge of smoking risks.
RESULTS:
Among 430 NLST participants (mean age, 61.0 years; 55.6% men; 91.9% white), half were current smokers at baseline. Overall, risk perceptions and associated cognitive and emotional determinants of behavior change did not change significantly from prescreen trial enrollment to 1‐year follow‐up and did not differ significantly by screening test result. Changes in risk perceptions were not associated with changes in smoking status (9.7% of participants quit, and 6.6% relapsed) at 1‐year follow‐up.
CONCLUSIONS:
Lung screening did not change participants' risk perceptions of lung cancer or smoking‐related disease. A negative screening test, which was the most common screening result, did not appear to decrease risk perceptions nor provide false reassurance to smokers. Cancer 2013. © 2012 American Cancer Society.
Overall, lung screening does not significantly change risk perceptions for lung cancer or smoking‐related disease. The authors recommend that tobacco risk communication and cessation become an integral part of the lung screening process.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.27925</identifier><identifier>PMID: 23280348</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Attitude to Health ; Biological and medical sciences ; cancer ; Early Detection of Cancer - psychology ; Female ; Follow-Up Studies ; Health Behavior ; Humans ; Lung Neoplasms - diagnosis ; lung screening ; Male ; Medical sciences ; Middle Aged ; Perception ; Risk Factors ; risk perception ; smoking ; Smoking - psychology ; Smoking Cessation - psychology ; Tobacco, tobacco smoking ; Tomography, Spiral Computed ; Toxicology ; Tumors</subject><ispartof>Cancer, 2013-04, Vol.119 (7), p.1306-1313</ispartof><rights>Copyright © 2012 American Cancer Society</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 American Cancer Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4285-da5eb8ba5e42535429e628e5afb6baefa4e87f4db088212e6818bf2cb726a1593</citedby><cites>FETCH-LOGICAL-c4285-da5eb8ba5e42535429e628e5afb6baefa4e87f4db088212e6818bf2cb726a1593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.27925$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.27925$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27135389$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23280348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Elyse R.</creatorcontrib><creatorcontrib>Gareen, Ilana F.</creatorcontrib><creatorcontrib>Jain, Amanda</creatorcontrib><creatorcontrib>Ostroff, Jamie S.</creatorcontrib><creatorcontrib>Duan, Fenghai</creatorcontrib><creatorcontrib>Sicks, JoRean D.</creatorcontrib><creatorcontrib>Rakowski, William</creatorcontrib><creatorcontrib>Diefenbach, Michael</creatorcontrib><creatorcontrib>Rigotti, Nancy A.</creatorcontrib><title>Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND:
The National Lung Screening Trial (NLST) research team reported reduced lung cancer mortality among current and former smokers with a minimum 30 pack‐year history who were screened with spiral computed tomography scans compared with chest x‐rays. The objectives of the current study were to examine, at 1‐year follow‐up: 1) risk perceptions of lung cancer and smoking‐related diseases and behavior change determinants, 2) whether changes in risk perceptions differed by baseline screening result; and 3) whether changes in risk perceptions affected smoking behavior.
METHODS:
A 25‐item risk perception questionnaire was administered to a subset of participants at 8 American College of Radiology Imaging Network/NLST sites before initial and 1‐year follow‐up screens. Items assessed risk perceptions of lung cancer and smoking‐related diseases, cognitive and emotional determinants of behavior change, and knowledge of smoking risks.
RESULTS:
Among 430 NLST participants (mean age, 61.0 years; 55.6% men; 91.9% white), half were current smokers at baseline. Overall, risk perceptions and associated cognitive and emotional determinants of behavior change did not change significantly from prescreen trial enrollment to 1‐year follow‐up and did not differ significantly by screening test result. Changes in risk perceptions were not associated with changes in smoking status (9.7% of participants quit, and 6.6% relapsed) at 1‐year follow‐up.
CONCLUSIONS:
Lung screening did not change participants' risk perceptions of lung cancer or smoking‐related disease. A negative screening test, which was the most common screening result, did not appear to decrease risk perceptions nor provide false reassurance to smokers. Cancer 2013. © 2012 American Cancer Society.
Overall, lung screening does not significantly change risk perceptions for lung cancer or smoking‐related disease. The authors recommend that tobacco risk communication and cessation become an integral part of the lung screening process.</description><subject>Aged</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>cancer</subject><subject>Early Detection of Cancer - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Lung Neoplasms - diagnosis</subject><subject>lung screening</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Perception</subject><subject>Risk Factors</subject><subject>risk perception</subject><subject>smoking</subject><subject>Smoking - psychology</subject><subject>Smoking Cessation - psychology</subject><subject>Tobacco, tobacco smoking</subject><subject>Tomography, Spiral Computed</subject><subject>Toxicology</subject><subject>Tumors</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1DAUhq2Kqh0Kmz4A8gYJIaX4OnHYoVELlUatBEViF514TjoGT5LaiaazqNRH4Bl5kjqdadnBxsf_0Xdu-gk55uyEMyY-2MaGE5EXQu-RCWdFnjGuxAsyYYyZTCv545C8jPFnkrnQ8oAcCikMk8pMyN3pLaxc45prul5iv8RA_ZBEtAHxMW2X0FxjpMHFX7TDYLHrXdvEj_QCxg94Oh8rvj1XXAWXkh2E3lnXQdNHCj3lf-5_bxACrVvv23VSQ_eK7NfgI77exSPy_ez0avYlm19-Pp99mmdWCaOzBWisTJVelfbXShQ4FQY11NW0AqxBoclrtaiYMYILnBpuqlrYKhdT4LqQR-Tdtm8X2psBY1-uXLToPTTYDrHkSirGhZH8_6jkhhUilyah77eoDW2MAeuyC24FYVNyVo7OlKMz5aMzCX6z6ztUK1w8o09WJODtDoBowdcBGuviXy7nUksz3sK33Np53PxjZDm7mH3dDn8AVzmpgg</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Park, Elyse R.</creator><creator>Gareen, Ilana F.</creator><creator>Jain, Amanda</creator><creator>Ostroff, Jamie S.</creator><creator>Duan, Fenghai</creator><creator>Sicks, JoRean D.</creator><creator>Rakowski, William</creator><creator>Diefenbach, Michael</creator><creator>Rigotti, Nancy A.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20130401</creationdate><title>Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up</title><author>Park, Elyse R. ; Gareen, Ilana F. ; Jain, Amanda ; Ostroff, Jamie S. ; Duan, Fenghai ; Sicks, JoRean D. ; Rakowski, William ; Diefenbach, Michael ; Rigotti, Nancy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4285-da5eb8ba5e42535429e628e5afb6baefa4e87f4db088212e6818bf2cb726a1593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>cancer</topic><topic>Early Detection of Cancer - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Lung Neoplasms - diagnosis</topic><topic>lung screening</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Perception</topic><topic>Risk Factors</topic><topic>risk perception</topic><topic>smoking</topic><topic>Smoking - psychology</topic><topic>Smoking Cessation - psychology</topic><topic>Tobacco, tobacco smoking</topic><topic>Tomography, Spiral Computed</topic><topic>Toxicology</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Elyse R.</creatorcontrib><creatorcontrib>Gareen, Ilana F.</creatorcontrib><creatorcontrib>Jain, Amanda</creatorcontrib><creatorcontrib>Ostroff, Jamie S.</creatorcontrib><creatorcontrib>Duan, Fenghai</creatorcontrib><creatorcontrib>Sicks, JoRean D.</creatorcontrib><creatorcontrib>Rakowski, William</creatorcontrib><creatorcontrib>Diefenbach, Michael</creatorcontrib><creatorcontrib>Rigotti, Nancy A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Elyse R.</au><au>Gareen, Ilana F.</au><au>Jain, Amanda</au><au>Ostroff, Jamie S.</au><au>Duan, Fenghai</au><au>Sicks, JoRean D.</au><au>Rakowski, William</au><au>Diefenbach, Michael</au><au>Rigotti, Nancy A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>119</volume><issue>7</issue><spage>1306</spage><epage>1313</epage><pages>1306-1313</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND:
The National Lung Screening Trial (NLST) research team reported reduced lung cancer mortality among current and former smokers with a minimum 30 pack‐year history who were screened with spiral computed tomography scans compared with chest x‐rays. The objectives of the current study were to examine, at 1‐year follow‐up: 1) risk perceptions of lung cancer and smoking‐related diseases and behavior change determinants, 2) whether changes in risk perceptions differed by baseline screening result; and 3) whether changes in risk perceptions affected smoking behavior.
METHODS:
A 25‐item risk perception questionnaire was administered to a subset of participants at 8 American College of Radiology Imaging Network/NLST sites before initial and 1‐year follow‐up screens. Items assessed risk perceptions of lung cancer and smoking‐related diseases, cognitive and emotional determinants of behavior change, and knowledge of smoking risks.
RESULTS:
Among 430 NLST participants (mean age, 61.0 years; 55.6% men; 91.9% white), half were current smokers at baseline. Overall, risk perceptions and associated cognitive and emotional determinants of behavior change did not change significantly from prescreen trial enrollment to 1‐year follow‐up and did not differ significantly by screening test result. Changes in risk perceptions were not associated with changes in smoking status (9.7% of participants quit, and 6.6% relapsed) at 1‐year follow‐up.
CONCLUSIONS:
Lung screening did not change participants' risk perceptions of lung cancer or smoking‐related disease. A negative screening test, which was the most common screening result, did not appear to decrease risk perceptions nor provide false reassurance to smokers. Cancer 2013. © 2012 American Cancer Society.
Overall, lung screening does not significantly change risk perceptions for lung cancer or smoking‐related disease. The authors recommend that tobacco risk communication and cessation become an integral part of the lung screening process.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>23280348</pmid><doi>10.1002/cncr.27925</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Attitude to Health Biological and medical sciences cancer Early Detection of Cancer - psychology Female Follow-Up Studies Health Behavior Humans Lung Neoplasms - diagnosis lung screening Male Medical sciences Middle Aged Perception Risk Factors risk perception smoking Smoking - psychology Smoking Cessation - psychology Tobacco, tobacco smoking Tomography, Spiral Computed Toxicology Tumors |
| title | Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1‐year follow‐up |
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