Attitudes to participation in a lung cancer screening trial: a qualitative study
| Autor: | Stephen G. Spiro, Chris Griffiths, Nyasha Chinyanganya, Deesha Patel, Clive Seale, Ajiri Akporobaro, Allan Hackshaw |
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| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry media_common.quotation_subject medicine.disease Risk perception Breast cancer Family medicine medicine Physical therapy Sputum Health education Worry medicine.symptom business Lung cancer Lung cancer screening Qualitative research media_common |
| Zdroj: | Thorax. 67:418-425 |
| ISSN: | 1468-3296 0040-6376 |
| Popis: | Background Earlier diagnosis of lung cancer is key to reducing mortality. New evidence suggests that smokers have negative attitudes to screening and participation in lung cancer screening trials is poor ( Methods The qualitative study used semi-structured interviews with 60 respondents from three groups: (a) trial participants providing an annual sputum sample; (b) trial participants with a sputum sample showing abnormal cytology and thus undergoing annual CT scanning and bronchoscopy; and (c) those declining trial participation. Results Most respondents (48/60, 80%) viewed sputum provision, CT scanning and bronchoscopy as largely acceptable. Those declining trial participation described fear of bronchoscopy, inconvenience of travelling to hospitals for screening investigations and perceived themselves as having low susceptibility to lung cancer or being too old to benefit. Patients declining participation discounted their risk from smoking and considered negative family histories and good health to be protective. Four typological behaviours emerged within those declining: ‘too old to be bothered’, ‘worriers’, ‘fatalists’ and ‘avoiders’. Conclusion Sputum provision, CT scanning and bronchoscopy are largely acceptable to those participating in a screening trial. However, the decision to participate or decline reflects a complex balance of factors including acceptability and convenience of screening methods, risk perception, altruism and self-interest. Improving practical and changing cognitive aspects of participation will be key to improving uptake of lung cancer screening. |
| Databáze: | OpenAIRE |
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