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dc.contributor.authorYoung, Ben
dc.contributor.authorVedhara, Kavita
dc.contributor.authorKendrick, Denise
dc.contributor.authorLittleford, Roberta
dc.contributor.authorRobertson, John F. R.
dc.contributor.authorSullivan, Frank M.
dc.contributor.authorSchembri, Stuart
dc.contributor.authordas Nair, Roshan
dc.contributor.authorECLS study team
dc.date.accessioned2018-11-20T12:30:05Z
dc.date.available2018-11-20T12:30:05Z
dc.date.issued2018-11-20
dc.identifier.citationYoung , B , Vedhara , K , Kendrick , D , Littleford , R , Robertson , J F R , Sullivan , F M , Schembri , S , das Nair , R & ECLS study team 2018 , ' Determinants of motivation to quit in smokers screened for the early detection of lung cancer : a qualitative study ' , BMC Public Health , vol. 18 , 1276 . https://doi.org/10.1186/s12889-018-6211-1en
dc.identifier.issn1471-2458
dc.identifier.otherPURE: 256486277
dc.identifier.otherPURE UUID: c20defb8-5029-4bb4-8eee-ce24f19fa039
dc.identifier.otherScopus: 85056720458
dc.identifier.otherWOS: 000451320400007
dc.identifier.urihttp://hdl.handle.net/10023/16508
dc.descriptionFunding: Dundee Cancer Centre Development Fund. Oncimmune Ltd. and Chief Scientist Office, Scottish Government funded the ECLS Study.en
dc.description.abstractBackground:  The promotion of smoking cessation within lung cancer screening could lead to benefits for smoking-related disease and improve cost-effectiveness of screening. Little is known about how smokers respond to lung cancer screening and how this impacts smoking behaviour. We aimed to understand how lung cancer screening influences individual motivations about smoking, including in those who have stopped smoking since screening. Methods:  Thirty one long-term smokers aged 51–74 took part in semi-structured interviews about smoking. They had been screened with the EarlyCDT-Lung Test (13 positive result; 18 negative) as part of the Early Cancer Detection Test Lung Cancer Scotland Study. They were purposively sampled for interview based on their self-reported post-screening smoking behaviour. Eleven participants had stopped smoking since screening. Verbatim interview transcripts were analysed using thematic analysis. Results:  Two key overarching themes were interpretations of screening test results and emotional responses to those interpretations. Participants’ understanding of the risk implied by their test result was often inaccurate, for example a negative result interpreted as an ‘all-clear’ from lung cancer and a positive result as meaning lung cancer would definitely develop. Those interpretations led to emotional responses (fear, shock, worry, relief, indifference) influencing motivations about smoking. Other themes included a wake-up call causing changes in perceived risk of smoking-related disease, a feeling that now is the time to stop smoking and family influences. There was no clear pattern in smoking motivations in those who received positive or negative test results. Of those who had stopped smoking, some cited screening experiences as the sole motivation, some cited screening along with other coinciding factors, and others cited non-screening reasons. Cues to change were experienced at different stages of the screening process. Some participants indicated they underwent screening to try and stop smoking, while others expressed little or no desire to stop. Conclusions:  We observed complex and individualised motivations about smoking following lung cancer screening. To be most effective, smoking cessation support in this context should explore understanding of screening test results and may need to be highly tailored to individual emotional responses to screening.
dc.format.extent13
dc.language.isoeng
dc.relation.ispartofBMC Public Healthen
dc.rights© The Author(s). 2018. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.subjectSmoking cessationen
dc.subjectEarly cancer detectionen
dc.subjectLung canceren
dc.subjectTeachable momenten
dc.subjectThematic analysisen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectE-DASen
dc.subject.lccRC0254en
dc.titleDeterminants of motivation to quit in smokers screened for the early detection of lung cancer : a qualitative studyen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.identifier.doihttps://doi.org/10.1186/s12889-018-6211-1
dc.description.statusPeer revieweden


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