PMID- 29975709
OWN - NLM
STAT- MEDLINE
DCOM- 20181226
LR  - 20230926
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 13
IP  - 7
DP  - 2018
TI  - A qualitative study exploring patient motivations for screening for lung cancer.
PG  - e0196758
LID - 10.1371/journal.pone.0196758 [doi]
LID - e0196758
AB  - BACKGROUND: Low-dose computed tomography (LDCT) of the chest for lung cancer 
      screening of heavy smokers was given a 'B' rating by the U.S. Preventive Services 
      Task Force (USPSTF) in 2013, and gained widespread insurance coverage in the U.S. 
      in 2015. Lung cancer screening has since had low uptake. However, for those that 
      do choose to screen, little is known about patient motivations for completing 
      screening in real-world practice. OBJECTIVE: To explore the motivations for 
      screening-eligible patients to screen for lung cancer. METHODS: Semi-structured 
      qualitative interviews were conducted with 20 LDCT screen-completed men and women 
      who were members of an integrated mixed-model healthcare system in Washington 
      State. From June to September 2015, participants were recruited and individual 
      interviews performed about motivations to screen for lung cancer. Audio-recorded 
      interviews were transcribed and analyzed using inductive content analysis by 
      three investigators. RESULTS: Four primary themes emerged as motivations for 
      completing LDCT lung cancer screening: 1) trust in the referring clinician; 2) 
      early-detection benefit; 3) low or limited harm perception; and 4) friends or 
      family with advanced cancer. CONCLUSION: Participants in our study were primarily 
      motivated to screen for lung cancer based on perceived benefit of 
      early-detection, absence of safety concerns, and personal relationships. Our 
      findings provide new insights about patient motivations to screen, and can 
      potentially be used to improve lung cancer screening uptake and shared 
      decision-making processes.
FAU - Roth, Joshua A
AU  - Roth JA
AUID- ORCID: 0000-0001-6621-8342
AD  - Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer 
      Research Center, Seattle, Washington, United States of America.
AD  - Comparative Health Outcomes, Policy, and Economics Institute, University of 
      Washington, Seattle, Washington, United States of America.
FAU - Carter-Harris, Lisa
AU  - Carter-Harris L
AD  - School of Nursing, Indiana University, Indianapolis, Indiana, United States of 
      America.
FAU - Brandzel, Susan
AU  - Brandzel S
AD  - Health Stories Project Insights, Seattle, Washington, United States of America.
FAU - Buist, Diana S M
AU  - Buist DSM
AD  - Kaiser Permanente Washington Health Research Institute, Kaiser Permanente 
      Washington, Seattle, Washington, United States of America.
FAU - Wernli, Karen J
AU  - Wernli KJ
AD  - Kaiser Permanente Washington Health Research Institute, Kaiser Permanente 
      Washington, Seattle, Washington, United States of America.
LA  - eng
GR  - K12 HS022982/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20180705
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Aged
MH  - Decision Making
MH  - Early Detection of Cancer/*methods
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Health Personnel/psychology
MH  - Humans
MH  - Lung Neoplasms/*diagnosis/*diagnostic imaging/pathology
MH  - Male
MH  - Middle Aged
MH  - Risk Factors
MH  - Tomography, X-Ray Computed
PMC - PMC6033377
COIS- The authors have declared that no competing interests exist.
EDAT- 2018/07/06 06:00
MHDA- 2018/12/27 06:00
PMCR- 2018/07/05
CRDT- 2018/07/06 06:00
PHST- 2017/10/13 00:00 [received]
PHST- 2018/04/19 00:00 [accepted]
PHST- 2018/07/06 06:00 [entrez]
PHST- 2018/07/06 06:00 [pubmed]
PHST- 2018/12/27 06:00 [medline]
PHST- 2018/07/05 00:00 [pmc-release]
AID - PONE-D-17-36854 [pii]
AID - 10.1371/journal.pone.0196758 [doi]
PST - epublish
SO  - PLoS One. 2018 Jul 5;13(7):e0196758. doi: 10.1371/journal.pone.0196758. 
      eCollection 2018.