A Qualitative Study Exploring Why Individuals Opt Out of Lung Cancer Screening
dc.contributor.author | Carter-Harris, Lisa | |
dc.contributor.author | Brandzel, Susan | |
dc.contributor.author | Wernli, Karen J. | |
dc.contributor.author | Roth, Joshua | |
dc.contributor.author | Buist, Diana S. M. | |
dc.contributor.department | School of Nursing | en_US |
dc.date.accessioned | 2017-09-28T18:43:56Z | |
dc.date.available | 2017-09-28T18:43:56Z | |
dc.date.issued | 2017-04 | |
dc.description.abstract | Background. Lung cancer screening with annual low-dose computed tomography is relatively new for long-term smokers in the USA supported by a US Preventive Services Task Force Grade B recommendation. As screening programs are more widely implemented nationally and providers engage patients about lung cancer screening, it is critical to understand behaviour among high-risk smokers who opt out to improve shared decision-making processes for lung cancer screening. Objective. The purpose of this study was to explore the reasons for screening-eligible patients’ decisions to opt out of screening after receiving a provider recommendation. Methods. Semi-structured qualitative telephone interviews were performed with 18 participants who met lung cancer screening criteria for age, smoking and pack-year history in Washington State from November 2015 to January 2016. Two researchers with cancer screening and qualitative methodology expertise conducted data analysis using thematic content analytic procedures from audio-recorded interviews. Results. Five primary themes emerged for reasons of opting out of lung cancer screening: (i) Knowledge Avoidance; (ii) Perceived Low Value; (iii) False-Positive Worry; (iv) Practical Barriers; and (v) Patient Misunderstanding. Conclusion. The participants in our study provided insight into why some patients make the decision to opt out of low-dose computed tomography screening, which provides knowledge that can inform intervention development to enhance shared decision-making processes between long-term smokers and their providers and decrease decisional conflict about screening. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Carter-Harris, L., Brandzel, S., Wernli, K. J., Roth, J. A., & Buist, D. S. M. (2017). A qualitative study exploring why individuals opt out of lung cancer screening. Family Practice, 34(2), 239–244. https://doi.org/10.1093/fampra/cmw146 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/14201 | |
dc.language.iso | en | en_US |
dc.publisher | Oxford | en_US |
dc.relation.isversionof | 10.1093/fampra/cmw146 | en_US |
dc.relation.journal | Family Practice | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | lung cancer | en_US |
dc.subject | cancer screening | en_US |
dc.subject | patients | en_US |
dc.title | A Qualitative Study Exploring Why Individuals Opt Out of Lung Cancer Screening | en_US |
dc.type | Article | en_US |