Development and evaluation of a consumer information resource, including Patient Decision Aid, for lung cancer screening: a quasi-experimental study.
dc.contributor.author | Manners, David | |
dc.contributor.author | Pettigrew, Simone | |
dc.contributor.author | Lake, F. | |
dc.contributor.author | Piccolo, F. | |
dc.contributor.author | McWilliams, A. | |
dc.contributor.author | Brims, Fraser | |
dc.date.accessioned | 2019-03-20T03:06:26Z | |
dc.date.available | 2019-03-20T03:06:26Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Manners, D. and Pettigrew, S. and Lake, F.R. and Piccolo, F. and McWilliams, A.M. and Brims, F.J.H. 2019. Development and evaluation of a consumer information resource, including Patient Decision Aid, for lung cancer screening: a quasi-experimental study. Translational Behavioral Medicine. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/75021 | |
dc.identifier.doi | 10.1093/tbm/ibz029 | |
dc.description.abstract |
Lung cancer screening of high-risk individuals with computed tomography is a promising intervention to reduce lung cancer mortality. Patient Decision Aids (PtDAs) may assist eligible individuals assess the risks and benefits associated with screening. Screening preference is high among lower-risk, screening-ineligible individuals and strategies are needed to reduce screening demand among this group. We developed and evaluated a resource comprising a recruitment pamphlet combined with either a PtDA for screening-eligible individuals or an education pamphlet for screening-ineligible individuals. Quasi-experimental pre-post pamphlet exposure design. Ever-smokers aged 55-80 years attending hospital outpatient clinics were invited. Among screening-eligible participants, the assessed outcome was change in score on the Decisional Conflict Scale (DCS). Among screening-ineligible participants, the assessed outcomes were change in screening preference. In the study 51% (55/107) of invited individuals participated, with mean ± standard deviation age 66.9 ± 6.4 years, 53% (29/55) male, and 65% (36/55) eligible for screening. Median (interquartile range) DCS among screening-eligible participants reduced from 28.9 (22.7-45.3) pre-PtDA to 25 (1.6-29.7) post-PtDA (p < .001), but there was no significant change in the proportion that reached the accepted threshold for decisional certainty (DCS < 25, 10/36 [28%] pre-exposure vs. 14/36 [39%] post-exposure, p = .1). Screening preference among screening-ineligible individuals reduced after viewing the screening-ineligible brochure (pre-exposure median of "Prefer" to post-exposure median of "Unsure," p = .001). Our consumer information pamphlets about lung cancer screening may reduce decisional conflict and improve alignment of screening preference with eligibility. | |
dc.language | eng | |
dc.subject | Lung neoplasms | |
dc.subject | Mass screening | |
dc.subject | Patient preference | |
dc.subject | Shared-decision making | |
dc.subject | X-ray computed tomography | |
dc.title | Development and evaluation of a consumer information resource, including Patient Decision Aid, for lung cancer screening: a quasi-experimental study. | |
dc.type | Journal Article | |
dcterms.source.issn | 1869-6716 | |
dcterms.source.title | Translational Behavioral Medicine | |
dc.date.updated | 2019-03-20T03:06:25Z | |
curtin.department | Curtin Medical School | |
curtin.accessStatus | Fulltext not available | |
curtin.faculty | Faculty of Health Sciences | |
curtin.contributor.orcid | Brims, Fraser [0000-0002-6725-7535] | |
dcterms.source.eissn | 1613-9860 | |
curtin.contributor.scopusauthorid | Brims, Fraser [12771542800] |