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dc.contributor.authorManners, David
dc.contributor.authorPettigrew, Simone
dc.contributor.authorLake, F.
dc.contributor.authorPiccolo, F.
dc.contributor.authorMcWilliams, A.
dc.contributor.authorBrims, Fraser
dc.identifier.citationManners, 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.

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.subjectLung neoplasms
dc.subjectMass screening
dc.subjectPatient preference
dc.subjectShared-decision making
dc.subjectX-ray computed tomography
dc.titleDevelopment and evaluation of a consumer information resource, including Patient Decision Aid, for lung cancer screening: a quasi-experimental study.
dc.typeJournal Article
dcterms.source.titleTranslational Behavioral Medicine
curtin.departmentCurtin Medical School
curtin.accessStatusFulltext not available
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidBrims, Fraser [0000-0002-6725-7535]
curtin.contributor.scopusauthoridBrims, Fraser [12771542800]

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