Improved motivation and readiness to quit shortly after lung cancer screening: Evidence for a teachable moment.
Improved motivation and readiness to quit shortly after lung cancer screening: Evidence for a teachable moment.
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提高肺癌筛查后不久戒烟的动机和准备：一个可教时刻的证据。
DOI：
10.1002/cncr.34133
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发表时间：
2022-05-15
期刊：
影响因子：
6.2
通讯作者：
Taylor, Kathryn L.
中科院分区：
文献类型：
--
作者：
Williams, Randi M.;Cordon, Marisa;Eyestone, Ellie;Smith, Laney;Luta, George;McKee, Brady J.;Regis, Shawn M.;Abrams, David B.;Niaura, Raymond S.;Stanton, Cassandra A.;Parikh, Vicky;Taylor, Kathryn L.
对于肺癌高危患者，建议使用低剂量CT （LCS）进行筛查。本研究的目的是检验筛查是否可以作为吸烟相关结果的教育时刻。在一项戒烟试验中，参与者（N=843）在随机化之前完成了两次电话访谈：前（T0）和后肺筛查（T1）。使用逻辑回归和线性回归，我们检查了可教时刻变量（感知风险、肺癌担忧）和结果（准备程度、动机和CPD）。参与者年龄为63.7 （SD=5.9）岁，年龄为47.8 （SD=17.1）包年，35.2%的人拥有高中以下学历/GED， 42.3%的人正在接受第一次扫描。与T0和T1相比，25.7%的人增加了戒烟准备，9.6%的人减少了戒烟准备，64.7%的人报告没有变化（p<0.001）。戒烟动机增加（p<0.05）， CPD降低（p<0.001），但只有1.3%的人自我报告戒烟。在T1时，与不担心或很少担心肺癌的人相比，极度担心与未来30天内戒烟的准备程度（OR=1.8, 95% CI: 1.1-3.0）和更高的动机（b=0.83, p<0.001）相关。接受基线扫描（与年度扫描相比）的个体在接下来的30天内更愿意戒烟（OR=1.8, 95% CI: 1.3-2.5）。在注册LCS和收到结果之间的短暂窗口期间，我们发现很少有参与者戒烟，但有很大一部分人在戒烟的准备和动机方面有所改善，特别是在那些接受第一次扫描和极度担心肺癌的人中。这些结果表明，提供基于证据的烟草治疗可以建立在这一教育时刻的基础上。该试验已在clinical trials.gov注册：NCT03200236。在登记肺癌筛查和收到结果之间的短暂时间内，我们发现很少有参与者戒烟，但有很大一部分人在戒烟的准备和动机方面有所改善，特别是在那些进行第一次扫描和非常担心肺癌的人中。这些结果表明，提供基于证据的烟草治疗可以建立在这一教育时刻的基础上。
For patients at high risk for lung cancer, screening using low-dose CT (LCS) is recommended. The purpose of this study was to examine whether screening may serve as a teachable moment for smoking-related outcomes. In a smoking cessation trial, participants (N=843) completed two phone interviews prior to randomization: pre- (T0) and post-lung screening (T1). Using logistic and linear regressions we examined teachable moment variables (perceived risk, lung cancer worry) and outcomes (readiness, motivation, and CPD). Participants were 63.7 (SD=5.9) years old, had 47.8 (SD=17.1) pack-years, 35.2% had ≤high school degree/GED, and 42.3% were undergoing their first scan. Comparing the T0 and T1, 25.7% increased readiness to quit, 9.6% decreased readiness, and 64.7% reported no change (p<0.001). Motivation to quit increased (p<0.05) and CPD decreased between assessments (p<0.001), but only 1.3% self-reported quitting. Compared to individuals who reported no lung cancer worry/little worry, extreme worry was associated with readiness to quit in the next 30 days (OR=1.8, 95% CI: 1.1–3.0) and with higher motivation (b=0.83, p<0.001) at T1. Individuals undergoing a baseline (vs. annual) scan were more ready to quit in the next 30 days (OR=1.8, 95% CI: 1.3–2.5). During the brief window between registering for LCS and receiving the results, we found that very few participants quit smoking, but that a significant proportion improved on readiness and motivation to quit, particularly among those undergoing their first scan and among those extremely worried about lung cancer. These results indicate that providing evidence-based tobacco treatment can build upon this teachable moment. The trial is registered at clinical trials.gov: NCT03200236. During the brief window between registering for lung cancer screening and receiving the results, we found that very few participants quit smoking, but that a significant proportion improved on readiness and motivation to quit, particularly among those undergoing their first scan and among those extremely worried about lung cancer. These results indicate that providing evidence-based tobacco treatment can build upon this teachable moment.
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影响因子：
6.2
作者：
Park, Elyse R.;Gareen, Ilana F.;Jain, Amanda;Ostroff, Jamie S.;Duan, Fenghai;Sicks, JoRean D.;Rakowski, William;Diefenbach, Michael;Rigotti, Nancy A.
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影响因子：
6
作者：
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影响因子：
10
作者：
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通讯作者：
Tonnesen, Philip
影响因子：
5.3
作者：
Hestbech, Mie Sara;Siersma, Volkert;Brodersen, John
通讯作者：
Brodersen, John
影响因子：
5.3
作者：
Balata, Haval;Traverse-Healy, Liam;Crosbie, Philip A. J.
通讯作者：
Crosbie, Philip A. J.