Engaging Patients in Smoking Cessation Treatment within the Lung Cancer Screening Setting: Lessons Learned from an NCI SCALE Trial.
Engaging Patients in Smoking Cessation Treatment within the Lung Cancer Screening Setting: Lessons Learned from an NCI SCALE Trial.
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DOI：
10.3390/curroncol29040180
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发表时间：
2022-03-23
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--
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在肺癌筛查（LCS）中提供戒烟治疗将最大限度地降低与筛查相关的死亡率，但治疗参与的预测因素尚不清楚。我们在一项NCI SCALE戒烟试验中检查了参与者的参与特征。符合条件的LCS患者（N = 818）被随机分为强化组（8次电话咨询+8周尼古丁替代疗法（NRT））和最小组（3次+ 2周尼古丁替代疗法）。参与度是通过每组完成的会话数（无会话、部分会话或全部会话）和发送的NRT（无会话vs有会话）来衡量的。在强化组中，大学学历（OR = 2.1, 95% CI = 1.1, 4.0）和接受年度扫描（OR = 2.1, 95% CI = 1.1, 4.2）的患者接受了一些咨询，而没有接受咨询。尼古丁依赖程度较高的个体更有可能要求NRT （OR = 2.8, 95% CI = 1.3, 6.2）。在最小组中，受过高等教育（OR = 2.1, 95% CI = 1.1, 3.9）和接受年度扫描（OR = 2.0, 95% CI = 1.04, 3.8）的患者完成了一些疗程，而没有。要求NRT与更长的包年相关（OR = 1.9, 95% CI = 1.1, 3.5）。无论治疗强度如何，需要额外的策略来吸引那些受教育程度较低、吸烟史较轻、接受第一次扫描的人。考虑到更广泛的2021年LCS指南，这些努力将非常重要。
Offering smoking cessation treatment at lung cancer screening (LCS) will maximize mortality reduction associated with screening, but predictors of treatment engagement are not well understood. We examined participant characteristics of engagement in an NCI SCALE cessation trial. Eligible LCS patients (N = 818) were randomized to the Intensive arm (8 phone counseling sessions +8 weeks of nicotine replacement therapy (NRT)) vs. Minimal arm (3 sessions + 2 weeks of NRT). Engagement was measured by number of sessions completed (none, some, or all) and NRT mailed (none vs. any) in each arm. In the Intensive arm, those with ≥some college (OR = 2.1, 95% CI = 1.1, 4.0) and undergoing an annual scan (OR = 2.1, 95% CI = 1.1, 4.2) engaged in some counseling vs. none. Individuals with higher nicotine dependence were more likely (OR = 2.8, 95% CI = 1.3, 6.2) to request NRT. In the Minimal arm, those with higher education (OR = 2.1, 95% CI = 1.1, 3.9) and undergoing an annual scan (OR = 2.0, 95% CI = 1.04, 3.8) completed some sessions vs. none. Requesting NRT was associated with more pack-years (OR = 1.9, 95% CI = 1.1, 3.5). Regardless of treatment intensity, additional strategies are needed to engage those with lower education, less intensive smoking histories, and undergoing a first scan. These efforts will be important given the broader 2021 LCS guidelines.
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影响因子：
2.2
作者：
Neil JM;Chang Y;Goshe B;Rigotti N;Gonzalez I;Hawari S;Ballini L;Haas JS;Marotta C;Wint A;Harris K;Crute S;Flores E;Park ER
通讯作者：
Park ER
影响因子：
4.7
作者：
Hays, J. Taylor;Leischow, Scott J.;Lee, Theodore C.
通讯作者：
Lee, Theodore C.
影响因子：
5.3
作者：
Ferketich, Amy K.;Otterson, Gregory A.;Wewers, Mary Ellen
通讯作者：
Wewers, Mary Ellen
影响因子：
0.9
作者：
Nair, Uma S.;Rabe, Brooke;Bell, Melanie L.
通讯作者：
Bell, Melanie L.
影响因子：
2.2
作者：
Neil JM;Marotta C;Gonzalez I;Chang Y;Levy DE;Wint A;Harris K;Hawari S;Noonan E;Styklunas G;Crute S;Howard SE;Sheppard J;Lennes IT;Jacobson F;Flores EJ;Haas JS;Park ER;Rigotti NA
通讯作者：
Rigotti NA