Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1-year follow-up.
Examining whether lung screening changes risk perceptions: National Lung Screening Trial participants at 1-year follow-up.
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DOI：
10.1002/cncr.27925
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发表时间：
2013-04-01
期刊：
影响因子：
6.2
通讯作者：
Rigotti, Nancy A.
中科院分区：
文献类型：
--
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.
国家肺筛查试验（NLST）研究小组报告说，与胸部X线检查相比，螺旋CT扫描检查降低了目前和以前吸烟者（至少30包/年）的肺癌死亡率。本研究的目的是在一年的随访中检查：1）肺癌和吸烟相关疾病的风险认知和行为改变的决定因素，2）风险认知的变化是否因基线筛查结果而不同; 3）风险认知的变化是否影响吸烟行为。在初始和一年随访筛选之前，对8个美国放射学会成像网络（ACRIN）/NLST站点的一部分参与者进行了25项风险认知子研究问卷调查。项目评估肺癌和吸烟相关疾病的风险认知，行为改变的认知和情感决定因素，以及吸烟风险的知识。在430名NLST受试者中（男性年龄=61.0，55.6%为男性，91.9%为白色），基线时有一半是当前吸烟者。总体而言，风险认知以及行为改变的相关认知和情感决定因素从预筛选试验入组到1年随访没有显著变化，并且筛选试验结果也没有显著差异。在一年的随访中，风险认知的变化与吸烟状态的变化（9.7%戒烟，6.6%复发）无关。肺部筛查并没有改变参与者对肺癌或吸烟相关疾病的风险认知。筛查最常见的结果是筛查阴性，但这似乎并不能降低吸烟者的风险认知，也不能给吸烟者提供虚假的保证。
The National Lung Screening Trial (NLST) Research Team reported reduced lung cancer mortality among current and former smokers with a minimum 30-pack/year history, screened with spiral CT scans compared with chest x-ray. The objectives of this study are to examine, at one-year follow-up: 1) risk perceptions of lung cancer and smoking related diseases and behavior change determinants, 2) whether changes in risk perceptions differ by baseline screening result; and 3) whether changes in risk perceptions affect smoking behavior. A 25-item risk perceptions sub-study questionnaire was administered to a subset of participants at 8 American College of Radiology Imaging Network (ACRIN)/NLST sites, prior to initial and one-year follow-up screens. Items assessed risk perceptions of lung cancer and smoking related diseases, cognitive and emotional determinants of behavior change, and knowledge of smoking risks. Among 430 NLST participants (M age=61.0, 55.6% male, 91.9% white), half were current smokers at baseline. Overall, risk perceptions, and associated cognitive and emotional determinants of behavior change, did not change significantly from prescreen trial enrollment to 1 year follow-up and did not significantly differ by screening test result. Changes in risk perceptions were not associated with smoking status changes (9.7% quitting, 6.6% relapse) at one-year follow-up. Lung screening did not change participants’ risk perceptions for lung cancer or smoking related disease. A negative screening test, the most common result of screening, did not appear to decrease risk perceptions nor provide false reassurance to smokers.
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影响因子：
10
作者：
Ashraf, H.;Tonnesen, P.;Dossing, M.
通讯作者：
Dossing, M.
DOI：
10.1097/jto.0b013e31822e59b3
发表时间：
2011-11
期刊：
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
影响因子：
--
作者：
McMahon PM;Kong CY;Bouzan C;Weinstein MC;Cipriano LE;Tramontano AC;Johnson BE;Weeks JC;Gazelle GS
通讯作者：
Gazelle GS
早期肺癌诊断后戒烟对预后的影响：荟萃分析的观察性研究系统评价。
DOI：
10.1136/bmj.b5569
发表时间：
2010-01-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Parsons A;Daley A;Begh R;Aveyard P
通讯作者：
Aveyard P
影响因子：
105.7
作者：
Chapple, A;Ziebland, S;McPherson, A
通讯作者：
McPherson, A
影响因子：
2.1
作者：
Gulyn, Linda McKenna;Youssef, Fatma
通讯作者：
Youssef, Fatma