Lung cancer screening as a teachable moment for smoking cessation
Lung cancer screening as a teachable moment for smoking cessation
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DOI：
10.1016/j.lungcan.2006.11.015
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发表时间：
2007-04-01
期刊：
影响因子：
5.3
通讯作者：
Gelmann, Edward
中科院分区：
文献类型：
--
作者：
Taylor, Kathryn L.;Sanderson Cox, Lisa;Gelmann, Edward
背景资料：肺癌筛查可以作为戒烟的“可教时刻”，这是一个短暂的时期，在此期间戒烟的动机得到增强。在两个国家癌症研究所资助的随机肺筛查试验的背景下，我们进行了一项辅助研究，探讨戒烟和准备戒烟的影响筛选：方法：我们积累了一个样本，目前和以前的吸烟者参加乔治敦大学网站的肺筛查研究（LSS; N = 144）和国家肺筛查试验（NLST; N = 169）。在每个样本中，我们评估了参与试验的原因，对戒烟干预措施的兴趣，戒烟的动机，以及接受烟草使用筛查和戒烟准备的影响。在筛选前和收到筛选结果后1个月进行电话访谈。由于年龄和尼古丁依赖水平的差异，样本分别进行了分析。目前和以前吸烟者参与试验的经常认可的原因包括心理原因（例如，希望对肺癌保持平和的心态）和利他主义（例如，想为科学做出贡献）。尼古丁替代疗法和免费咨询是最受关注的戒烟方法，对肺部健康问题的恐惧是最常被认可的戒烟动机。关于戒烟的准备程度，大约20%的人准备在未来30天内戒烟，45%的人准备在未来6个月内戒烟，白色35%的人不打算戒烟。在随访中，7%的基线当前吸烟者报告戒烟，4%的基线前吸烟者报告复发。当考虑到戒烟的准备程度时，两个样本的结果不同。在NLST样本的1个月随访中，参与者变得更愿意戒烟（p <0.05）。筛选结果未缓解该结果。在LSS样本中，年轻参与者（
Background: Lung cancer screening may serve as a 'teachable moment' for smoking cessation, a brief period in which motivation to stop smoking is enhanced. Within the context of two NCI-funded randomized lung screening trials, we conducted an ancillary study to explore the impact of screening on smoking cessation and readiness to stop smoking.Methods: We accrued a sample of current and former smokers participating at the Georgetown University site of the Lung Screening Study (LSS; N = 144) and of the National Lung Screening Trial (NLST; N = 169). In each sample, we assessed reasons for trial participation, interest in smoking cessation interventions, motivations for stopping smoking, and the impact of undergoing screening on tobacco use and readiness to stop smoking. Telephone interviews were conducted prior to screening, and 1-month following receipt of the screening result. The samples were analyzed separately due to differences in age and level of nicotine dependence.Results: The majority of the findings were consistent across the two samples. Frequently endorsed reasons for trial participation among both current and former smokers included psychological reasons (e.g., wanting peace of mind about lung cancer) and altruism (e.g., wanting to make a contribution to science). Nicotine replacement therapy and free counseling were the cessation methods that were of most interest, and fear of lung health problems was the most frequently endorsed motivation for quitting smoking. Regarding readiness to stop smoking, approximately 20% were ready to stop in the next 30 days, 45% were ready to stop in the next 6 months, white 35% were not thinking of stopping. At the follow-up, 7% of current smokers at baseline reported abstinence, and 4% of former smokers at baseline reported having relapsed. The findings differed across the two samples when considering the readiness to quit outcome. At the 1-month follow-up of the NLST sample, participants became more ready to stop smoking (p < .05). Screening result did not moderate this finding. In the LSS sample, among younger participants (