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.
- 2022
Available online from the MWHC library: 1948 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: For patients at high risk for lung cancer, screening using low-dose computed tomography (lung cancer screening [LCS]) is recommended. The purpose of this study was to examine whether screening may serve as a teachable moment for smoking-related outcomes. CONCLUSIONS: During the brief window between registering for LCS and receiving the results, the authors observed that very few participants quit smoking, but a significant proportion improved on readiness and motivation to quit, particularly among individuals who were undergoing their first scan and those who were extremely worried about lung cancer. These results indicate that providing evidence-based tobacco treatment can build upon this teachable moment. Copyright (c) 2022 American Cancer Society. METHODS: In a smoking-cessation trial, participants (N = 843) completed 2 phone interviews before randomization: before LCS (T0) and after LCS (T1). By using logistic and linear regression, the authors examined teachable moment variables (perceived risk, lung cancer worry) and outcomes (readiness, motivation, and cigarettes per day [CPD]). RESULTS: Participants were a mean +/- SD age of 63.7 +/- 5.9 years, had 47.8 +/- 7.1 pack-years of smoking, 35.2% had a high school diploma or General Educational Development (high school equivalency) degree or less, and 42.3% were undergoing their first scan. Between T0 and T1, 25.7% of participants increased readiness to quit, 9.6% decreased readiness, and 64.7% reported no change (P < .001). Motivation to quit increased (P < .05) and CPD decreased between assessments (P < .001), but only 1.3% self-reported quitting. Compared with individuals who reported no lung cancer worry/little worry, extreme worry was associated with readiness to quit in the next 30 days (odds ratio, 1.8; 95% CI, 1.1-3.0) and with higher motivation (b = 0.83; P < .001) at T1. Individuals undergoing a baseline (vs annual) scan were more ready to quit in the next 30 days (odds ratio, 1.8; 95% CI, 1.3-2.5).
English
10.1002/cncr.34133 [doi]
*Lung Neoplasms
*Smoking Cessation
Aged
Early Detection of Cancer
Humans
Lung Neoplasms/di [Diagnosis]
Lung Neoplasms/pc [Prevention & Control]
Middle Aged
Motivation
Smoking Cessation/mt [Methods]
Smoking Cessation/px [Psychology]
Smoking/ae [Adverse Effects]
Smoking/ep [Epidemiology]
MedStar Shah Medical Group
Population Health
Journal Article
Available online from the MWHC library: 1948 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: For patients at high risk for lung cancer, screening using low-dose computed tomography (lung cancer screening [LCS]) is recommended. The purpose of this study was to examine whether screening may serve as a teachable moment for smoking-related outcomes. CONCLUSIONS: During the brief window between registering for LCS and receiving the results, the authors observed that very few participants quit smoking, but a significant proportion improved on readiness and motivation to quit, particularly among individuals who were undergoing their first scan and those who were extremely worried about lung cancer. These results indicate that providing evidence-based tobacco treatment can build upon this teachable moment. Copyright (c) 2022 American Cancer Society. METHODS: In a smoking-cessation trial, participants (N = 843) completed 2 phone interviews before randomization: before LCS (T0) and after LCS (T1). By using logistic and linear regression, the authors examined teachable moment variables (perceived risk, lung cancer worry) and outcomes (readiness, motivation, and cigarettes per day [CPD]). RESULTS: Participants were a mean +/- SD age of 63.7 +/- 5.9 years, had 47.8 +/- 7.1 pack-years of smoking, 35.2% had a high school diploma or General Educational Development (high school equivalency) degree or less, and 42.3% were undergoing their first scan. Between T0 and T1, 25.7% of participants increased readiness to quit, 9.6% decreased readiness, and 64.7% reported no change (P < .001). Motivation to quit increased (P < .05) and CPD decreased between assessments (P < .001), but only 1.3% self-reported quitting. Compared with individuals who reported no lung cancer worry/little worry, extreme worry was associated with readiness to quit in the next 30 days (odds ratio, 1.8; 95% CI, 1.1-3.0) and with higher motivation (b = 0.83; P < .001) at T1. Individuals undergoing a baseline (vs annual) scan were more ready to quit in the next 30 days (odds ratio, 1.8; 95% CI, 1.3-2.5).
English
10.1002/cncr.34133 [doi]
*Lung Neoplasms
*Smoking Cessation
Aged
Early Detection of Cancer
Humans
Lung Neoplasms/di [Diagnosis]
Lung Neoplasms/pc [Prevention & Control]
Middle Aged
Motivation
Smoking Cessation/mt [Methods]
Smoking Cessation/px [Psychology]
Smoking/ae [Adverse Effects]
Smoking/ep [Epidemiology]
MedStar Shah Medical Group
Population Health
Journal Article