000			03821nam a22005297a 4500
008			220222s20222022 xxu||||| |||| 00| 0 eng d
024			_a10.1002/cncr.34133 [doi]
040			_aOvid MEDLINE(R)
099			_a35143041
245			_aImproved motivation and readiness to quit shortly after lung cancer screening: Evidence for a teachable moment.
251			_aCancer. 128(10):1976-1986, 2022 May 15.
252			_aCancer. 128(10):1976-1986, 2022 May 15.
252			_zCancer. 2022 Feb 10
253			_aCancer
260			_c2022
260			_fFY2022
260			_p2022 Feb 10
265			_sppublish
266			_d2022-02-22
268			_aCancer. 2022 Feb 10
501			_aAvailable online from the MWHC library: 1948 - present, Available in print through MWHC library: 1999 - 2006
520			_aBACKGROUND: 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.
520			_aCONCLUSIONS: 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.
520			_aMETHODS: 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]).
520			_aRESULTS: 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).
546			_aEnglish
650			_a*Lung Neoplasms
650			_a*Smoking Cessation
650			_aAged
650			_aEarly Detection of Cancer
650			_aHumans
650			_aLung Neoplasms/di [Diagnosis]
650			_aLung Neoplasms/pc [Prevention & Control]
650			_aMiddle Aged
650			_aMotivation
650			_aSmoking Cessation/mt [Methods]
650			_aSmoking Cessation/px [Psychology]
650			_aSmoking/ae [Adverse Effects]
650			_aSmoking/ep [Epidemiology]
656			_aMedStar Shah Medical Group
656			_aPopulation Health
657			_aJournal Article
700			_aParikh, Vicky
790			_aAbrams DB, Cordon M, Eyestone E, Lung Screening, Tobacco, Health Trial, Luta G, McKee BJ, Niaura RS, Parikh V, Regis SM, Smith L, Stanton CA, Taylor KL, Williams RM
856			_uhttps://dx.doi.org/10.1002/cncr.34133 _zhttps://dx.doi.org/10.1002/cncr.34133
942			_cART _dArticle
999			_c747 _d747