TY - JOUR
T1 - Improved motivation and readiness to quit shortly after lung cancer screening
T2 - Evidence for a teachable moment
AU - the Lung Screening, Tobacco, Health Trial
AU - Williams, Randi M.
AU - Cordon, Marisa
AU - Eyestone, Ellie
AU - Smith, Laney
AU - Luta, George
AU - McKee, Brady J.
AU - Regis, Shawn M.
AU - Abrams, David B.
AU - Niaura, Raymond S.
AU - Stanton, Cassandra A.
AU - Parikh, Vicky
AU - Taylor, Kathryn L.
AU - Anderson, Eric
AU - Batlle, Juan
AU - Harper, Harry
AU - McKee, Andrea
AU - McKee, Brady
AU - Dornellas, Ellen
AU - Howell, Judith
AU - Geronimo, Maria M.
AU - Campos, Claudia
AU - Deros, Danielle
AU - Stephens, Jennifer
AU - Fallon, Shelby
AU - Deros, Danielle
AU - Fallon, Shelby
AU - Stephens, Jennifer
AU - Kim, Emily
AU - Kao, Jen Yuan
AU - Dunlap, Daisy
AU - Hutchison, Sarah
AU - Friberg, Julia
AU - Charles, Lisa
AU - Anderson, Ryan
N1 - Publisher Copyright:
© 2022 American Cancer Society.
PY - 2022/5/15
Y1 - 2022/5/15
N2 - 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. 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). 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.
AB - 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. 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). 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.
KW - lung cancer screening
KW - smoking
KW - smoking cessation
KW - teachable moment
KW - tobacco
KW - Early Detection of Cancer
KW - Humans
KW - Middle Aged
KW - Lung Neoplasms/diagnosis
KW - Smoking/adverse effects
KW - Motivation
KW - Smoking Cessation/methods
KW - Aged
UR - http://www.scopus.com/inward/record.url?scp=85125043787&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85125043787&partnerID=8YFLogxK
U2 - 10.1002/cncr.34133
DO - 10.1002/cncr.34133
M3 - Article
C2 - 35143041
AN - SCOPUS:85125043787
SN - 0008-543X
VL - 128
SP - 1976
EP - 1986
JO - Cancer
JF - Cancer
IS - 10
ER -