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• W2898044929 abstract "Despite introduction in America and calls for European implementation, lung screening isn't currently endorsed as a UK programme. Whether smokers want to be screened has been raised as an issue. This study explored uptake decision-making with ever-smokers, aged 50-80 as part of the UK’s first community based one-stop lung screening pilot service. Thirty-three participants (22 ex-smokers; 11 smokers) men and women, aged 50-80 were recruited purposively from community settings and health facilities in Manchester, England. The setting is a city with significant deprivation and high lung cancer incidence. Six semi-structured focus groups were held with separate groups for current and former smokers to facilitate freer expression and comparison but mixed by gender, age, ethnicity and deprivation. Discussions followed semi-structured topic guides were audio-recorded, transcribed verbatim and coded using NVIVO software. Inductive thematic analysis was used to analyse data and identify key themes. Lung screening was widely acceptable to participants. It was seen as offering reassurance about lung health or opportunity for early detection and treatment. However, being positive ‘in principle’ didn’t always translate into uptake intention. Factors that impacted participants' desire to know about their lung health included: views about screening benefits; emotions such as worry about a diagnosis and screening tests; practicalities such as service accessibility; and smoking related factors included views about individual smoking risk and smoking stigma. Indications were that current smokers faced higher uptake barriers than ex-smokers. The uptake factors identified appeared to motivate some participants to be screened but act as a barrier for others. This factorial 'push and pull' effect is important as it indicates where action can be taken to help reduce participation barriers to lung screening. This is shown in Figure One." @default.
• W2898044929 created "2018-10-26" @default.
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• W2898044929 date "2018-10-01" @default.
• W2898044929 modified "2023-10-17" @default.
• W2898044929 title "P3.11-24 “To Know or Not to Know ...?” Push and Pull in Ever Smokers Lung Screening Uptake Decision Making Intentions" @default.
• W2898044929 doi "https://doi.org/10.1016/j.jtho.2018.08.1820" @default.
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