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Interest in lifestyle advice at lung cancer screening: Determinants and preferences

Stevens, C; Smith, SG; Quaife, SL; Vrinten, C; Waller, J; Beeken, RJ; (2019) Interest in lifestyle advice at lung cancer screening: Determinants and preferences. Lung Cancer , 128 pp. 1-5. 10.1016/j.lungcan.2018.11.036. Green open access

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Abstract

BACKGROUND: Lung cancer screening could be a ‘teachable moment’ for behaviour change. Little is known about how advice about smoking cessation, or other behavioural cancer risk factors, would be received in this setting. METHODS:Using a population-based survey of 459 English adults (current smokers and recent quitters aged 50–75) we assessed willingness to receive lifestyle advice (about smoking, diet, weight, physical activity, alcohol consumption) at lung screening. Additional items assessed whether advice should be provided following abnormal screening results, the potential impact of advice on screening uptake, and preferred timing of advice. RESULTS: Overall, 64% (n = 292) of participants were willing to receive lifestyle advice at lung screening. A greater proportion of participants were willing to receive advice in a scenario where results required further investigation (83%; p < 0.01). However, 14% indicated the provision of lifestyle advice would make them less willing to attend lung screening. Non-White ethnicity and greater cancer risk factor awareness were associated with willingness to receive advice (p < 0.05). Half of smokers (51%) were willing to receive cessation advice. There was also interest in advice about diet (47%), weight (43%), physical activity (32%), and alcohol consumption (17%) among people not meeting current recommendations for these behaviours. There was a preference for advice to be delivered at the screening appointment (38%, n = 108) over other time-points. CONCLUSIONS: Lung screening may offer an opportunity to provide advice about behavioural cancer risk factors. Future work should consider how to deliver effective interventions in this setting to support behaviour change, without affecting screening uptake.

Type: Article
Title: Interest in lifestyle advice at lung cancer screening: Determinants and preferences
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.lungcan.2018.11.036
Publisher version: https://doi.org/10.1016/j.lungcan.2018.11.036
Language: English
Additional information: © 2018 The Authors. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).
Keywords: Lung cancer, Cancer screening, Primary prevention, Smoking, Tobacco, Alcohol consumption, Diet, Physical activity, Body weight, Lifestyle risk reduction
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10065200
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