ArticleHealth expectations : an international journal of public participation in health care and health policy2019
"To know or not to know…?" Push and pull in ever smokers lung screening uptake decision-making intentions.
Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patient barriers and facilitators to lung cancer screening uptake and intention to screen: a systematic review using the Theoretical Domains Framework.BMJ open respiratory research · 2025Pooled it
- Exploring Whether and How People Experiencing High Deprivation Access Diagnostic Services: A Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Facilitators and Barriers to Lung Cancer Screening during Long COVID: A Global Systematic Review and Meta-Study Synthesis of Qualitative Research.International journal of environmental research and public health · 2024Pooled it
- Identifying Barriers and Strategies to Support a Community Navigator-Driven Approach for Lung Cancer Screening.Current oncology (Toronto, Ont.) · 2026Article
- Lung cancer screening experiences among patients with a smoking history and primary care providers: a qualitative study.BMC cancer · 2025Article
- The present and future of lung cancer screening: latest evidence.Future oncology (London, England) · 2025Review
- Racism, discrimination, medical mistrust, stigma, and lung cancer screening: a scoping review.Ethnicity & health · 2025Article
- Systems mapping: a novel approach to national lung cancer screening implementation in Australia.Translational lung cancer research · 2024Review
- Patient Perspectives on a Patient-Facing Tool for Lung Cancer Screening.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Understanding patient barriers and facilitators to uptake of lung screening using low dose computed tomography: a mixed methods scoping review of the current literature.Respiratory research · 2022Article
- Optimizing the implementation of lung cancer screening in Scotland: Focus group participant perspectives in the LUNGSCOT study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Attitudes towards the integration of smoking cessation into lung cancer screening in the United Kingdom: A qualitative study of individuals eligible to attend.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Increasing uptake to a lung cancer screening programme: building with communities through co-design.BMC public health · 2022Article
- The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Motivation is not enough: A qualitative study of lung cancer screening uptake in Australia to inform future implementation.PloS one · 2022Article
- Lung cancer screening: targeting the hard to reach-a review.Translational lung cancer research · 2021Review
- Association of employment and company size with lung cancer screening participation among Japanese based on the socioeconomic conditions using the Comprehensive Survey of Living Conditions.International journal of clinical oncology · 2020Article
- Understanding the decision to screen for lung cancer or not: A qualitative analysis.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- "To know or not to know…?" Push and pull in ever smokers lung screening uptake decision-making intentions.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundIn the United States, lung cancer screening aims to detect cancer early in nonsymptomatic current and former smokers. A lung screening pilot service in an area of high lung cancer incidence in the United Kingdom has been designed based on United States trial evidence. However, our understanding of acceptability and reasons for lung screening uptake or decline in a United Kingdom nontrial context are currently limited.
objectiveTo explore with ever smokers the acceptability of targeted lung screening and uptake decision-making intentions.
designQualitative study using semistructured focus groups and inductive thematic analysis to explore acceptability and uptake decision-making intentions with people of similar characteristics to lung screening eligible individuals. SETTING AND
participantsThirty-three participants (22 ex-smokers; 11 smokers) men and women, smokers and ex-smokers, aged 50-80 were recruited purposively from community and health settings in Manchester, England.
resultsLung screening was widely acceptable to participants. It was seen as offering reassurance about lung health or opportunity for early detection and treatment. Participant's desire to know about their lung health via screening was impacted by perceived benefits; emotions such as worry about a diagnosis and screening tests; practicalities such as accessibility; and smoking-related issues including perceptions of individual risk and smoking stigma. DISCUSSION: Decision making was multifaceted with indications that current smokers faced higher participation barriers than ex-smokers. Reducing participation barriers through careful service design and provision of decision support information will be important in lung screening programmes to support informed consent and equitable uptake.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.