ArticleBMJ open2019
Engaging high-risk groups in early lung cancer diagnosis: a qualitative study of symptom presentation and intervention preferences among the UK's most deprived communities.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Promoting lung cancer awareness, help-seeking and early detection: a systematic review of interventions.Health promotion international · 2021Pooled it
- Clinicians' Views of Patient-initiated Follow-up in Head and Neck Cancer: a Qualitative Study to Inform the PETNECK2 Trial.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2022Trial
- Targeted encouragement of GP consultations for possible cancer symptoms: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Barriers and Facilitators to Engaging in Smoking Cessation Support Among Lung Screening Participants.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Identifying Populations at Risk for Lung Cancer Mortality from the National Health and Nutrition Examination Survey (2001-2018) Using the 2021 USPSTF Screening Guidelines.International journal of environmental research and public health · 2024Article
- What are the similarities and differences in lung cancer symptom appraisal and help-seeking according to smoking status? A qualitative study with lung cancer patients.Psycho-oncology · 2022Article
- A population-based study on social inequality and barriers to healthcare-seeking with lung cancer symptoms.NPJ primary care respiratory medicine · 2022Article
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- 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
- Feasibility and acceptability of a community pharmacy referral service for suspected lung cancer symptoms.BMJ open respiratory research · 2021Article
- The person behind the nodule: a narrative review of the psychological impact of lung cancer screening.Translational lung cancer research · 2021Review
- Examining the diagnostic pathway for lung cancer patients in Wales using discrete event simulation.Translational lung cancer research · 2021Article
- Diagnostic Value of Imaging Combined With Tumor Markers in Early Detection of Lung Cancer.Frontiers in surgery · 2021Article
- Sensations, symptoms, and then what? Early bodily experiences prior to diagnosis of lung cancer.PloS one · 2021Article
- Public involvement and engagement in primary and emergency care research: the story from PRIME Centre Wales.International journal of population data science · 2020Article
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Authors and funding
9 authors.
Funding
Abstract
objectivesPeople at high-risk for lung cancer-current/former smokers, aged 40+ years, with serious lung comorbidity (ie, chronic obstructive pulmonary disease) and living in highly deprived areas-are more likely to delay symptom presentation. This qualitative study aimed to understand the influences on early presentation with lung cancer symptoms in high-risk individuals and intervention preferences.
methodsSemi-structured qualitative interviews with 37 high-risk individuals (without a cancer diagnosis), identified through seven GP practices in socioeconomically deprived areas of England, Scotland and Wales (most deprived 20%). A symptom attribution task was used to explore lung symptom perception and help seeking, developed using Leventhal's Common Sense Model. Four focus groups with 16 high-risk individuals and 12 local stakeholders (healthcare professionals and community partners) were conducted to explore preferences for an intervention to promote early lung cancer symptom presentation. Data were synthesised using Framework analysis.
resultsIndividual and area level indicators of deprivation confirmed that interview participants were highly deprived.
conclusionsThis study was novel in engaging a high-risk population to gain an in-depth understanding of the broader contextual influences on lung cancer symptom presentation. Perceived lack of health service entitlement and complex lives facilitated avoidance of recognising and presenting with lung cancer symptoms. Community-based interventions have the potential to empower disadvantaged populations to seek medical help for lung symptoms.
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