Evidence map›Paper›PMID 31961060›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Mapping the spectrum of psychological and behavioural responses to low-dose CT lung cancer screening offered within a Lung Health Check.

Sonja Kummer, Jo Waller, Mamta Ruparel, Judith Cass, Samuel M Janes, Samantha L Quaife

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02558101 (Randomised Controlled Trial to Test Novel Invitation Methods and Materials Targeted to Increase Informed Uptake of Lung Cancer Screening in Individuals at High Risk of Lung Cancer), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02558101 nacompletednot on this map

Randomised Controlled Trial to Test Novel Invitation Methods and Materials Targeted to Increase Informed Uptake of Lung Cancer Screening in Individuals at High Risk of Lung Cancer

TypeinterventionalSponsorUniversity College, LondonRan2015 to 2022Enrolled1,997ConditionsLung CancerArmsControl invitation materials, Intervention invitation materials
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. The mediating effect of hope between perceived social support and spiritual well-being in patients with early-stage lung cancer: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  13. 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 · 2022
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  16. 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 · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sonja KummerResearch Department of Behavioural Science and Health, University College London, London, UK.
Jo WallerResearch Department of Behavioural Science and Health, University College London, London, UK.
Mamta RuparelLungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UK.
Judith CassLungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UK.
Samuel M JanesLungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UK.
Samantha L QuaifeResearch Department of Behavioural Science and Health, University College London, London, UK.ORCID 0000-0002-4918-6382

Funding

Cancer Research UK 17976Cancer Research UK 24460Cancer Research UK C1418/A17976Cancer Research UK C50664/A24460Cancer Research UK C7492/A17219Department of HealthWellcome TrustWellcome Trust WT107963AIA
6 · The paper itself

Abstract

backgroundResearch on the psychological impact of low-dose computed tomography (LDCT) lung cancer screening has typically been narrow in scope and restricted to the trial setting.

objectiveTo explore the range of psychological and behavioural responses to LDCT screening offered as part of a Lung Heath Check (LHC), including lung cancer risk assessment, spirometry testing, a carbon monoxide reading and smoking cessation advice.

methodsSemi-structured interviews were carried out with 28 current and former smokers (aged 60-75), who had undergone LDCT screening as part of a LHC appointment and mostly received an incidental or indeterminate result (n = 23). Framework analysis was used to map the spectrum of responses participants had across the LHC appointment and screening pathway, to their LDCT results and to surveillance.

resultsInterviewees reported a diverse range of both positive and negative psychological responses, beginning at invitation and spanning the entire LHC appointment (including spirometry) and LDCT screening pathway. Similarly, positive behavioural responses extended beyond smoking cessation to include anticipated implications for other cancer prevention and early detection behaviours, such as symptom presentation. Individual differences in responses appeared to be influenced by smoking status and LDCT result, as well as modifiable factors including perceived risk and health status, social support, competing priorities, fatalism and perceived stigma.

conclusionsThe diverse ways in which participants responded to screening, both psychologically and behaviourally, should direct a broader research agenda to ensure all stages of screening delivery and communication are designed to promote well-being, motivate positive behaviour change and maximize patient benefit.

Indexed as

Lung NeoplasmsSmoking CessationEarly Detection of CancerHumansLungMass ScreeningTomography, X-Ray Computedbehavioural sciencesearly detection of cancerlung cancermass screeningpsychologysmoking

Identifiers

PMID31961060
PMCPMC7104654

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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.