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"It's a decision I have to make": Patient perspectives on smoking and cessation after lung cancer screening decisions.
Abstract
Few studies exist showing that involvement in lung cancer screening (LCS) leads to
a change in rates of cigarette smoking. We investigated LCS longitudinally to determine
whether teachable moments for smoking cessation occur downstream from the initial
provider-patient LCS shared decision-making discussion and self-reported effects on
smoking behaviors. We performed up to two successive semi-structured interviews to
assess the experiences of 39 individuals who formerly or currently smoked cigarettes
who underwent LCS decision-making discussions performed during routine care from three
established US medical center LCS programs. The majority of those who remembered hearing
about the importance of smoking cessation after LCS-related encounters did not report
communication about smoking influencing their motivation to quit or abstain from smoking,
including patients who were found to have pulmonary nodules. Patients experienced
little distress related to LCS discussions. Patients reported that there were other,
more significant, reasons for quitting or abstinence. They recommended clinicians
continue to ask about smoking at every clinical encounter, provide information comparing
the benefits of LCS with those of quitting smoking, and have clinicians help them
identify triggers or other motivators for improving smoking behaviors. Our findings
suggest that there may be other teachable moment opportunities outside of LCS processes
that could be utilized to motivate smoking reduction or cessation, or LCS processes
could be improved to integrate cessation resources.
Type
Journal articlePermalink
https://hdl.handle.net/10161/26273Published Version (Please cite this version)
10.1016/j.pmedr.2022.102014Publication Info
Golden, Sara E; Schweiger, Liana; Melzer, Anne C; Ono, Sarah S; Datta, Santanu; Davis,
James M; & Slatore, Christopher G (2022). "It's a decision I have to make": Patient perspectives on smoking and cessation after
lung cancer screening decisions. Preventive medicine reports, 30. pp. 102014. 10.1016/j.pmedr.2022.102014. Retrieved from https://hdl.handle.net/10161/26273.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
James Davis
Associate Professor of Medicine
Dr. James Davis is a practicing physician of Internal Medicine, and serves as the
Medical Director for Duke Center for Smoking Cessation, Director of the Duke Smoking
Cessation Program and Co-Director of the Duke-UNC Tobacco Treatment Specialist Credentialing
Program. His research focuses on development of new pharmaceutical treatments for
smoking cessation. He is principal investigator on several trials including a study
on “adaptive” smoking cessation and several trials

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