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Understanding lung cancer screening behaviour using path analysis.

Lisa Carter-Harris1, James E Slaven2, Patrick O Monahan2

  • 1Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.

Journal of Medical Screening
|September 26, 2019
PubMed
Summary

Understanding lung cancer screening behavior requires examining individual factors. Key influences include clinician recommendations, self-efficacy, and reduced mistrust, which are crucial for effective lung cancer screening interventions.

Keywords:
Lung cancer screeningconceptual modelhealth behaviourhealth beliefspath analysis

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Area of Science:

  • Medical research
  • Public health
  • Behavioral science

Background:

  • Understanding lung cancer screening behavior is vital for developing interventions.
  • Previous qualitative studies explored attitudes, but factors influencing screening decisions remain unclear.
  • This study addresses the gap by testing a theoretical framework for lung cancer screening participation.

Purpose of the Study:

  • To test an explanatory framework for lung cancer screening participation from the individual's perspective.
  • To identify theoretically grounded factors influencing screening-eligible individuals.
  • To provide insights for designing targeted interventions.

Main Methods:

  • A national purposive sample of 515 screening-eligible participants in the United States was recruited.
  • Data were collected via surveys assessing constructs of the Conceptual Model for Lung Cancer Screening Participation.
  • Path analysis was used to examine relationships between variables.

Main Results:

  • Clinician recommendation, higher self-efficacy, and lower mistrust were directly associated with screening participation.
  • Self-efficacy's link to screening behavior was mediated by fatalism, fear, family history, knowledge, income, clinician recommendation, and social influence.
  • Medical mistrust, self-efficacy, and clinician recommendation significantly impacted lung cancer screening decisions.

Conclusions:

  • Medical mistrust, self-efficacy, and clinician recommendation are significant factors in lung cancer screening decisions.
  • Findings highlight potentially modifiable targets for intervention.
  • This understanding is critical for designing effective clinician- and patient-focused interventions.