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Lung Screen Uptake Trial (LSUT): Randomized Controlled Clinical Trial Testing Targeted Invitation Materials.

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Summary
This summary is machine-generated.

A targeted lung cancer screening invitation strategy did not increase uptake compared to standard care. However, the Lung Health Check approach showed higher attendance than previous studies, especially for lower socioeconomic groups.

Keywords:
behavioral sciencesearly detection of cancerlung neoplasmssocioeconomic factors

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Low-dose computed tomography (LDCT) lung cancer screening uptake is suboptimal, particularly among current smokers from lower socioeconomic backgrounds, impacting program effectiveness and equity.
  • Targeted strategies are needed to improve participation in lung cancer screening programs.
  • Hospital-based Lung Health Checks offer LDCT screening but require effective outreach to maximize attendance.

Purpose of the Study:

  • To evaluate the impact of a targeted, low-burden, stepped invitation strategy on the uptake of hospital-based Lung Health Check appointments offering LDCT screening.
  • To compare the effectiveness of an intervention leaflet addressing psychological barriers against a control group.
  • To identify factors influencing screening appointment attendance.

Main Methods:

  • A two-arm, blinded, randomized controlled trial involving 2,012 participants aged 60-75 who were current or recent smokers without LDCT contraindications.
  • Participants received stepped invitations (preinvitation, invitation, reminder) from primary care practices.
  • The intervention group received an additional leaflet designed to address psychological barriers and provide low-burden information, mimicking a vehicle test concept.

Main Results:

  • Overall uptake was 52.6%, with no statistically significant difference between the intervention (52.3%) and control (52.9%) groups.
  • Current smokers were less likely to attend appointments than former smokers (adjusted OR, 0.70).
  • Socioeconomic deprivation was associated with lower uptake in the control group only (P < 0.01).

Conclusions:

  • The tested intervention strategy did not significantly improve LDCT lung cancer screening uptake.
  • The Lung Health Check approach, common to both arms, resulted in higher uptake than previously reported, especially among lower socioeconomic position smokers.
  • The findings suggest that the Lung Health Check model itself may represent a successful baseline strategy for lung cancer screening outreach.