Improving Utilization of Lung Cancer Screening Through Incorporating a Video-Based Educational Tool Into Smoking...

Area of Science:

• Pulmonology
• Oncology
• Public Health

Background:

• Lung cancer screening (LCS) using low-dose computed tomography (LDCT) significantly reduces lung cancer mortality in high-risk individuals.
• However, awareness and utilization of LCS remain low among eligible smokers.
• Smoking cessation counseling presents a potential opportunity to educate patients about LCS.

Purpose of the Study:

• To investigate the impact of LCS educational information on LDCT utilization and smoking cessation rates.
• To assess the effectiveness of a web-based educational video intervention during smoking cessation services.

Main Methods:

• A randomized controlled trial involving 1281 smokers aged 55-80 undergoing smoking cessation services.
• Participants were assigned to either view an LCS educational video (intervention group) or receive usual care (control group).
• Outcomes included chest CT scan utilization, survey responses, and patient-reported smoking abstinence at 6 months.

Main Results:

• Only 14% of participants watched the educational video.
• Among those who completed the video, LDCT utilization was significantly higher (8.9%) compared to the control group (4.3%).
• No significant difference in smoking abstinence was observed between the intervention and control groups.

Conclusions:

• An educational intervention about LCS may enhance LDCT uptake in eligible current smokers during smoking cessation counseling.
• Further research is warranted to optimize LCS education within smoking cessation programs.
• Integrating LCS awareness into cessation services holds promise for improving screening adherence.