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Radon and Tobacco Risk Counseling During Lung Cancer Screening Shared Decision-Making.

Stacy R Stanifer1, Kathy Rademacher2, Whitney Sedio3

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|December 3, 2025
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Summary
This summary is machine-generated.

Healthcare providers frequently counsel on tobacco risks during lung cancer screening but rarely discuss radon risks. Improving provider self-efficacy and radon beliefs is crucial for comprehensive lung cancer risk reduction.

Keywords:
Counselinglung cancer screeningradonrisk reductiontobacco

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Area of Science:

  • Public Health
  • Occupational Health
  • Environmental Health

Background:

  • Lung cancer remains a significant public health concern in the United States.
  • Risk reduction strategies, including tobacco cessation and radon mitigation, are essential for reducing lung cancer burden.
  • Shared decision-making (SDM) during lung cancer screening presents an opportunity for risk counseling.

Purpose of the Study:

  • To examine the frequency of tobacco and radon risk counseling during lung cancer screening SDM among healthcare providers.
  • To investigate the relationship between providers' radon beliefs, self-efficacy in counseling, and their counseling practices.

Main Methods:

  • A cross-sectional, observational study using a mailed self-report survey.
  • 1,000 qualified healthcare providers in Kentucky were randomly sampled.
  • Regression analyses were used to assess associations between provider characteristics, beliefs, self-efficacy, and counseling frequency.

Main Results:

  • A low response rate (14.9%) yielded 149 participants.
  • Providers reported high self-efficacy for tobacco counseling but low for radon counseling.
  • Tobacco risk counseling was frequent during lung cancer screening SDM, while radon risk counseling was nearly absent.
  • Only tobacco cessation counseling self-efficacy significantly predicted tobacco risk counseling frequency.

Conclusions:

  • Risk reduction counseling is vital for mitigating lung cancer incidence.
  • Interventions are needed to enhance provider beliefs regarding radon risks and their self-efficacy in discussing both tobacco and radon during lung cancer screening.
  • Current practices highlight a gap in radon risk communication within lung cancer screening.