Dan J Raz1, Rebecca A Nelson2, Jae Y Kim3, Virginia Sun4. 1. Division of Thoracic Surgery, Department of Surgery, USA. Electronic address: draz@coh.org. 2. Biostatistics Core, Department of Information Sciences, USA. Electronic address: jaekim@coh.org. 3. Division of Thoracic Surgery, Department of Surgery, USA. Electronic address: rnelson@coh.org. 4. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, CA, USA. Electronic address: vsun@coh.org.
Abstract
BACKGROUND: Lung cancer screening (LCS) with low dose computed tomography (LDCT) is associated with a 20% reduction in lung cancer mortality. Psychological burden is a potential harm associated with LCS, and is a major barrier to utilization. We aimed to examine the feasibility and acceptability of a video intervention designed to reduce anxiety and promote psychological preparedness of LCS. PATIENTS AND METHODS: This is a two group, sequential enrollment pilot study of a video intervention that integrates information on screen criteria, procedures, benefits and harms, and follow-up plan. Participants were enrolled 1-2 weeks prior to baseline LDCT, and the intervention was administered in one in-person session on the day of LDCT. Outcomes were assessed at baseline (pre-screen), immediately after LDCT, and at 1 week, 3 months, and 7 months post-screen. Outcome measures included the SF-12 (HRQOL), STAI (anxiety), psychosocial consequences of LCS (COS-LC), risk perceptions for lung cancer, and a satisfaction tool. The student's t-test was used for exploratory evaluations on change from baseline scores both within and between groups. RESULTS: Sixteen participants (8 intervention, 8 controls) enrolled and completed the study (61.5% retention). Participants in the control group reported a significantly increased sense of dejection at 1-month and 7-months post-screen as measured by the COS-LC (p = 0.01). Participants were highly satisfied with the intervention. CONCLUSION: A video intervention that promoted psychological preparedness for LCS was feasible to implement as part of an LCS program and highly accepted by participants.
BACKGROUND: Lung cancer screening (LCS) with low dose computed tomography (LDCT) is associated with a 20% reduction in lung cancer mortality. Psychological burden is a potential harm associated with LCS, and is a major barrier to utilization. We aimed to examine the feasibility and acceptability of a video intervention designed to reduce anxiety and promote psychological preparedness of LCS. PATIENTS AND METHODS: This is a two group, sequential enrollment pilot study of a video intervention that integrates information on screen criteria, procedures, benefits and harms, and follow-up plan. Participants were enrolled 1-2 weeks prior to baseline LDCT, and the intervention was administered in one in-person session on the day of LDCT. Outcomes were assessed at baseline (pre-screen), immediately after LDCT, and at 1 week, 3 months, and 7 months post-screen. Outcome measures included the SF-12 (HRQOL), STAI (anxiety), psychosocial consequences of LCS (COS-LC), risk perceptions for lung cancer, and a satisfaction tool. The student's t-test was used for exploratory evaluations on change from baseline scores both within and between groups. RESULTS: Sixteen participants (8 intervention, 8 controls) enrolled and completed the study (61.5% retention). Participants in the control group reported a significantly increased sense of dejection at 1-month and 7-months post-screen as measured by the COS-LC (p = 0.01). Participants were highly satisfied with the intervention. CONCLUSION: A video intervention that promoted psychological preparedness for LCS was feasible to implement as part of an LCS program and highly accepted by participants.
Authors: Pamela S Sinicrope; Kari G Rabe; Tabetha A Brockman; Christi A Patten; Wesley O Petersen; Joshua Slusser; Ping Yang; Stephen J Swensen; Eric S Edell; Mariza de Andrade; Gloria M Petersen Journal: Acad Radiol Date: 2010-08 Impact factor: 3.173
Authors: Marc R Freiman; Jack A Clark; Christopher G Slatore; Michael K Gould; Steven Woloshin; Lisa M Schwartz; Renda Soylemez Wiener Journal: J Thorac Oncol Date: 2016-03-07 Impact factor: 15.609
Authors: Karien A M van den Bergh; Marie-Louise Essink-Bot; Rob J van Klaveren; Harry J de Koning Journal: Eur J Cancer Date: 2010-06-26 Impact factor: 9.162
Authors: Denise R Aberle; Amanda M Adams; Christine D Berg; William C Black; Jonathan D Clapp; Richard M Fagerstrom; Ilana F Gareen; Constantine Gatsonis; Pamela M Marcus; JoRean D Sicks Journal: N Engl J Med Date: 2011-06-29 Impact factor: 91.245
Authors: Elyse R Park; Jamie S Ostroff; William Rakowski; Ilana F Gareen; Michael A Diefenbach; Sandra Feibelmann; Nancy A Rigotti Journal: Ann Behav Med Date: 2009-08-27
Authors: Karien A M van den Bergh; Marie-Louise Essink-Bot; Eveline M Bunge; Ernst Th Scholten; Mathias Prokop; Carola A van Iersel; Rob J van Klaveren; Harry J de Koning Journal: Cancer Date: 2008-07-15 Impact factor: 6.860
Authors: Kim Tam Bui; Roger Liang; Belinda E Kiely; Chris Brown; Haryana M Dhillon; Prunella Blinman Journal: BMJ Open Date: 2021-05-26 Impact factor: 2.692