Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study

Debbie  Cavers; Mia  Nelson; Jasmin  Rostron; Kathryn A.  Robb; Lynsey Rachael Brown; Christine  Campbell; Ahsan R.  Akram; Graeme  Dickie; Melanie  Mackean; Edwin J. R.  van Beek; Francis Sullivan; Robert J.  Steele; Aileen R.  Neilson; David  Weller

doi:10.1111/hex.13632

Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study

Debbie Cavers^*, Mia Nelson, Jasmin Rostron, Kathryn A. Robb, Lynsey Rachael Brown, Christine Campbell, Ahsan R. Akram, Graeme Dickie, Melanie Mackean, Edwin J. R. van Beek, Francis Sullivan, Robert J. Steele, Aileen R. Neilson, David Weller

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

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Abstract

Introduction
Targeted lung cancer screening is effective in reducing lung cancer and all-cause mortality according to major trials in the United Kingdom and Europe. However, the best ways of implementing screening in local communities requires an understanding of the population the programme will serve. We undertook a study to explore the views of those potentially eligible for, and to identify potential barriers and facilitators to taking part in, lung screening, to inform the development of a feasibility study.

Methods
Men and women aged 45–70, living in urban and rural Scotland, and either self-reported people who smoke or who recently quit, were invited to take part in the study via research agency Taylor McKenzie. Eleven men and 14 women took part in three virtual focus groups exploring their views on lung screening. Focus group transcripts were transcribed and analysed using thematic analysis, assisted by QSR NVivo.

Findings
Three overarching themes were identified: (1) Knowledge, awareness and acceptability of lung screening, (2) Barriers and facilitators to screening and (3) Promoting screening and implementation ideas. Participants were largely supportive of lung screening in principle and described the importance of the early detection of cancer. Emotional and psychological concerns as well as system-level and practical issues were discussed as posing barriers and facilitators to lung screening.

Conclusions
Understanding the views of people potentially eligible for a lung health check can usefully inform the development of a further study to test the feasibility and acceptability of lung screening in Scotland.

Patient or Public Contribution
The LUNGSCOT study has convened a patient advisory group to advise on all aspects of study development and implementation. Patient representatives commented on the focus group study design, study materials and ethics application, and two representatives read the focus group transcripts.

Original language	English
Pages (from-to)	3246-3258
Number of pages	13
Journal	Health Expectations
Volume	25
Issue number	6
Early online date	20 Oct 2022
DOIs	https://doi.org/10.1111/hex.13632
Publication status	Published - 1 Dec 2022

Keywords

Early detection
Focus group
Lung cancer
Lung screening
Qualitative
Screening

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/hex.13632

Cavers_2022_HE_Optimizing-implementation_CC
Copyright © 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Final published version, 478 KBLicence: CC BY

Prof F Sullivan - CSO: How Should Scotland Respond to the Challenge of Lung Cancer Screening? A Mixed-Methods Feasibility Study
Sullivan, F. (PI)
Chief Scientist Office
1/03/20 → 28/02/22
Project: Standard

Cite this

Cavers, D., Nelson, M., Rostron, J., Robb, K. A., Brown, L. R., Campbell, C., Akram, A. R., Dickie, G., Mackean, M., van Beek, E. J. R., Sullivan, F., Steele, R. J., Neilson, A. R., & Weller, D. (2022). Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study. Health Expectations, 25(6), 3246-3258. https://doi.org/10.1111/hex.13632

@article{7d91f38473124f4f9064f9f652b7848c,

title = "Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study",

abstract = "IntroductionTargeted lung cancer screening is effective in reducing lung cancer and all-cause mortality according to major trials in the United Kingdom and Europe. However, the best ways of implementing screening in local communities requires an understanding of the population the programme will serve. We undertook a study to explore the views of those potentially eligible for, and to identify potential barriers and facilitators to taking part in, lung screening, to inform the development of a feasibility study.MethodsMen and women aged 45–70, living in urban and rural Scotland, and either self-reported people who smoke or who recently quit, were invited to take part in the study via research agency Taylor McKenzie. Eleven men and 14 women took part in three virtual focus groups exploring their views on lung screening. Focus group transcripts were transcribed and analysed using thematic analysis, assisted by QSR NVivo.FindingsThree overarching themes were identified: (1) Knowledge, awareness and acceptability of lung screening, (2) Barriers and facilitators to screening and (3) Promoting screening and implementation ideas. Participants were largely supportive of lung screening in principle and described the importance of the early detection of cancer. Emotional and psychological concerns as well as system-level and practical issues were discussed as posing barriers and facilitators to lung screening.ConclusionsUnderstanding the views of people potentially eligible for a lung health check can usefully inform the development of a further study to test the feasibility and acceptability of lung screening in Scotland.Patient or Public ContributionThe LUNGSCOT study has convened a patient advisory group to advise on all aspects of study development and implementation. Patient representatives commented on the focus group study design, study materials and ethics application, and two representatives read the focus group transcripts.",

keywords = "Early detection, Focus group, Lung cancer, Lung screening, Qualitative, Screening",

author = "Debbie Cavers and Mia Nelson and Jasmin Rostron and Robb, {Kathryn A.} and Brown, {Lynsey Rachael} and Christine Campbell and Akram, {Ahsan R.} and Graeme Dickie and Melanie Mackean and {van Beek}, {Edwin J. R.} and Francis Sullivan and Steele, {Robert J.} and Neilson, {Aileen R.} and David Weller",

note = "Funding: The LUNGSCOT study is funded by the Chief Scientists Office of the Scottish Government, reference HIPS/19/52.",

year = "2022",

month = dec,

day = "1",

doi = "10.1111/hex.13632",

language = "English",

volume = "25",

pages = "3246--3258",

journal = "Health Expectations",

issn = "1369-6513",

publisher = "Wiley",

number = "6",

}

Cavers, D, Nelson, M, Rostron, J, Robb, KA, Brown, LR, Campbell, C, Akram, AR, Dickie, G, Mackean, M, van Beek, EJR, Sullivan, F, Steele, RJ, Neilson, AR & Weller, D 2022, 'Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study', Health Expectations, vol. 25, no. 6, pp. 3246-3258. https://doi.org/10.1111/hex.13632

TY - JOUR

T1 - Optimizing the implementation of lung cancer screening in Scotland

T2 - focus group participant perspectives in the LUNGSCOT study

AU - Cavers, Debbie

AU - Nelson, Mia

AU - Rostron, Jasmin

AU - Robb, Kathryn A.

AU - Brown, Lynsey Rachael

AU - Campbell, Christine

AU - Akram, Ahsan R.

AU - Dickie, Graeme

AU - Mackean, Melanie

AU - van Beek, Edwin J. R.

AU - Sullivan, Francis

AU - Steele, Robert J.

AU - Neilson, Aileen R.

AU - Weller, David

N1 - Funding: The LUNGSCOT study is funded by the Chief Scientists Office of the Scottish Government, reference HIPS/19/52.

PY - 2022/12/1

Y1 - 2022/12/1

N2 - IntroductionTargeted lung cancer screening is effective in reducing lung cancer and all-cause mortality according to major trials in the United Kingdom and Europe. However, the best ways of implementing screening in local communities requires an understanding of the population the programme will serve. We undertook a study to explore the views of those potentially eligible for, and to identify potential barriers and facilitators to taking part in, lung screening, to inform the development of a feasibility study.MethodsMen and women aged 45–70, living in urban and rural Scotland, and either self-reported people who smoke or who recently quit, were invited to take part in the study via research agency Taylor McKenzie. Eleven men and 14 women took part in three virtual focus groups exploring their views on lung screening. Focus group transcripts were transcribed and analysed using thematic analysis, assisted by QSR NVivo.FindingsThree overarching themes were identified: (1) Knowledge, awareness and acceptability of lung screening, (2) Barriers and facilitators to screening and (3) Promoting screening and implementation ideas. Participants were largely supportive of lung screening in principle and described the importance of the early detection of cancer. Emotional and psychological concerns as well as system-level and practical issues were discussed as posing barriers and facilitators to lung screening.ConclusionsUnderstanding the views of people potentially eligible for a lung health check can usefully inform the development of a further study to test the feasibility and acceptability of lung screening in Scotland.Patient or Public ContributionThe LUNGSCOT study has convened a patient advisory group to advise on all aspects of study development and implementation. Patient representatives commented on the focus group study design, study materials and ethics application, and two representatives read the focus group transcripts.

AB - IntroductionTargeted lung cancer screening is effective in reducing lung cancer and all-cause mortality according to major trials in the United Kingdom and Europe. However, the best ways of implementing screening in local communities requires an understanding of the population the programme will serve. We undertook a study to explore the views of those potentially eligible for, and to identify potential barriers and facilitators to taking part in, lung screening, to inform the development of a feasibility study.MethodsMen and women aged 45–70, living in urban and rural Scotland, and either self-reported people who smoke or who recently quit, were invited to take part in the study via research agency Taylor McKenzie. Eleven men and 14 women took part in three virtual focus groups exploring their views on lung screening. Focus group transcripts were transcribed and analysed using thematic analysis, assisted by QSR NVivo.FindingsThree overarching themes were identified: (1) Knowledge, awareness and acceptability of lung screening, (2) Barriers and facilitators to screening and (3) Promoting screening and implementation ideas. Participants were largely supportive of lung screening in principle and described the importance of the early detection of cancer. Emotional and psychological concerns as well as system-level and practical issues were discussed as posing barriers and facilitators to lung screening.ConclusionsUnderstanding the views of people potentially eligible for a lung health check can usefully inform the development of a further study to test the feasibility and acceptability of lung screening in Scotland.Patient or Public ContributionThe LUNGSCOT study has convened a patient advisory group to advise on all aspects of study development and implementation. Patient representatives commented on the focus group study design, study materials and ethics application, and two representatives read the focus group transcripts.

KW - Early detection

KW - Focus group

KW - Lung cancer

KW - Lung screening

KW - Qualitative

KW - Screening

U2 - 10.1111/hex.13632

DO - 10.1111/hex.13632

M3 - Article

SN - 1369-6513

VL - 25

SP - 3246

EP - 3258

JO - Health Expectations

JF - Health Expectations

IS - 6

ER -

Optimizing the implementation of lung cancer screening in Scotland: focus group participant perspectives in the LUNGSCOT study

Abstract

Keywords

UN SDGs

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Projects

Prof F Sullivan - CSO: How Should Scotland Respond to the Challenge of Lung Cancer Screening? A Mixed-Methods Feasibility Study

Cite this