Motivation for screening amongst International Lung Screening trial participants and decliners

Project Details

This qualitative interview study explored the motivation for low-dose CT scan screening with International Lung Screening Trial (ILST) participants and decliners to identify key factors regarding attitudes and beliefs to screening and potential drivers of participation. 25 screeners and 14 decliners (n=39) participated in semi-structured interviews, which were analysed using the COM-B model of behaviour to explore participant capability, opportunity and motivation related to screening behaviour.

Study design

  • Qualitative
  • Interview

Project findings

Motivation to participate in screening was high in both groups, however decliners reported challenges in capability including ability to attend and in knowledge and understanding. Decliners also reported challenges related to physical and social opportunity, in particular location as a barrier and lack of family support to attend screening.

Project recommendations

These findings suggest that motivation alone may not be sufficient to change behaviour related to screening participation, unless capability and opportunity are also considered. Targeting interventions that connect eligible individuals with the LCS program will be crucial for successful implementation.

Funding

Accelerating Translation: Acceptability and Feasibility of Potential Lung Cancer Screening Implementation in Australian Communities

Grant number: 1185390

Research Outcomes

Dunlop, K. L. A., Marshall, H. M., Stone, E., Sharman, A. R., Dodd, R. H., Rhee, J. J., McCullough, S., & Rankin, N. M. (2022). Motivation is not enough: A qualitative study of lung cancer screening uptake in Australia to inform future implementation. PLoS One, 17(9), e0275361. https://doi.org/10.1371/journal.pone.0275361

Research Group

Evaluation and Implementation Science Unit

Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Centre for Health Policy

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