Smoking cessation interventions within the context of Low-Dose Computed Tomography lung cancer screening: A systematic review

Piñeiro, Bárbara; Simmons, Vani N.; Palmer, Amanda; Correa, John B.; Brandon, Thomas H.

doi:10.1016/j.lungcan.2016.05.028

Cited by 56 publications

(46 citation statements)

References 43 publications

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“…Chen and Wu40 also identified the need for controlled trials of SCIs for older smokers, in order to better understand the most suitable form of intervention for this population. Similarly, to findings from Piñeiro et al ’s systematic review41, the studies in the current review did not consistently use biochemical verification of smoking cessation, with most relying on self-reported smoking cessation (table 2).…”

Section: Discussionsupporting

confidence: 63%

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

et al. 2019

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IntroductionThe associations between smoking prevalence, socioeconomic group and lung cancer outcomes are well established. There is currently limited evidence for how inequalities could be addressed through specific smoking cessation interventions (SCIs) for a lung cancer screening eligible population. This systematic review aims to identify the behavioural elements of SCIs used in older adults from low socioeconomic groups, and to examine their impact on smoking abstinence and psychosocial variables.MethodSystematic searches of Medline, EMBASE, PsychInfo and CINAHL up to November 2018 were conducted. Included studies examined the characteristics of SCIs and their impact on relevant outcomes including smoking abstinence, quit motivation, nicotine dependence, perceived social influence and quit determination. Included studies were restricted to socioeconomically deprived older adults who are at (or approaching) eligibility for lung cancer screening. Narrative data synthesis was conducted.ResultsEleven studies met the inclusion criteria. Methodological quality was variable, with most studies using self-reported smoking cessation and varying length of follow-up. There were limited data to identify the optimal form of behavioural SCI for the target population. Intense multimodal behavioural counselling that uses incentives and peer facilitators, delivered in a community setting and tailored to individual needs indicated a positive impact on smoking outcomes.ConclusionTailored, multimodal behavioural interventions embedded in local communities could potentially support cessation among older, deprived smokers. Further high-quality research is needed to understand the effectiveness of SCIs in the context of lung screening for the target population.PROSPERO registration numberCRD42018088956.

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Section: Discussionsupporting

confidence: 63%

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

et al. 2019

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“…The finding also adds to the growing evidence base that smoking cessation interventions can be successfully implemented in screening settings. 27,28 Evidence that patients associate smoking behaviors and the need for screening is important, given that CMS lung cancer screening guidelines require counseling on the importance of smoking cessation as part of the national coverage requirement, in addition to the shared decision making activities described earlier.…”

Section: Discussionmentioning

confidence: 99%

Terminate lung cancer (TLC) study—A mixed-methods population approach to increase lung cancer screening awareness and low-dose computed tomography in Eastern Kentucky

Cardarelli

Reese

Roper

et al. 2017

Cancer Epidemiology

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For low dose CT lung cancer screening to be effective in curbing disease mortality, efforts are needed to overcome barriers to awareness and facilitate uptake of the current evidence-based screening guidelines. A sequential mixed-methods approach was employed to design a screening campaign utilizing messages developed from community focus groups, followed by implementation of the outreach campaign intervention in two high-risk Kentucky regions. This study reports on rates of awareness and screening in intervention regions, as compared to a control region.

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“…Although the UDS cannot provide information on the number of individuals eligible for lung cancer screening (data on age and pack-year history are lacking), given tobacco user prevalence, the effort to implement the LDCT scans in FQHCs is substantial and will require an evaluation of costs and approaches to integrating smoking cessation (12). Understanding more about how FQHC clinicians, staff, and patients are addressing tobacco use — and how they plan to address lung cancer screening — is essential for guiding efforts to implement systems- and evidence-based practices to promote tobacco cessation and offer lung cancer screening to eligible patients.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Tobacco Use at Federally Qualified Health Centers in the United States, 2013

et al. 2017

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We explored tobacco use across federally qualified health centers (FQHCs) and compared data on state-level tobacco use between FQHC patients and the general population. We used data from the Uniform Data System (UDS) and the Behavioral Risk Factor Surveillance System (BRFSS) to generate estimates of 2013 prevalence of tobacco use among adults aged 18 years or older. According to UDS data, the overall prevalence of tobacco use was 25.8% in FQHCs compared with 20.6% in the general population represented by BRFSS data, an average of 5.2 percentage points (range, −4.9 to 20.9) higher among FQHCs. Among FQHCs, the burden of tobacco use and the opportunity for offering cessation assistance is substantial.

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Smoking cessation interventions within the context of Low-Dose Computed Tomography lung cancer screening: A systematic review

Cited by 56 publications

References 43 publications

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

Terminate lung cancer (TLC) study—A mixed-methods population approach to increase lung cancer screening awareness and low-dose computed tomography in Eastern Kentucky

The Prevalence of Tobacco Use at Federally Qualified Health Centers in the United States, 2013

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