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OasisLMS
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CHEST Guidelines
Lung-Cancer-Screening-Uptake-and-Psychological-Out
Lung-Cancer-Screening-Uptake-and-Psychological-Out
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Pdf Summary
The document by Nicole M. Rankin, PhD, discusses the current understanding of the impact of communication on distress and regret among participants in Lung Cancer Screening (LCS) programs. The document highlights a study by Slatore et al., which examined patient-centered communication and its influence on decision-making, distress, and regret. The study found that while some participants experienced mild regret and distress, most were satisfied with their low-dose CT scan experience. Trust in clinicians and timely information were critical elements in positive decision-making processes.<br /><br />The findings suggest that patient-centered communication can mitigate potential harms associated with LCS. The authors propose that focus should possibly shift from extensive information sharing to building trusted relationships between patients and healthcare providers. This aligns with other research, including a randomized trial showing no difference in decisional conflict between groups using a decision aid but higher knowledge and uptake among those using the tool.<br /><br />The document also references a large-scale UK study showing behavioral outcomes, such as LCS uptake being influenced by perceptions of lung cancer controllability, survival, and stigma. Changing deep-seated beliefs in brief consultations is difficult, emphasizing the need for enduring communication strategies over time.<br /><br />The editorial suggests future research should explore the timing and content of communication to sustain positive perceptions, build trust, and reduce stigma associated with lung cancer. The development and testing of culturally relevant messages through co-design with community input are crucial. Finally, integrating these findings into practice requires tailored communication resources that encourage repeat screenings and align with international standards for best practices in LCS program designs.
Keywords
Lung Cancer Screening
patient-centered communication
decision-making
distress
regret
trust
behavioral outcomes
stigma
culturally relevant messages
communication strategies
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