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A Proactive Telephone-Delivered Risk Communication Intervention for Smokers Participating in Lung Cancer Screening: A Pilot Feasibility Trial

Published online by Cambridge University Press:  07 September 2017

Steven B. Zeliadt ,
Preston A. Greene ,
Paul Krebs ,
Deborah E. Klein ,
Laura C. Feemster ,
David H. Au ,
Christopher G. Slatore  and
Jaimee L. Heffner
Steven B. Zeliadt*
Affiliation:
Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington Department of Health Services, School of Public Health, University of Washington, Seattle, Washington
Preston A. Greene
Affiliation:
Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington
Paul Krebs
Affiliation:
New York Harbor VA Health Care System, New York, New York School of Medicine, New York University, New York, New York
Deborah E. Klein
Affiliation:
Swedish Medical Group, Seattle, Washington
Laura C. Feemster
Affiliation:
Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington Division of Pulmonary and Critical Care Medicine, University of Washington, Washington, Seattle
David H. Au
Affiliation:
Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington Division of Pulmonary and Critical Care Medicine, University of Washington, Washington, Seattle
Christopher G. Slatore
Affiliation:
Center to Improve Veteran Involvement in Care, Health Services Research & Development, Portland VA Medical Center, Portland, Oregon Division of Pulmonary & Critical Care Medicine, Oregon Health & Science University, Portland, Oregon
Jaimee L. Heffner
Affiliation:
Tobacco & Health Behavior Science Research Group, Fred Hutchinson Cancer Research Center, Seattle, Washington
*
Address for correspondence: Steven Zeliadt, PhD, VA HSR&D Center of Innovation for Veteran-Centered and Value-Driven Care, 1660 S. Columbian Way (S-152), Seattle WA 98108. Email: szeliadt@uw.edu
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Abstract

Introduction: Many barriers exist to integrating smoking cessation into delivery of lung cancer screening including limited provider time and patient misconceptions.

Aims: To demonstrate that proactive outreach from a telephone counsellor outside of the patient's usual care team is feasible and acceptable to patients.

Methods: Smokers undergoing lung cancer screening were approached for a telephone counselling study. Patients agreeing to participate in the intervention (n = 27) received two telephone counselling sessions. A 30-day follow-up evaluation was conducted, which also included screening participants receiving usual care (n = 56).

Results/Findings: Most (89%) intervention participants reported being satisfied with the proactive calls, and 81% reported the sessions were helpful. Use of behavioural cessation support programs in the intervention group was four times higher (44%) compared to the usual care group (11%); Relative Risk (RR) = 4.1; 95% CI: 1.7 to 9.9), and seven-day abstinence in the intervention group was double (19%) compared to the usual care group (7%); RR = 2.6; 95% CI: 0.8 to 8.9).

Conclusions: This practical telephone-based approach, which included risk messages clarifying continued risks of smoking in the context of screening results, suggests such messaging can boost utilisation of evidence-based tobacco treatment, self-efficacy, and potentially increase the likelihood of successful quitting.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 3 , September 2018 , pp. 137 - 144
Copyright
Copyright © The Author(s) 2017 

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