Development of a lung cancer awareness intervention targeted at socioeconomically deprived communities in Wales, UK

McCutchan, Grace ORCID: https://orcid.org/0000-0002-8079-2540, Wood, Fiona ORCID: https://orcid.org/0000-0001-7397-4074, Edwards, Adrian ORCID: https://orcid.org/0000-0002-6228-4446, Smits, Stephanie ORCID: https://orcid.org/0000-0001-7897-150X and Brain, Katherine ORCID: https://orcid.org/0000-0001-9296-9748 2017. Development of a lung cancer awareness intervention targeted at socioeconomically deprived communities in Wales, UK. Presented at: IASLC 17th World Conference on Lung Cancer, Vienna, Austria, 4-6 Dec 2016. Journal of Thoracic Oncology. 10.1016/j.jtho.2016.11.1992

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Abstract

Background Lung cancer incidence is highest and survival lowest amongst people from socioeconomically deprived groups. Evidence from controlled studies suggests that although mass media lung awareness campaigns can lead to improved symptom awareness, symptom presentation behaviour and stage shift in lung cancer, campaign reach may be limited to more affluent groups. There is a need for interventions targeted at people in deprived communities to encourage earlier lung cancer symptom presentation. Community-based educational strategies are increasingly recognised as having the potential to engage harder to reach groups by challenging deep-seated negative beliefs about cancer through family and social networks. Methods The Behaviour Change Wheel was used to guide intervention type, content and delivery. Barriers and enablers to lung cancer symptom awareness were identified from existing sources (a systematic review, qualitative interviews with thirty people living in deprived communities, and six focus groups with people who live or work in deprived communities in Wales) and mapped to the Behaviour Change Wheel. The intervention was tested for acceptability with a group of seven potential users: adults aged over 40 living in a deprived community, who were current/former smokers or family members of smokers. Data from user testing were analysed using observations and before/after questionnaires. Results Mapping to the Behaviour Change Wheel suggested that face-to-face group education was a relevant mode of intervention, delivered by a trained, trusted member of the community. Intervention content designed to address identified barriers and enablers included: information about lung cancer symptoms, the benefits of early diagnosis, action planning in the event of symptom experience, strategies to overcome barriers to cancer symptom presentation and aid communication of symptoms during a consultation, and information on how to spot symptoms in other people in the community and what advice should be given. Observations made during the intervention session confirmed that group education was an acceptable mode of intervention delivery. Suggested changes to the intervention included the addition of smoking cessation advice. Conclusion A community based educational intervention has been developed to increase lung cancer symptom knowledge, modify negative beliefs and encourage timely symptom presentation by utilising strong social networks in the community. Group-based education was an acceptable mode of intervention delivery among people in deprived communities, and warrants further feasibility and pilot testing. This research provides an important contribution to evidence regarding effective methods of engaging harder to reach groups in lung cancer early detection.

Item Type:	Conference or Workshop Item (Paper)
Date Type:	Publication
Status:	Published
Schools:	Medicine
ISSN:	1556-0864
Last Modified:	21 Jun 2023 01:10
URI:	https://orca.cardiff.ac.uk/id/eprint/124642

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