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Barriers and facilitators to engaging in smoking cessation support among lung screening participants

Smith, Pamela, Quinn-Scoggins, Harriet ORCID:, Murray, Rachael L, McCutchan, Grace ORCID:, Nelson, Annmarie ORCID:, Moore, Graham ORCID:, Callister, Mat, Tonge, Hoang and Brain, Kate ORCID: 2023. Barriers and facilitators to engaging in smoking cessation support among lung screening participants. Nicotine & Tobacco Research 10.1093/ntr/ntad245
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Introduction Embedded smoking cessation support within lung cancer screening is recommended in the UK; however, little is known about why individuals decline smoking cessation support in this setting. This study identified psychosocial factors that influence smoking cessation and quit motivation among those who declined support for quitting smoking alongside lung cancer screening. Methods Qualitative interviews conducted between August 2019 - April 2021 with thirty adults with a smoking history, recruited from the Yorkshire Lung Screening Trial. Participants had declined smoking cessation support. Verbatim interview transcripts were thematically analysed. Results Fifty percent of participants were male and the majority were from the most deprived groups. Participants reported low motivation and a variety of barriers to stopping smoking. Participants described modifiable behavioural factors that influenced their quit motivation including self-efficacy, perceived effectiveness of stop-smoking services including smoking cessation aids, risk-minimising beliefs, lack of social support, absence of positive influences on smoking and beliefs about smoking/smoking cessation. Broader contextual factors included social isolation and stigma, COVID-19 and comorbid mental and physical health conditions that deterred smoking cessation. Conclusions To encourage engagement in smoking cessation support during lung cancer screening, interventions should seek to encourage positive beliefs about the effectiveness of smoking cessation aids and increase confidence in quitting as part of supportive, person-centred care. Interventions should also acknowledge the wider social determinants of health among the lung screening-eligible population.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Social Sciences (Includes Criminology and Education)
Marie Curie Palliative Care Research Centre (MCPCRC)
Publisher: Oxford University Press
ISSN: 1462-2203
Funders: Yorkshire Cancer Research, Health and Care Research Wales
Date of First Compliant Deposit: 19 December 2023
Date of Acceptance: 6 December 2023
Last Modified: 21 Dec 2023 13:33

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