Lung cancer screening program factors that influence psychosocial outcomes: A systematic review.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-01-01 Epub Date: 2023-11-16 DOI:10.1002/pon.6252

Kathleen McFadden, Nicole M Rankin, Brooke Nickel, Tong Li, Chloe J Jennett, Ashleigh R Sharman, Samantha L Quaife, Rachael H Dodd, Nehmat Houssami

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引用次数: 0

Abstract

Objectives: Lung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service-level factors on psychosocial outcomes to inform optimal LCS program design and future implementation.

Methods: Four databases were searched from inception to July 2023. Inclusion criteria were full-text articles published in English that reported an association between any program factors and psychosocial outcomes experienced during LCS. Study quality was appraised, and findings were synthesised narratively.

Results: Thirty-two articles were included; 29 studies were assessed at high or moderate risk of bias. Study designs were RCT (n = 3), pre-post (n = 6), cross-sectional (n = 12), mixed-methods (n = 1), and qualitative (n = 10) studies, and conducted primarily in the USA (n = 25). Findings suggested that targeted interventions can improve smoking-related or decisional psychosocial outcomes (e.g., smoking cessation interventions increase readiness/motivation to quit) but impacts of interventions on other psychological outcomes were varied. There was limited evidence reporting association between service delivery components and psychological outcomes, and results suggested moderation by individual aspects (e.g., expectation of results, baseline anxiety). Opportunities for discussion were key in reducing psychological harm.

Conclusions: Certain program factors are reportedly associated with psychosocial impacts of LCS, but study heterogeneity and quality necessitate more real-world studies. Future work should examine (a) implementation of targeted interventions and high-value discussion during LCS, and (b) optimal methods and timing of risk and result communication, to improve psychosocial outcomes while reducing time burden for clinicians.

查看原文本刊更多论文

影响社会心理结果的肺癌筛查项目因素:一项系统综述。

目的:肺癌筛查(LCS)项目正在全球范围内设计和实施。早期数据表明，LCS的社会心理影响受到项目因素的影响，但需要证据综合。本系统综述旨在阐明服务水平因素对心理社会结果的影响，为优化LCS项目设计和未来实施提供信息。方法:检索自建库至2023年7月的4个数据库。纳入标准是用英文发表的全文文章，报告任何项目因素与LCS期间经历的社会心理结果之间的关联。对研究质量进行评价，并对研究结果进行综合叙述。结果:纳入文献32篇;29项研究被评估为高或中等偏倚风险。研究设计为随机对照试验(n = 3)、前后试验(n = 6)、横断面研究(n = 12)、混合方法研究(n = 1)和定性研究(n = 10)，主要在美国进行(n = 25)。研究结果表明，有针对性的干预措施可以改善吸烟相关的或决定性的社会心理结果(例如，戒烟干预措施增加了戒烟的准备/动机)，但干预措施对其他心理结果的影响各不相同。有有限的证据报告表明，服务提供组成部分与心理结果之间存在关联，结果表明，个体方面(例如，对结果的期望、基线焦虑)起到了缓和作用。讨论的机会是减少心理伤害的关键。结论:据报道，某些项目因素与LCS的社会心理影响有关，但研究的异质性和质量需要更多的现实世界研究。未来的工作应该检查(a)在LCS期间实施有针对性的干预措施和高价值的讨论，以及(b)风险和结果沟通的最佳方法和时机，以改善社会心理结果，同时减少临床医生的时间负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.

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