{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T01:50:54Z","timestamp":1773107454899,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000724","name":"Health Foundation","doi-asserted-by":"publisher","award":["PD\u20102019\u201002\u2010004"],"award-info":[{"award-number":["PD\u20102019\u201002\u2010004"]}],"id":[{"id":"10.13039\/501100000724","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C50664\/A24460"],"award-info":[{"award-number":["C50664\/A24460"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C50664\/A30770"],"award-info":[{"award-number":["C50664\/A30770"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015652","name":"Barts Charity","doi-asserted-by":"publisher","award":["MRC&U0036"],"award-info":[{"award-number":["MRC&U0036"]}],"id":[{"id":"10.13039\/100015652","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many countries are introducing low\u2010dose computed tomography screening programmes for people at high risk of lung cancer. Effective communication strategies that convey risks and benefits, including unfamiliar concepts and outcome probabilities based on population risk, are critical to achieving informed choice and mitigating inequalities in uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study investigated the acceptability of an aspect of NHS England's communication strategy in the form of a leaflet that was used to invite and inform eligible adults about the Targeted Lung Health Check (TLHC) programme. Acceptability was assessed in terms of how individuals engaged with, comprehended\u00a0and responded to the leaflet. Semi\u2010structured, \u2018think aloud\u2019 interviews were conducted remotely with 40 UK screening\u2010na\u00efve current and former smokers (aged 55\u201373). The verbatim transcripts were analysed thematically using a coding framework based on the Dual Process Theory of cognition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The leaflet helped participants understand the principles and procedures of screening and fostered cautiously favourable intentions. Three themes captured the main results of the data analysis: (1) Response\u2014participants experienced anxiety about screening results and further investigations, but the involvement of specialist healthcare professionals was reassuring; (2) Engagement\u2014participants were rapidly drawn to information about lung cancer prevalence, and benefits of screening, but deliberated slowly about early diagnosis, risks of screening and less familiar symptoms of lung cancer; (3) Comprehension\u2014participants understood the main principles of the TLHC programme, but some were confused by its rationale and eligibility criteria. Radiation risks, abnormal screening results and numerical probabilities of screening outcomes were hard to understand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TLHC information leaflet appeared to be acceptable to the target population. There is scope to improve aspects of comprehension and engagement in ways that would support informed choice as a distributed process in lung cancer screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>The insight and perspectives of patient representatives directly informed and improved the design and conduct of this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13520","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T09:54:49Z","timestamp":1651053289000},"page":"1776-1788","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Acceptability of a standalone written leaflet for the National Health Service for England Targeted Lung Health Check Programme: A concurrent, think\u2010aloud study"],"prefix":"10.1111","volume":"25","author":[{"given":"Mbasan","family":"Jallow","sequence":"first","affiliation":[{"name":"Research Department of Behavioural Science and Health University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Applied Health Research University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"van Os","sequence":"additional","affiliation":[{"name":"Department of Applied Health Research University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Nottingham University Hospitals NHS Trust, City Hospital Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate E.","family":"Brain","sequence":"additional","affiliation":[{"name":"Division of Population Medicine Cardiff University Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Centre for Public Health Queen's University Belfast Belfast UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel M.","family":"Janes","sequence":"additional","affiliation":[{"name":"Lungs for Living Research Centre, UCL Respiratory, Division of Medicine University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Kurtidu","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing University of Glasgow Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"McCutchan","sequence":"additional","affiliation":[{"name":"Division of Population Medicine Cardiff University Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn A.","family":"Robb","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing University of Glasgow Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamta","family":"Ruparel","sequence":"additional","affiliation":[{"name":"Lungs for Living Research Centre, UCL Respiratory, Division of Medicine University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4918-6382","authenticated-orcid":false,"given":"Samantha L.","family":"Quaife","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry Queen Mary University of London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0192999"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1102873"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1911793"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1369-6513.2001.00140.x"},{"key":"e_1_2_11_7_1","unstructured":"Department of Health. The Power of Information: Putting all of us in Control of the Health and Care Information We Need. London UK: Department of Health;2012."},{"key":"e_1_2_11_8_1","first-page":"1","article-title":"Walking the tightrope: communicating overdiagnosis in modern healthcare","volume":"352","author":"McCaffery KJ","year":"2016","journal-title":"BMJ"},{"key":"e_1_2_11_9_1","first-page":"563","article-title":"Attitudes towards lung cancer screening within socioeconomically deprived and heavy smoking communities: informing screening communication","volume":"384","author":"Quaife SL","year":"2016","journal-title":"Health Expect"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12819"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X21996328"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.05.610"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201905-0946OC"},{"key":"e_1_2_11_14_1","volume-title":"Thinking, Fast and Slow","author":"Kahneman D","year":"2011"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691612460685"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaz039"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3374-5"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029954"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327884mca0503_3"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2007.00474.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12117"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.02.006"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X10371830"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X07307270"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-S2-S7"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005434"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.13520","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hex.13520","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.13520","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T12:12:35Z","timestamp":1692706355000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.13520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,2]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1111\/hex.13520"],"URL":"https:\/\/doi.org\/10.1111\/hex.13520","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,2]]},"assertion":[{"value":"2021-10-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}