{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:11:49Z","timestamp":1777723909855,"version":"3.51.4"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["1194410"],"award-info":[{"award-number":["1194410"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Organised lung cancer screening (LCS) programs are being developed worldwide in response to recent landmark trial evidence. Targeting high\u2010risk individuals primarily based on smoking history, LCS faces challenges from smoking\u2010related stigma, which can cause psychological harm and hinder participation. With limited interventions addressing this issue, this study aimed to co\u2010design a communication\u2010based strategy to reduce stigma in the LCS context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using best\u2010practice co\u2010design principles, this study involved workshops, focus groups, and interviews with 5 consumers (people eligible for LCS in Australia) and 44 health professionals and other experts (including clinicians, radiographers, behavioural scientists, and health managers). Participants were purposively sampled to achieve representation across key variables \u2013 e.g., smoking history for consumers, professional roles for experts. Consultation with experts was conducted as part of a larger project developing a suite of information materials for the National Lung Cancer Screening Program in Australia. Key literature and concurrent qualitative research with consumers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) also informed co\u2010design. Qualitative data were analysed using abductive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Early consultation identified the preferred format for the strategy as a resource targeted for health professionals involved in the LCS pathway. Resource content was iteratively revised, with three key themes developed: (1) Taking the onus off the individual; (2) Fostering understanding and empathy; (3) Positive framing. A lexicon guide promoting person\u2010first and empowerment language was also included guided by previous literature. The final resource was a four\u2010page A4 document for health professionals and LCS staff, designed to support effective, stigma\u2010sensitive communication during LCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We co\u2010designed a practical, scalable resource to reduce stigma for use in the Australian National Lung Cancer Screening Program, expected to ultimately reduce psychological harm for LCS participants and enhance screening participation. Future research should evaluate the resource as an implementation strategy for LCS uptake. Cultural adaptation and tailoring of the resource for specific populations considering intersectional stigmas is also needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>We collaborated with a consumer advisor for the project's duration, including study design, co\u2010facilitation of consumer workshops, analysis and manuscript writing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70571","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T13:35:38Z","timestamp":1777296938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reducing Stigma in Lung Cancer Screening: Co\u2010Design of a Targeted Resource for Health Professionals in Australia"],"prefix":"10.1111","volume":"29","author":[{"given":"Kathleen","family":"McFadden","sequence":"first","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1011-8745","authenticated-orcid":false,"given":"Nathan J.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University Adelaide Australia"},{"name":"NHMRC Centre of Research Excellence on Achieving the Tobacco Endgame, School of Public Health, The University of Queensland Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7651-5076","authenticated-orcid":false,"given":"Shiho","family":"Rose","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giselle","family":"Hollinshead","sequence":"additional","affiliation":[{"name":"Consumer Advocate\/Advisor Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole M.","family":"Rankin","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Weber","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9544-9764","authenticated-orcid":false,"given":"Kate","family":"Dunlop","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5291-8428","authenticated-orcid":false,"given":"Dan","family":"Luo","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Nickel","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nehmat","family":"Houssami","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, and Cancer Council NSW Sydney Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney Sydney 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