Abstract
Lung cancer is the commonest cause of cancer in Scotland and is usually advanced at diagnosis. Median time between symptom onset and consultation is 14 weeks, so an intervention to prompt earlier presentation could support earlier diagnosis and enable curative treatment in more cases.
Aim
To develop and optimise an intervention to reduce the time between onset and first consultation with symptoms that might indicate lung cancer.
Design and setting
Iterative development of complex healthcare intervention according to the MRC Framework conducted in Northeast Scotland.
Method
The study produced a complex intervention to promote early presentation of lung cancer symptoms. An expert multidisciplinary group developed the first draft of the intervention based on theory and existing evidence. This was refined following focus groups with health professionals and high-risk patients.
Results
First draft intervention components included: information communicated persuasively, demonstrations of early consultation and its benefits, behaviour change techniques, and involvement of spouses/partners. Focus groups identified patient engagement, achieving behavioural change, and conflict at the patient-general practice interface as challenges and measures were incorporated to tackle these. Final intervention delivery included a detailed self-help manual and extended consultation with a trained research nurse at which specific action plans were devised.
Conclusion
The study has developed an intervention that appeals to patients and health professionals and has theoretical potential for benefit. Now it requires evaluation.
| Original language | English |
|---|---|
| Pages (from-to) | e605-e615 |
| Number of pages | 11 |
| Journal | The British Journal of General Practice |
| Volume | 62 |
| Issue number | 602 |
| Early online date | 28 Aug 2011 |
| DOIs | |
| Publication status | Published - 1 Sep 2012 |
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Keywords
- early diagnosis
- health services research
- lung cancer
- primary health care
Cite this
Developing a complex intervention to reduce time to presentation with symptoms of lung cancer. / Smith, Sarah Mary; Murchie, Peter; Devereux, Graham Stuart; Johnston, Marie; Lee, Amanda Jane; Una, Macleod; Nicolson, Marianne C.; Powell, Rachael; Ritchie, Lewis Duthie; Wyke, Sally; Campbell, Neil.
In: The British Journal of General Practice, Vol. 62, No. 602, 01.09.2012, p. e605-e615.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Developing a complex intervention to reduce time to presentation with symptoms of lung cancer
AU - Smith, Sarah Mary
AU - Murchie, Peter
AU - Devereux, Graham Stuart
AU - Johnston, Marie
AU - Lee, Amanda Jane
AU - Una, Macleod
AU - Nicolson, Marianne C.
AU - Powell, Rachael
AU - Ritchie, Lewis Duthie
AU - Wyke, Sally
AU - Campbell, Neil
PY - 2012/9/1
Y1 - 2012/9/1
N2 - Background Lung cancer is the commonest cause of cancer in Scotland and is usually advanced at diagnosis. Median time between symptom onset and consultation is 14 weeks, so an intervention to prompt earlier presentation could support earlier diagnosis and enable curative treatment in more cases. Aim To develop and optimise an intervention to reduce the time between onset and first consultation with symptoms that might indicate lung cancer. Design and setting Iterative development of complex healthcare intervention according to the MRC Framework conducted in Northeast Scotland. Method The study produced a complex intervention to promote early presentation of lung cancer symptoms. An expert multidisciplinary group developed the first draft of the intervention based on theory and existing evidence. This was refined following focus groups with health professionals and high-risk patients. Results First draft intervention components included: information communicated persuasively, demonstrations of early consultation and its benefits, behaviour change techniques, and involvement of spouses/partners. Focus groups identified patient engagement, achieving behavioural change, and conflict at the patient-general practice interface as challenges and measures were incorporated to tackle these. Final intervention delivery included a detailed self-help manual and extended consultation with a trained research nurse at which specific action plans were devised. Conclusion The study has developed an intervention that appeals to patients and health professionals and has theoretical potential for benefit. Now it requires evaluation.
AB - Background Lung cancer is the commonest cause of cancer in Scotland and is usually advanced at diagnosis. Median time between symptom onset and consultation is 14 weeks, so an intervention to prompt earlier presentation could support earlier diagnosis and enable curative treatment in more cases. Aim To develop and optimise an intervention to reduce the time between onset and first consultation with symptoms that might indicate lung cancer. Design and setting Iterative development of complex healthcare intervention according to the MRC Framework conducted in Northeast Scotland. Method The study produced a complex intervention to promote early presentation of lung cancer symptoms. An expert multidisciplinary group developed the first draft of the intervention based on theory and existing evidence. This was refined following focus groups with health professionals and high-risk patients. Results First draft intervention components included: information communicated persuasively, demonstrations of early consultation and its benefits, behaviour change techniques, and involvement of spouses/partners. Focus groups identified patient engagement, achieving behavioural change, and conflict at the patient-general practice interface as challenges and measures were incorporated to tackle these. Final intervention delivery included a detailed self-help manual and extended consultation with a trained research nurse at which specific action plans were devised. Conclusion The study has developed an intervention that appeals to patients and health professionals and has theoretical potential for benefit. Now it requires evaluation.
KW - early diagnosis
KW - health services research
KW - lung cancer
KW - primary health care
U2 - 10.3399/bjgp12X654579
DO - 10.3399/bjgp12X654579
M3 - Article
VL - 62
SP - e605-e615
JO - The British Journal of General Practice
JF - The British Journal of General Practice
SN - 0960-1643
IS - 602
ER -