2019
DOI: 10.1136/thoraxjnl-2018-212506
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The Chest Australia Trial: a randomised controlled trial of an intervention to increase consultation rates in smokers at risk of lung cancer

Abstract: BackgroundInternational research has focused on screening and mass media campaigns to promote earlier patient presentation and detect lung cancer earlier. This trial tested the effect of a behavioural intervention in people at increased risk of lung cancer on help-seeking for respiratory symptoms.MethodsParallel, individually randomised controlled trial. Eligible participants were long-term smokers with at least 20 pack-years, aged 55 and above. The CHEST intervention entailed a consultation to discuss and imp… Show more

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Cited by 17 publications
(21 citation statements)
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“…A few studies have evaluated interventions for increasing prompt help-seeking for possible lung cancer symptoms, showing some benefits for patients at increased cancer risk. 53 , 54 However, there are some concerns that mass-media campaigns are short-lived and may create an increased workload for primary care. 55 , 56 …”
Section: Discussionmentioning
confidence: 99%
“…A few studies have evaluated interventions for increasing prompt help-seeking for possible lung cancer symptoms, showing some benefits for patients at increased cancer risk. 53 , 54 However, there are some concerns that mass-media campaigns are short-lived and may create an increased workload for primary care. 55 , 56 …”
Section: Discussionmentioning
confidence: 99%
“…A behavioural intervention aimed at reducing barriers to help-seeking in current or former heavy smokers over 55 years old reported a significant positive impact on consultation rates in Scotland,13 and an increase in respiratory consultations in Australia 14…”
Section: How Can We Improve Symptom Awareness In People At Risk?mentioning
confidence: 99%
“…Current /ever-smokers are identifiable through smoking registers available in primary care 51 . A network nurse could liaise, by phone, text or email, with these at-risk people, ensuring they receive proactive education, using self-help manuals 52,15 , checking for lung cancer symptoms and encouraging earlier referral for investigations or to secondary care. This is possible during the current Covid-19 crisis, and would require only modest funding.…”
Section: Implications For Research and Practicementioning
confidence: 99%
“…Despite targets in secondary care 13 , results remain poor. Interventions which target high-risk groups can improve respiratory consultation rates 14,15 .…”
Section: Introductionmentioning
confidence: 99%