Abstract
Objective: Examine frequency of tobacco and radon risk counseling during lung cancer screening shared decision making among qualified health care providers and the relationship between radon beliefs, tobacco and radon counseling self-efficacy, and related tobacco and radon risk counseling among providers. Methods: Cross-sectional, observational study design employing a mailed self-report survey sent to a stratified random sample of 1,000 qualified health care providers in Kentucky. Regression analyses to examine the association among sociodemographic characteristics, radon beliefs, self-efficacy, familiarity with lung cancer screening guidelines, and tobacco or radon risk reduction counseling during lung cancer screening shared decision making. Results: In all, 149 providers responded to the mailed survey (14.9% participation rate). Participants were largely unsure about their radon beliefs. Providers rated their self-efficacy for tobacco cessation counseling higher than their self-efficacy related to counseling patients on radon testing and mitigation. Participants reported a high frequency of tobacco risk counseling during lung cancer screening shared decision making, but almost never counseled on radon risk. Adjusting for health care provider demographic- and practice-level variables, self-efficacy related to tobacco cessation counseling was the sole significant predictor of frequency of tobacco risk counseling. In the multilevel logistic regression model, no variables were found to be significantly associated with frequency of radon risk counseling during lung cancer screening shared decision making. Discussion: Risk reduction remains essential to reducing the burden of lung cancer in the United States. Interventions that increase provider beliefs about radon and provider self-efficacy in relation to tobacco and radon counseling during lung cancer screening are needed.
| Original language | English |
|---|---|
| Pages (from-to) | 1473-1482 |
| Number of pages | 10 |
| Journal | Journal of the American College of Radiology |
| Volume | 22 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2025 |
Bibliographical note
Publisher Copyright:© 2025 The Authors
Funding
The authors acknowledge the contributions of Audrey Darville, PhD, APRN, NCTTP, Associate Professor, Family Nurse Practitioner, and Certified Tobacco Treatment Specialist, University of Kentucky College of Nursing, who, along with the corresponding author, served as scientific advisor by critically reviewing the study population and contributing to survey development. This publication was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1TR001998, and in part by the National Institute of Environmental Health Sciences, through Grant P30 ES026529. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health nor National Institutes of Environmental Health Sciences. Stacy R. Stanifer, PhD, APRN, reports financial support was provided by National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, and by National Institute of Environmental Health Sciences and reports relationships with Indoor Environments Association and Kentucky Board of Radon Safety that include board membership. Ellen J. Hahn, PhD, RN, reports a relationship with Kentucky Board of Radon Safety that includes board membership. The other authors state that they have no conflict of interest related to the material discussed in this article. All authors are employees. Stacy R. Stanifer, PhD, APRN, reports financial support was provided by National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, and by National Institute of Environmental Health Sciences and reports relationships with Indoor Environments Association and Kentucky Board of Radon Safety that include board membership. Ellen J. Hahn, PhD, RN, reports a relationship with Kentucky Board of Radon Safety that includes board membership. The other authors state that they have no conflict of interest related to the material discussed in this article. All authors are employees. The authors acknowledge the contributions of Audrey Darville, PhD, APRN, NCTTP, Associate Professor, Family Nurse Practitioner, and Certified Tobacco Treatment Specialist, University of Kentucky College of Nursing, who, along with the corresponding author, served as scientific advisor by critically reviewing the study population and contributing to survey development. This publication was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health , through Grant UL1TR001998 , and in part by the National Institute of Environmental Health Sciences , through Grant P30 ES026529. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health nor National Institutes of Environmental Health Sciences.
| Funders | Funder number |
|---|---|
| Kentucky Board of Nursing | |
| Indoor Environments Association | |
| Kentucky Board of Radon Safety | |
| University of Kentucky | |
| National Center for Research Resources | |
| National Center for Advancing Translational Sciences (NCATS) | |
| Certified Tobacco Treatment Specialist | |
| National Institutes of Health (NIH) | UL1TR001998 |
| National Institutes of Health/National Institute of Environmental Health Sciences | P30 ES026529 |
Keywords
- Counseling
- lung cancer screening
- radon
- risk reduction
- tobacco
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
