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A Proactive Telephone-Delivered Risk Communication Intervention for Smokers Participating in Lung Cancer Screening: A Pilot Feasibility Trial

  • Steven B. Zeliadt (a1) (a2), Preston A. Greene (a1), Paul Krebs (a3) (a4), Deborah E. Klein (a5), Laura C. Feemster (a1) (a6), David H. Au (a1) (a6), Christopher G. Slatore (a7) (a8) and Jaimee L. Heffner (a9)...


Introduction: Many barriers exist to integrating smoking cessation into delivery of lung cancer screening including limited provider time and patient misconceptions.

Aims: To demonstrate that proactive outreach from a telephone counsellor outside of the patient's usual care team is feasible and acceptable to patients.

Methods: Smokers undergoing lung cancer screening were approached for a telephone counselling study. Patients agreeing to participate in the intervention (n = 27) received two telephone counselling sessions. A 30-day follow-up evaluation was conducted, which also included screening participants receiving usual care (n = 56).

Results/Findings: Most (89%) intervention participants reported being satisfied with the proactive calls, and 81% reported the sessions were helpful. Use of behavioural cessation support programs in the intervention group was four times higher (44%) compared to the usual care group (11%); Relative Risk (RR) = 4.1; 95% CI: 1.7 to 9.9), and seven-day abstinence in the intervention group was double (19%) compared to the usual care group (7%); RR = 2.6; 95% CI: 0.8 to 8.9).

Conclusions: This practical telephone-based approach, which included risk messages clarifying continued risks of smoking in the context of screening results, suggests such messaging can boost utilisation of evidence-based tobacco treatment, self-efficacy, and potentially increase the likelihood of successful quitting.


Corresponding author

Address for correspondence: Steven Zeliadt, PhD, VA HSR&D Center of Innovation for Veteran-Centered and Value-Driven Care, 1660 S. Columbian Way (S-152), Seattle WA 98108. Email:


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A Proactive Telephone-Delivered Risk Communication Intervention for Smokers Participating in Lung Cancer Screening: A Pilot Feasibility Trial

  • Steven B. Zeliadt (a1) (a2), Preston A. Greene (a1), Paul Krebs (a3) (a4), Deborah E. Klein (a5), Laura C. Feemster (a1) (a6), David H. Au (a1) (a6), Christopher G. Slatore (a7) (a8) and Jaimee L. Heffner (a9)...


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