This project aims to increase early detection rates by developing a recruitment tool to recruit high-risk patients to undergo lung cancer screening. Early detection of lung cancer has been shown to improve prognosis and survival significantly, as well as reducing the amount of costly treatment interventions needed by the patient. The risk factors for lung cancer are well evidenced, and the most at-risk population is easily definable: smokers, particularly smokers of increased age. The causal link is strong, 90% of lung cancer patients are smokers, and 20% of heavy smokers will die of lung cancer. Therefore, screening people aged over 50 years old who smoke for lung cancer could reduce the burden of lung cancer in Ireland. Previous trials of lung cancer screening programmes have failed due to low participation rates. That is the core problem that this project aims to solve. Studies of earlier trials, data on the engagement of smokers with general health services, and theories of behaviour change and motivation will be reviewed to form a principle on which to base a recruitment tool. Addressing the feasibility of the tool by problematising recruitment and retention will be done in collaboration with key stakeholders. With the guidance and support of the team, an evidence-based recruitment tool will be designed and disseminated to key stakeholders for review and implementation.
This recruitment tool will be a fundamental first innovation for a wider HRB primary care research project to pilot a lung cancer screening programme in Ireland. It will help enhance the efficacy of future lung cancer screening protocols, ultimately leading to much earlier detection of the disease.
The project will be complemented by an experienced supervisor, joining an existing research team, engagement with a Patient Public Involvement group, and formal training in research techniques.
