Use of Theory-Driven Report Back to Promote Lung Cancer Risk Reduction

Luz Huntington-Moskos, Mary Kay Rayens, Amanda T. Wiggins, Karen M. Butler and Ellen J. Hahn
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Luz Huntington-Moskos: School of Nursing, University of Louisville, Louisville, KY 40292, USA
Mary Kay Rayens: College of Nursing, University of Kentucky, Lexington, KY 40504, USA
Amanda T. Wiggins: College of Nursing, University of Kentucky, Lexington, KY 40504, USA
Karen M. Butler: College of Nursing, University of Kentucky, Lexington, KY 40504, USA
Ellen J. Hahn: College of Nursing, University of Kentucky, Lexington, KY 40504, USA

IJERPH, 2021, vol. 18, issue 20, 1-11

Abstract: Report back is active sharing of research findings with participants to prompt behavior change. Research on theory-driven report back for environmental risk reduction is limited. The study aim is to evaluate the impact of a stage-tailored report back process with participants who had high home radon and/or air nicotine levels. An observational one-group pre-post design was used, with data collection at 3, 9, and 15 months post intervention. Participants from the parent study ( N = 515) were randomized to the treatment or control group and this sample included all 87 treatment participants who: (1) had elevated radon and/or air nicotine at baseline; and (2) received stage-tailored report back of their values. Short-term test kits measured radon; passive airborne nicotine samplers assessed secondhand smoke (SHS) exposure. Stage of action was categorized as: (1) ‘ Unaware ’, (2) ‘ Unengaged ’, (3) ‘ Deciding ’, (4) ‘ Action ’, and (5) ‘ Maintenance ’. Interventions were provided for free, such as in-person radon and SHS test kits and a brief telephonic problem-solving consultation. Stage of action for radon mitigation and smoke-free policy increased from baseline to 3 months and remained stable between 3 and 9 months. Stage of action for radon was higher at 15 months than baseline. Among those with high baseline radon, observed radon decreased by 15 months ( p < 0.001). Tailored report back of contaminant values reduced radon exposure and changed the health behavior necessary to remediate radon and SHS exposure.

Keywords: environmental exposure; information sharing; risk reduction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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