BACKGROUND Genetic and environmental interactions predispose certain groups to lung cancer, including families. Families or caregiving units experience the disease interdependently. We have previously evaluated the concerns and preferences of patients in addressing the lung cancer experience and cancer risks in their families. This qualitative study evaluates the concerns and preferences of family members and caregivers of patients with lung cancer in the lung cancer experience and familial cancer risks. METHODS We held focus groups to discuss the format and timing of addressing these preferences and concerns. Qualitative data generated was analyzed using a grounded theory approach. RESULTS Five focus groups totaling 19 participants were conducted. Seven themes were identified: (1) journey to lung cancer diagnosis has core dimensions for patient and family, (2) importance of communication between patients, families, and providers, (3) challenges for caregivers and family, (4) mixed perceptions of lung cancer causation among relatives, (5) discussion of cancer risk with relatives has complex dynamics, (6) impact of diagnosis on family health behaviors and screening, (7) role of genetic counseling. CONCLUSIONS Family members of patients with lung cancer are interested in discussing risk factors, prevention, and diagnoses and also would like access to other supportive services do learn about and cope with some of the stresses and barriers they experience in the family lung cancer journey. The diagnosis represents a potential teachable moment with the opportunity to reduce the risk of LC development or improve early detection in LC patient's family members.

中文翻译：

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肺癌和以家庭为中心的担忧。

背景技术遗传和环境相互作用使某些群体易患肺癌，包括家庭。家庭或看护单位会相互依存地体验这种疾病。我们之前已经评估了患者在应对肺癌经验和家庭癌症风险方面的关注和偏好。这项定性研究评估了肺癌患者的家庭成员和照顾者在肺癌经历和家族性癌症风险中的关注和偏好。方法我们召开了焦点小组讨论解决这些偏好和关注点的形式和时机。使用扎根的理论方法分析了生成的定性数据。结果进行了五个焦点小组，共有19名参与者。确定了七个主题：（1）肺癌诊断过程具有患者和家庭的核心维度；（2）患者，家庭和提供者之间沟通的重要性；（3）照顾者和家庭面临的挑战；（4）亲戚之间对肺癌因果关系的混合看法，（5）与亲戚讨论癌症风险具有复杂的动态，（6）诊断对家庭健康行为和筛查的影响，（7）遗传咨询的作用。结论肺癌患者的家庭成员对讨论危险因素，预防和诊断感兴趣，并且还希望获得其他支持服务，以了解并应对他们在家庭肺癌旅行中遇到的一些压力和障碍。