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Developing and testing a brief clinic-based lung cancer screening decision aid for primary care settings
Journal article   Open access   Peer reviewed

Developing and testing a brief clinic-based lung cancer screening decision aid for primary care settings

Karen Kane McDonnell, Scott M Strayer, Erica Sercy, Callie Campbell, Daniela B Friedman, Kathleen B Cartmell and Jan M Eberth
Health expectations : an international journal of public participation in health care and health policy, v 21(4), pp 796-804
Aug 2018
DOI: https://doi.org/10.1111/hex.12675
PMID: 29473696
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1111/hex.12675View
Published, Version of Record (VoR) Open

Abstract

Aged Cultural Competency - psychology Decision Making Decision Support Techniques Early Detection of Cancer - methods Female Humans Lung Neoplasms - diagnosis Male Mass Screening - methods Physicians, Primary Care Primary Health Care
Cancer screening-related decisions require patients to evaluate complex medical information in short time frames, often with primary care providers (PCPs) they do not know. PCPs play an essential role in facilitating comprehensive shared decision making (SDM). To develop and test a decision aid (DA) and SDM strategy for PCPs and high-risk patients. The DA was tested with 20 dyads. Each dyad consisted of one PCP and one patient eligible for screening. A prospective, one-group, mixed-method study design measured fidelity, patient values, screening intention, acceptability and satisfaction. Four PCPs and 20 patients were recruited from an urban academic medical centre. Most patients were female (n = 14, 70%), most had completed high school (n = 15, 75%), and their average age was 65 years old. Half were African American. Patients and PCPs rated the DA as helpful, easy to read and use and acceptable in terms of time frame (observed t = 11.6 minutes, SD 2.7). Most patients (n = 16, 80%) indicated their intent to be screened. PCPs recommended screening for most patients (n = 17, 85%). Evidence supports the value of lung cancer screening with LDCT for select high-risk patients. Guidelines endorse engaging patients and their PCPs in SDM discussions. Our findings suggest that using a brief, interactive, plain-language, culturally sensitive, theory-based DA and SDM strategy is feasible, acceptable and may be essential to effectively translate and sustain the adoption of LDCT screening recommendations into the clinic setting.

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26 citations in Web of Science
24 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
Public, Environmental & Occupational Health
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