Barriers, Facilitators, and Suggested Interventions for Lung Cancer Screening Among a Rural Screening-Eligible Population
| Autor: | Inger Imset, Jennifer Alford-Teaster, Kathleen L. Carluzzo, Tracy Onega, Jenna E. Schiffelbein, Rian M. Hasson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Rural Population medicine.medical_specialty Lung Neoplasms Population Psychological intervention lcsh:Computer applications to medicine. Medical informatics tobacco smoking 03 medical and health sciences 0302 clinical medicine lung cancer screening Humans Mass Screening Medicine rural health 030212 general & internal medicine education Early Detection of Cancer Original Research Community and Home Care education.field_of_study integumentary system business.industry lcsh:Public aspects of medicine Rural health Public Health Environmental and Occupational Health lcsh:RA1-1270 Focus group Outreach lung cancer 030220 oncology & carcinogenesis Family medicine lcsh:R858-859.7 Survey data collection rural Rural area Tomography X-Ray Computed business Lung cancer screening |
| Zdroj: | Journal of Primary Care & Community Health Journal of Primary Care & Community Health, Vol 11 (2020) |
| ISSN: | 2150-1327 |
| DOI: | 10.1177/2150132720930544 |
| Popis: | Introduction: Rural areas are disproportionally affected by lung cancer late-stage incidence and mortality. Lung cancer screening (LCS) is recommended to find lung cancer early and reduce mortality, yet uptake is low. The purpose of this study was to elucidate the barriers to, facilitators of, and suggested interventions for increasing LCS among a rural screening-eligible population using a mixed methods concurrent embedded design study. Methods: Qualitative and quantitative data were collected from rural-residing adults who met the eligibility criteria for LCS but who were not up-to-date with LCS recommendations. Study participants (n = 23) took part in 1 of 5 focus groups and completed a survey. Focus group discussions were recorded, transcribed, and coded through a mixed deductive and inductive approach. Survey data were used to enhance and clarify focus group results; these data were integrated in the design and during analysis, in accordance with the mixed methods concurrent embedded design approach. Results: Several key barriers to LCS were identified, including an overall lack of knowledge about LCS, not receiving information or recommendation from a health care provider, and lack of transportation. Key facilitators were receiving a provider recommendation and high motivation to know the screening results. Participants suggested that LCS uptake could be increased by addressing provider understanding and recommendation of LCS and conducting community outreach to promote LCS awareness and access. Conclusion: The results suggest that the rural screening-eligible population is generally receptive to LCS. Patient-level factors important to getting this population screened include knowledge, transportation, motivation to know their screening results, and receiving information or recommendation from a provider. Addressing these factors may be important to increase rural LCS uptake. |
| Databáze: | OpenAIRE |
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