Multilevel approaches to address disparities in lung cancer screening: a study protocol

Autor: Randi M. Williams, Julia Whealan, Kathryn L. Taylor, Lucile Adams-Campbell, Kristen E. Miller, Kristie Foley, George Luta, Heather Brandt, Katharine Glassmeyer, Anu Sangraula, Peyton Yee, Kaylin Camidge, Joseph Blumenthal, Saumil Modi, Heather Kratz
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Implementation Science Communications, Vol 5, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 2662-2211
DOI: 10.1186/s43058-024-00553-4
Popis: Abstract Background Low-dose computed tomography (lung cancer screening) can reduce lung cancer-specific mortality by 20–24%. Based on this evidence, the United States Preventive Services Task Force recommends annual lung cancer screening for asymptomatic high-risk individuals. Despite this recommendation, utilization is low (3–20%). Lung cancer screening may be particularly beneficial for African American patients because they are more likely to have advanced disease, lower survival, and lower screening rates compared to White individuals. Evidence points to multilevel approaches that simultaneously address multiple determinants to increase screening rates and decrease lung cancer burden in minoritized populations. This study will test the effects of provider- and patient-level strategies for promoting equitable lung cancer screening utilization. Methods Guided by the Health Disparities Research Framework and the Practical, Robust Implementation and Sustainability Model, we will conduct a quasi-experimental study with four primary care clinics within a large health system (MedStar Health). Individuals eligible for lung cancer screening, defined as 50–80 years old, ≥ 20 pack-years, currently smoking, or quit
Databáze: Directory of Open Access Journals