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Jamie Studts
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P2.11 - Screening and Early Detection (ID 178)
- Event: WCLC 2019
- Type: Poster Viewing in the Exhibit Hall
- Track: Screening and Early Detection
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2019, 10:15 - 18:15, Exhibit Hall
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P2.11-32 - Project ACTS (Adherence to CT Screening): Developing Patient Engagement Tools to Support Lung Cancer Screening Adherence (ID 2928)
10:15 - 18:15 | Author(s): Jamie Studts
- Abstract
Background
The National Lung Screening Trial and the NELSON trial have established that low-dose computed tomography (LDCT) is beneficial for early detection of lung cancer among high-risk individuals. In 2014 the USPSTF began recommending LDCT scans for people at high risk for developing lung cancer. Part of the recommendation includes annual screening as well as follow-up for abnormal scans per Lung-RADS recommendations. However, rates of adherence to annual screening have been less than desirable with some screening programs anecdotally reporting rates as low as 20% and 50%. Concerns have also been raised regarding adherence to recommended interval scans following suspicious LDCT results. To address this need, Project ACTS aims to create a toolkit to facilitate lung cancer screening (LCS) adherence rates by addressing barriers and enhancing facilitators to participating in lung cancer
Method
To explore barriers and facilitators of screening program adherence, this study employed a sequential qualitative and quantitative assessment to identify components of a successful screening adherence paradigm. Semi-structured interviews and surveys were conducted with 15 Lung Cancer Screening (LCS) Program Directors and staff and 8 LCS Program Participants. Interviews were transcribed and analyzed using direct content analysis.
Result
Using the socio-ecological model of health promotion as a conceptual framework for analysis, the team mapped interview and survey findings to identify facilitators and barriers to adherence. Significant findings included: (1) the importance of personalized delivery of scanning results, embedding the opportunity to ask questions; (2) positive interactions with the CT techs; (3) the importance of a consistent program contact for engagement and continuity of care; (4) preference for increased screening accessibility with more locations and the option of weekend or later hours; and (5) the benefits of an active reminder system that utilizes multiple communication approaches. In addition, LCS program staff indicated interest in receiving training in shared decision-making and patient engagement strategies.
Conclusion
Our formative research highlights the complex and multi-factorial nature of screening adherence and identifies facilitators and barriers that may impact optimal adherence. The next step in this research will involve development, usability testing, and pilot studies of the proposed patient engagement toolkit.