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

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Karen Kane McDonnellJan M Eberth

Abstract

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 SD...Continue Reading

References

Aug 14, 2003·Behaviour Research and Therapy·A Dijkstra, J Brosschot
May 20, 2004·JAMA : the Journal of the American Medical Association·Ronald M EpsteinTimothy E Quill
Dec 12, 2007·Medical Informatics and the Internet in Medicine·M D Thomson, L Hoffman-Goetz
Mar 10, 2010·Journal of General Internal Medicine·Vikki A EntwistleKirsten McCaffery
Jul 8, 2010·Health Affairs·Wendy LevinsonRonald M Epstein
Jan 31, 2012·BMJ : British Medical Journal·A M StiggelboutG Elwyn
Mar 2, 2012·The New England Journal of Medicine·Michael J Barry, Susan Edgman-Levitan
May 24, 2012·Journal of General Internal Medicine·Glyn ElwynMichael Barry
Aug 3, 2012·Patient Education and Counseling·Glyn ElwynAdrian Edwards
Aug 22, 2013·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Natalie Joseph-WilliamsGlyn Elwyn
Jan 1, 2013·BMC Medical Informatics and Decision Making·Kirsten J McCafferyStacey L Sheridan
Jan 1, 2013·BMC Medical Informatics and Decision Making·Angela CoulterTrudy van der Weijden
Sep 24, 2014·JAMA : the Journal of the American Medical Association·Robert J VolkTherese B Bevers
Dec 25, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lisa Carter-HarrisSusan M Rawl
Feb 5, 2016·Preventive Medicine Reports·Robert J Volk, Lewis E Foxhall
Jul 12, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Samantha L QuaifeJane Wardle
Apr 13, 2017·The Cochrane Database of Systematic Reviews·Dawn StaceyLyndal Trevena

❮ Previous
Next ❯

Citations

Oct 6, 2018·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Janet E TongeDenis Colligan
Sep 18, 2020·American Journal of Men's Health·Karriem S WatsonPhoenix Matthews
Nov 25, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Mohammad Abubaker-SharifRonald Myers
Jan 8, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Mayuko Ito FukunagaPaul K J Han
Jun 22, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Holly O WittemanRobert J Volk

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.