Williams Lovoria B, McCall Amber, Joshua Thomas V, Looney Stephen W, Tingen Martha S
1 Augusta University, Augusta, GA USA.
2 University of Kentucky, Lexington, KY USA.
West J Nurs Res. 2019 Aug;41(8):1152-1169. doi: 10.1177/0193945919827261. Epub 2019 Jan 30.
Uptake of low-dose computed tomography (LDCT) for lung cancer screening is extremely low. Efforts to promote screening are warranted, especially among disparate groups such as racial/ethnic minorities and those of lower socioeconomic status. This article describes the design and implementation strategies of the ongoing cancer-Community Awareness Access Research and Education (c-CARE) program. The purpose of c-CARE is to increase community awareness of lung cancer screening through education. Community health workers were trained to implement the intervention in 12 community sites. The Health Belief Model guided the evaluation and intervention development methods. Aims include changing participants' knowledge, attitude, and beliefs related to lung cancer and increasing lung cancer early detection and prevention behaviors by identifying and connecting high-risk and/or nicotine-dependent individuals to LDCT screening and/or tobacco cessation services. If effective, these methods could model increased dissemination to other high-risk communities.
低剂量计算机断层扫描（LDCT）用于肺癌筛查的接受率极低。有必要努力推广筛查，尤其是在不同群体中，如少数种族/族裔以及社会经济地位较低的人群。本文描述了正在进行的癌症——社区意识获取研究与教育（c-CARE）项目的设计和实施策略。c-CARE的目的是通过教育提高社区对肺癌筛查的认识。社区卫生工作者接受培训，以便在12个社区地点实施干预措施。健康信念模型指导了评估和干预措施的制定方法。目标包括改变参与者与肺癌相关的知识、态度和信念，并通过识别高危和/或尼古丁依赖个体并将其与LDCT筛查和/或戒烟服务联系起来，增加肺癌早期检测和预防行为。如果有效，这些方法可以为向其他高危社区扩大传播提供范例。
