STEM Translational Communication Center, University of Florida , Gainesville, FL, USA.
Department of Health Outcomes and Biomedical Informatics, University of Florida , Gainesville, FL, USA.
J Health Commun. 2020 Aug 2;25(8):650-659. doi: 10.1080/10810730.2020.1836087. Epub 2020 Oct 29.
The perceived availability of online social support may contribute to patient-provider conversations about lung cancer screening. This study examines how the perceived availability of instrumental and emotional online social support is associated with patient-provider communication about lung cancer screening among adults who meet U.S. Preventive Services Taskforce (USPSTF) eligibility criteria and live with a COPD diagnosis. In April 2018, 575 adults completed an online survey after being recruited from a large southeastern academic medical center's broad research registry and website listing. Nearly half of the participants were 55-to-80 years old (41%), a current or former smoker who had quit smoking within the past 15 years (42%), and reported a smoking prevalence of 30 pack years or more (PPY; 41%). Results demonstrate that having a COPD diagnosis, identifying as male, and being a current or former tobacco smoker resulted in greater odds of having a clinical conversation about lung cancer screening. Conversely, meeting the 30 PPY smoking and 55-to-80 age thresholds lowered the odds of having these conversations. A high degree of instrumental and emotional online social support was associated with a greater incidence of annual patient-provider conversations about screening. This combination of perceived online social support was especially useful for patients with COPD.
在线社会支持的可及性可能会促进医患之间关于肺癌筛查的对话。本研究考察了在符合美国预防服务工作组 (USPSTF) 资格标准且患有 COPD 的成年人中，工具性和情感性在线社会支持的可及性与医患之间关于肺癌筛查的沟通之间的关系。2018 年 4 月，从一家大型东南学术医疗中心的广泛研究登记处和网站列表中招募了 575 名成年人，他们完成了一项在线调查。近一半的参与者年龄在 55 至 80 岁之间（41%），是目前或曾经的吸烟者，且在过去 15 年内戒烟（42%），并报告吸烟量为 30 包年或以上（PPY；41%）。结果表明，患有 COPD 诊断、男性身份以及目前或曾经的烟草使用者，更有可能进行关于肺癌筛查的临床对话。相反，达到 30 PPY 吸烟量和 55 至 80 岁年龄阈值会降低进行这些对话的可能性。高度的工具性和情感性在线社会支持与更频繁的年度医患筛查对话相关。这种感知到的在线社会支持组合对 COPD 患者尤其有用。
