Cancer Prevention Precision Control Institute, Center for Discovery & Innovation, Nutley, USA.
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.
Patient Educ Couns. 2023 Oct;115:107871. doi: 10.1016/j.pec.2023.107871. Epub 2023 Jun 29.
OBJECTIVES: Less than 5% of eligible U.S. individuals undergo lung cancer screening (LCS). A significant barrier is lack of awareness; more effective outreach and education strategies are needed to achieve greater population LCS uptake. Tobacco Treatment Specialists (TTSs) are an untapped resource to assist and understanding TTS knowledge and perspectives about LCS and readiness and capacity to assist is a critical first step. METHODS: A sequential explanatory mixed-methods study design was conducted to understand LCS knowledge, attitudes, beliefs, and practices of TTSs. A cross-sectional survey (N = 147) was conducted supplemented with 3 focus groups (N = 12). RESULTS: TTSs lacked good working knowledge about LCS in general and screening guidelines, but think it is important for their patient population and open to routinely assessing and adding this educational component into their current workflow. CONCLUSIONS: Tobacco treatment offers a unique venue for LCS awareness and is a setting where there are experienced specialists trained in tobacco use assessment and treatment. Results highlight the unmet training needs required to facilitate integration of tobacco treatment and LCS. PRACTICE IMPLICATIONS: TTSs are an expanding healthcare workforce. There is a strong need for current TTSs to receive additional training in the benefits of LCS.
目的:美国仅有不到 5%的符合条件的个人接受肺癌筛查(LCS)。一个显著的障碍是缺乏意识;需要更有效的外展和教育策略,以实现更大的人群 LCS 参与度。烟草治疗专家(TTS)是一个未被开发的资源,可以帮助和理解 TTS 关于 LCS 的知识和观点,以及他们协助的准备情况和能力,这是关键的第一步。
方法:采用顺序解释性混合方法研究设计,以了解 TTS 对 LCS 的知识、态度、信念和实践。进行了横断面调查(N=147),并辅以 3 个焦点小组(N=12)。
结果:TTS 对一般 LCS 和筛查指南的了解有限,但认为这对他们的患者群体很重要,并愿意常规评估并将这一教育内容纳入他们当前的工作流程。
结论:烟草治疗为 LCS 意识提供了一个独特的场所,是一个有经验的专家接受烟草使用评估和治疗培训的场所。结果突出了促进烟草治疗和 LCS 整合所需的未满足的培训需求。
实践意义:TTS 是一个不断扩大的医疗保健劳动力。当前 TTS 强烈需要接受更多关于 LCS 益处的培训。
BMJ Open Respir Res. 2019-11-24
J Prim Care Community Health. 2020
JNCI Cancer Spectr. 2022-11-1
JTO Clin Res Rep. 2022-4-22
Prev Med Rep. 2021-9-17
Am J Prev Med. 2021-11
Int J Environ Res Public Health. 2021-3-2
J Natl Cancer Inst. 2021-8-2