Siddiqi Ammar D, Britton Maggie, Martinez Leal Isabel, Taing Matthew, Chen Tzuan A, Lowenstein Lisa M, Minnix Jennifer A, Reitzel Lorraine R
Department of Behavioral Science, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.
Department of Management, Policy, and Community Health, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler St., Houston, TX 77030, USA.
Methods Protoc. 2025 Jul 1;8(4):70. doi: 10.3390/mps8040070.
BACKGROUND/OBJECTIVES: Cigarette smoking has been causally linked to 90% of all cases of lung cancer, contributing to its high mortality rate. Lung cancer screening centers offer low-dose computed tomography, the only recommended diagnostic screening tool for lung cancer detection. A previous Texas-based study found that centers with lung cancer screening programs failed to consistently provide evidence-based tobacco cessation and relapse prevention interventions recommended by clinical practice guidelines to their patients, who are primarily people who currently or previously smoked. This represents a missed opportunity to assist patients by providing evidence-based tobacco use care during a particularly relevant clinical encounter.
To improve cigarette smoking cessation care delivery and relapse prevention in this setting, this protocol paper seeks to provide a framework for adapting Taking Texas Tobacco Free, a comprehensive, evidence-based tobacco-free workplace program, to lung cancer screening centers. The adapted program, Project SWITCH, will be developed through a formative evaluation process with center stakeholders to identify proactive adaptations to programming based on center-specific contexts. Project SWITCH is expected to be implemented in at least nine lung cancer screening centers in Texas and will be disseminated more broadly to centers statewide.
Quantitative and qualitative data will be collected from multiple stakeholders throughout the intervention using a convergent parallel mixed methods design to make additional program adaptations and comprehensively evaluate the achievement of the project's implementation and dissemination goals.
Results from this project's implementation and dissemination phases are expected to reduce lung cancer morbidity and mortality in Texas by providing an evidence-based, sustainable framework for tobacco-free workplace programs in this specific setting that improves cancer prevention and control practices.
背景/目标：90%的肺癌病例都与吸烟有因果关系，这导致了肺癌的高死亡率。肺癌筛查中心提供低剂量计算机断层扫描，这是唯一推荐用于肺癌检测的诊断性筛查工具。此前一项基于德克萨斯州的研究发现，开展肺癌筛查项目的中心未能始终如一地向其患者（主要是目前或以前吸烟的人）提供临床实践指南推荐的循证戒烟及预防复吸干预措施。这意味着在这个特别相关的临床接触过程中，错失了通过提供循证烟草使用护理来帮助患者的机会。
为了改善这种情况下的戒烟护理服务及预防复吸，本方案文件旨在提供一个框架，以便将全面、循证的无烟工作场所项目“让德克萨斯无烟”应用于肺癌筛查中心。经过调整的项目“SWITCH计划”将通过与中心利益相关者进行的形成性评估过程来开发，以根据中心的具体情况确定对项目的主动调整。“SWITCH计划”预计将在德克萨斯州至少九个肺癌筛查中心实施，并将更广泛地推广到全州的中心。
在整个干预过程中，将使用收敛平行混合方法设计从多个利益相关者收集定量和定性数据，以便对项目进行更多调整，并全面评估项目实施和推广目标的实现情况。
预计该项目实施和推广阶段的结果将通过为这一特定环境中的无烟工作场所项目提供一个循证、可持续的框架来降低德克萨斯州肺癌的发病率和死亡率，该框架可改善癌症预防和控制措施。
