Elkefi Safa, Gaillard Nelson, Wu Rongyi
School of Systems Science and Industrial Engineering, Watson College, Binghamton University, Vestal, NY 13902, USA.
School of Nursing, Columbia University, New York, NY 10032, USA.
Int J Environ Res Public Health. 2025 Aug 9;22(8):1250. doi: 10.3390/ijerph22081250.
This study reviews how technology-based interventions have been designed and implemented to promote lung cancer screening (LCS), support shared decision-making, and enhance patient engagement. A systematic search of six databases in February 2025 identified 28 eligible studies published between 2014 and 2025. Most interventions were home-based and self-guided, including videos, websites, mobile apps, telehealth, and patient portal messages. Common features included risk calculators, multimedia content, simplified navigation, and integration with electronic medical records. These tools aim to raise awareness, improve informed decision-making, and support smoking cessation. While 82% of studies reported positive effects on knowledge and decision-making confidence, only some showed an increased screening uptake. Key barriers included limited internet access, low digital literacy, provider time constraints, fear or anxiety, and concerns about radiation or cost. Despite these challenges, digital tools show promise in advancing LCS promotion. Their effectiveness, however, depends on thoughtful design, integration into clinical workflows, and equitable access. Future work should address structural and contextual challenges to scale digital health solutions and reduce disparities in screening participation. This review identifies both the potential and limitations of current interventions and offers guidance for enhancing impact through targeted, accessible, and user-informed approaches.
本研究回顾了基于技术的干预措施是如何被设计和实施以促进肺癌筛查（LCS）、支持共同决策并提高患者参与度的。2025年2月对六个数据库进行的系统检索确定了2014年至2025年间发表的28项符合条件的研究。大多数干预措施是基于家庭且自我引导的，包括视频、网站、移动应用程序、远程医疗和患者门户消息。共同特征包括风险计算器、多媒体内容、简化的导航以及与电子病历的整合。这些工具旨在提高认识、改善明智决策并支持戒烟。虽然82%的研究报告了对知识和决策信心的积极影响，但只有一些研究显示筛查接受度有所提高。主要障碍包括互联网接入有限、数字素养低、提供者时间限制、恐惧或焦虑以及对辐射或成本的担忧。尽管存在这些挑战，数字工具在推进肺癌筛查促进方面显示出前景。然而，它们的有效性取决于精心设计、融入临床工作流程以及公平获取。未来的工作应解决结构和背景方面的挑战，以扩大数字健康解决方案的规模并减少筛查参与方面的差异。本综述确定了当前干预措施的潜力和局限性，并为通过有针对性、可及且以用户为导向的方法增强影响提供了指导。
