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Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care

The national rate of  lung cancer screening, approximately 3–5%, is too low and strategies which include shared decision-making and increase screening are needed. A feasibility study in one large primary care practice of telephone-based delivery of decision support via an online tool, the Decision C...

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Autores principales: Fagan, Heather Bittner, Fournakis, Nicole A., Jurkovitz, Claudine, Petrich, Anett M., Zhang, Zugui, Katurakes, Nora, Myers, Ronald E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7363665/
https://www.ncbi.nlm.nih.gov/pubmed/31069714
http://dx.doi.org/10.1007/s13187-019-01528-z
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author Fagan, Heather Bittner
Fournakis, Nicole A.
Jurkovitz, Claudine
Petrich, Anett M.
Zhang, Zugui
Katurakes, Nora
Myers, Ronald E.
author_facet Fagan, Heather Bittner
Fournakis, Nicole A.
Jurkovitz, Claudine
Petrich, Anett M.
Zhang, Zugui
Katurakes, Nora
Myers, Ronald E.
author_sort Fagan, Heather Bittner
collection PubMed
description The national rate of  lung cancer screening, approximately 3–5%, is too low and strategies which include shared decision-making and increase screening are needed. A feasibility study in one large primary care practice of telephone-based delivery of decision support via an online tool, the Decision Counseling Program© (DCP) was administered to patients eligible for lung cancer screening according to USPSTF screening guidelines. We collected data on demographics, decisional conflict, and conducted chart audits to ascertain screening. From electronic medical record data, we identified 829 age-eligible current or former smokers. Of the 297 individuals reached, 54 were eligible and 28 were recruited to the study and 20 underwent the DCP© intervention. Participants in the intervention were more likely to complete low-dose CT scans at 90 days. Current smokers were less likely to complete the DCP. Women were less likely to complete LDCT. This non-persuasive, high-quality shared decision-making intervention significantly increased lung cancer screening and was feasible in real-world clinical care. This intervention offers a promising model whereby patients can be supported in a decision, based on their values and beliefs while also supporting gains in lung cancer screening.
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spelling pubmed-73636652020-07-20 Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care Fagan, Heather Bittner Fournakis, Nicole A. Jurkovitz, Claudine Petrich, Anett M. Zhang, Zugui Katurakes, Nora Myers, Ronald E. J Cancer Educ Article The national rate of  lung cancer screening, approximately 3–5%, is too low and strategies which include shared decision-making and increase screening are needed. A feasibility study in one large primary care practice of telephone-based delivery of decision support via an online tool, the Decision Counseling Program© (DCP) was administered to patients eligible for lung cancer screening according to USPSTF screening guidelines. We collected data on demographics, decisional conflict, and conducted chart audits to ascertain screening. From electronic medical record data, we identified 829 age-eligible current or former smokers. Of the 297 individuals reached, 54 were eligible and 28 were recruited to the study and 20 underwent the DCP© intervention. Participants in the intervention were more likely to complete low-dose CT scans at 90 days. Current smokers were less likely to complete the DCP. Women were less likely to complete LDCT. This non-persuasive, high-quality shared decision-making intervention significantly increased lung cancer screening and was feasible in real-world clinical care. This intervention offers a promising model whereby patients can be supported in a decision, based on their values and beliefs while also supporting gains in lung cancer screening. Springer US 2019-05-09 2020 /pmc/articles/PMC7363665/ /pubmed/31069714 http://dx.doi.org/10.1007/s13187-019-01528-z Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Fagan, Heather Bittner
Fournakis, Nicole A.
Jurkovitz, Claudine
Petrich, Anett M.
Zhang, Zugui
Katurakes, Nora
Myers, Ronald E.
Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title_full Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title_fullStr Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title_full_unstemmed Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title_short Telephone-Based Shared Decision-making for Lung Cancer Screening in Primary Care
title_sort telephone-based shared decision-making for lung cancer screening in primary care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7363665/
https://www.ncbi.nlm.nih.gov/pubmed/31069714
http://dx.doi.org/10.1007/s13187-019-01528-z
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