Feasibility and Acceptability of a Collaborative Lung Cancer Screening Educational Intervention Tailored for Individuals With Serious Mental Illness.
Community-based participatory research
health equity
lung cancer screening
Journal
Journal of the American College of Radiology : JACR
ISSN: 1558-349X
Titre abrégé: J Am Coll Radiol
Pays: United States
ID NLM: 101190326
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
21
04
2021
revised:
20
07
2021
accepted:
20
07
2021
pubmed:
11
8
2021
medline:
21
1
2022
entrez:
10
8
2021
Statut:
ppublish
Résumé
Individuals with serious mental illness (SMI) experience disparities in lung cancer mortality. Using a two-phase, mixed-methods approach, we developed a person-centered lung cancer screening (LCS) educational intervention (phase 1) for individuals with SMI (schizophrenia and bipolar disorder) and evaluated acceptability, feasibility, and changes in attitudes toward LCS (phase 2). Phase 1: We conducted three focus groups with mental health, primary care, and radiology clinicians and utilized rapid qualitative analysis to adapt the LCS intervention (LCS walk-through video and smoking cessation handouts) tailored for individuals with SMI. Phase 2: We enrolled LCS-eligible patients with SMI (n = 15) and assessed the feasibility (>50% enrollment; >75% completion) and acceptability (>75% overall satisfaction) of an LCS educational intervention delivered by a radiologist and a mental health clinician at a community mental health clinic. We explored changes in participant attitudes about lung cancer, LCS, and smoking before and after the intervention. Phase 1: Focus groups with primary care (n = 5), radiologists (n = 9), and mental health clinicians (n = 6) recommended person-centered language and adapting a video demonstrating the process of LCS to address concerns specific to SMI, including paranoia and concrete thinking. Phase 2: Fifty percent (15 of 30) of eligible patients enrolled in the LCS intervention, 100% (15 of 15) completed the intervention, and 93% (14 of 15) were satisfied with the intervention. Participants reported a significantly greater worry about developing lung cancer postintervention, but there were no other significant differences. Radiologists can partner with primary care and community mental health clinics to lead equity efforts in LCS among individuals with SMI.
Identifiants
pubmed: 34375628
pii: S1546-1440(21)00575-5
doi: 10.1016/j.jacr.2021.07.010
pmc: PMC10336305
mid: NIHMS1907961
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1624-1634Subventions
Organisme : NCI NIH HHS
ID : K24 CA197382
Pays : United States
Informations de copyright
Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.
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