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Development and testing of "Is Lung Cancer Screening for You?" A computer-based decision aid.

Otis L Owens1, Karen Kane McDonnell2, Brandi R Newsome3

  • 1College of Social Work, University of South Carolina, 1514 Pendleton Street, Columbia, SC, USA. owenso@mailbox.sc.edu.

Cancer Causes & Control : CCC
|November 11, 2022
PubMed
Summary
This summary is machine-generated.

A computer-based decision aid for lung cancer screening is feasible and acceptable for high-risk individuals. It promotes shared decision-making, increasing screening intention and uptake.

Keywords:
Computer-assisted decision-makingDecision support techniquesDecision-makingEarly detection of cancerLung neoplasms

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Area of Science:

  • Oncology
  • Public Health
  • Health Informatics

Background:

  • Lung cancer mortality remains high, necessitating effective screening strategies.
  • Low-dose computed tomography (LDCT) screening is recommended annually for high-risk individuals.
  • Interventions promoting shared decision-making are crucial to increase screening adherence.

Purpose of the Study:

  • To assess the feasibility, acceptability, usability, and preliminary effectiveness of a computer-based decision aid for lung cancer screening.
  • To evaluate the impact of the decision aid on shared decision-making processes.
  • To determine patient screening intention and actual screening rates post-intervention.

Main Methods:

  • A computer-based decision aid, "Is Lung Cancer Screening for You?", was used by 33 participants in primary-care clinics.
  • Feasibility, acceptability, and usability were measured via paper surveys.
  • Shared decision-making fidelity was observed by a research coordinator.

Main Results:

  • The computer-based decision aid demonstrated feasibility, acceptability, and ease of use in a clinical setting.
  • Patients reported low decisional conflict, high screening intention, and high actual screening rates.
  • Shared decision-making discussions averaged nearly 6 minutes.

Conclusions:

  • Computer-based decision aids are a viable tool for facilitating shared decisions regarding lung cancer screening.
  • Further research is needed to compare the effectiveness of computer-based versus paper-based decision aids.
  • This technology shows promise in improving adherence to lung cancer screening guidelines.