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Using User-Centered Design to Facilitate Adherence to Annual Lung Cancer Screening: Protocol for a Mixed Methods
Erin A Hirsch1,2, Jamie L Studts1,2
1Division of Medical Oncology, University of Colorado School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
JMIR Research Protocols
|April 14, 2023
Summary
This study develops targeted reminder messages to improve annual lung cancer screening (LCS) adherence, addressing unique barriers faced by participants. Effective messages are crucial for early detection and better health outcomes.
Area of Science:
- Public Health
- Health Communication
- Cancer Screening
Background:
- Lung cancer is a leading cause of cancer death, often diagnosed at advanced stages.
- Annual lung cancer screening (LCS) with low-dose CT detects early-stage disease but faces adherence challenges.
- Existing reminder strategies for other screenings haven't addressed unique LCS barriers like smoking stigma and social determinants.
Purpose of the Study:
- To develop theory-informed, engaging reminder messages promoting annual lung cancer screening (LCS) adherence.
- To address unique barriers faced by LCS participants through tailored content and imagery.
Main Methods:
- A multiphase, mixed-methods approach involving LCS experts and participants.
- Aim 1: Survey data (Cognitive-Social Health Information Processing model) to inform message content, targeting, and tailoring.
- Aim 2: Modified photovoice activity to identify representative imagery.
- Aim 3: Candidate message development and iterative refinement based on feedback.
Main Results:
- Data collection initiated in July 2022, concluding May 2023.
- Final reminder message candidates are anticipated by June 2023.
Conclusions:
- This project introduces a novel strategy for enhancing LCS adherence via co-designed reminder messages.
- Integrating population-representative content and imagery is key to message effectiveness.
- Improving LCS adherence is vital for achieving optimal individual and population health outcomes in lung cancer.

