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Co-Development, Evaluation, and Dissemination of a Lung Cancer Screening Digital Outreach Intervention: A Multiphase
Jordan M Neil1, Nathaniel D Mercaldo2, Keenae Tiersma3
1Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, Oklahoma; Harvard Medical School, Boston, Massachusetts; Department of Radiology, Massachusetts General Brigham Hospital, Boston, Massachusetts; Chair, Communication and Promotion Workgroup, Oklahoma Lung Cancer Roundtable.
Digital outreach improved lung cancer screening (LCS) completion for low socioeconomic status (SES) individuals. Reaching patients via digital tools increased LCS rates, overcoming common barriers to screening.
Area of Science:
- Public Health
- Digital Health Interventions
- Health Disparities
Background:
- Individuals from low socioeconomic status (SES) communities face significant barriers to lung cancer screening (LCS), leading to poorer outcomes.
- Digital interventions offer a potential solution to bridge these gaps in LCS access and uptake.
Purpose of the Study:
- To develop, evaluate, and disseminate a digital outreach intervention aimed at promoting LCS among individuals from low SES communities.
- To address multilevel barriers hindering LCS access and encourage screening initiation.
Main Methods:
- A three-phase study involving focus groups to co-develop intervention content, a randomized trial to evaluate video effectiveness, and a dissemination phase using patient portals and text/email.
- Intervention development included exploring barriers and facilitators through provider, patient advocate, and patient input.
- Phase 3 involved disseminating outreach videos to 636 participants due for LCS and measuring reach and follow-up rates.
Main Results:
- Focus groups revealed patient fears and confusion regarding LCS eligibility criteria.
- No significant differences in the intent to discuss LCS with a provider were observed across different video message sources.
- A significantly higher proportion of participants reached by the digital intervention (32.4%) completed LCS compared to those not reached (23.2%).
Conclusions:
- Digital outreach interventions, co-developed and disseminated to patients in low SES communities, can significantly increase lung cancer screening completion rates.
- This approach demonstrates the potential of digital tools to overcome barriers and improve LCS uptake in underserved populations.
