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Insights from a Patient-Centered Lung Cancer Navigation Program in a Low-Resource Community.

Tanyanika Phillips1, Anjaney Kothari2, Africa Robison3

  • 1Department of Medical Oncology and Developmental Therapeutics, City of Hope National Medical Center, Duarte, CA 91010, USA.

Current Oncology (Toronto, Ont.)
|September 26, 2025
PubMed
Summary
This summary is machine-generated.

A telehealth lay navigator program in a low-resource community effectively addressed cancer care barriers like transportation and internet insecurity. This patient-centered approach showed feasibility in improving access for vulnerable populations.

Keywords:
low-resource communitylung cancerpatient-centeredpractical barrierstelehealth lay navigation

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Area of Science:

  • Oncology
  • Health Services Research
  • Digital Health

Background:

  • Barriers to cancer care, such as transportation and internet insecurity, disproportionately affect low-resource communities.
  • Patient-centered approaches are crucial for mitigating these challenges in cancer detection and management.

Purpose of the Study:

  • To assess the feasibility of a telehealth-based, barrier-focused lay navigator program for patients with lung cancer in a low-resource setting.
  • To identify common barriers to cancer care and their association with missed appointments.

Main Methods:

  • A quality improvement project was conducted in the Mojave Desert, a low-resource community.
  • A telehealth lay navigator program was developed and delivered to 55 patients undergoing lung cancer care.
  • Patients completed barrier assessments, and data on demographics, diagnoses, and appointment adherence were collected.

Main Results:

  • The majority of participants were older (76%), White (84%), and from socioeconomically disadvantaged neighborhoods.
  • Sixty percent of patients reported at least one barrier, most commonly transportation (31%), internet (24%), and financial (24%) concerns.
  • Transportation and internet barriers were significantly associated with missed appointments.

Conclusions:

  • A telehealth-based, barrier-focused lay navigator program is a feasible intervention for improving cancer care access in low-resource settings.
  • Understanding neighborhood context and planning for resource allocation are vital for implementing similar programs.
  • Addressing specific barriers like transportation and internet access can reduce missed appointments and enhance patient adherence.