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Provider Behavioral Determinants and Preferences for Lung Cancer Screening Implementation: A Brief Report.

Jennifer A Lewis1,2, Lauren R Samuels1,3, Lucy B Spalluto1,4

  • 1Geriatric Research Educational and Clinical Center and the VETWISE-LHS Center of Innovation VA Tennessee Valley Healthcare System, Nashville, Tennessee.

JTO Clinical and Research Reports
|October 27, 2025
PubMed
Summary
This summary is machine-generated.

Healthcare provider preferences and behavior are key to improving lung cancer screening. Tailoring implementation strategies to address social influences, knowledge, and resources can enhance screening rates.

Keywords:
Behavioral determinantsImplementation strategiesIntervention developmentLung cancer screeningProvider behaviorTheoretical domains framework

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Area of Science:

  • Public Health
  • Health Services Research
  • Behavioral Science

Background:

  • Lung cancer screening implementation remains suboptimal.
  • Understanding healthcare provider perspectives is crucial for effective strategy development.
  • The Theoretical Domains Framework offers a structured approach to analyze behavioral determinants.

Purpose of the Study:

  • To investigate healthcare provider preferences for lung cancer screening implementation strategies.
  • To identify self-reported determinants influencing provider behavior regarding lung cancer screening.
  • To map these determinants and preferences using the Theoretical Domains Framework.

Main Methods:

  • A mixed-methods evaluation surveyed healthcare providers across nine Veterans Affairs facilities.
  • Free-text responses identified factors influencing screening decisions and were mapped to the Theoretical Domains Framework.
  • Quantitative data ranked implementation strategies by usefulness, analyzed by provider specialty, setting, and type.

Main Results:

  • Social influences, knowledge, and environmental context/resources were key behavioral determinants.
  • Patient reminders, provider reminders, and learning collaboratives were the most frequently cited useful implementation strategies.
  • Strategy preferences varied significantly by provider specialty (primary care vs. radiology), setting (hospital vs. community), and type (physician vs. advanced practice provider).

Conclusions:

  • Implementation strategies should target identified behavioral determinants: social influences, knowledge, and environmental context/resources.
  • Tailoring strategies to specific provider preferences and characteristics is essential for improving lung cancer screening behavior.
  • This approach holds promise for enhancing the effectiveness of lung cancer screening programs.