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Implementation of a hybrid lung health program for Northeast Texas: study protocol
Anastasia Rogova1, Lorraine R Reitzel2, Lisa M Lowenstein1
1Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Implementation Science Communications
|February 19, 2026
Summary
This project uses a hybrid model to improve lung cancer screening uptake in Northeast Texas. It ensures consistent screening, cessation support, and navigation for eligible smokers, aiming to reduce cancer mortality.
Area of Science:
- Oncology
- Public Health
- Health Services Research
Background:
- Lung cancer is a leading cause of cancer mortality in the U.S.
- Lung cancer screening is recommended for heavy smokers but has low uptake.
- A hybrid model is proposed to address screening barriers in Northeast Texas.
Purpose of the Study:
- To implement and evaluate a hybrid lung cancer screening program.
- To improve tobacco cessation and screening completion rates.
- To enhance patient navigation and follow-up care.
Main Methods:
- A partnership between a cancer center, hospital system, and FQHC.
- A hybrid program with centralized and decentralized features.
- Clinician training in shared decision-making and tobacco cessation interventions.
Main Results:
- The project aims to increase screening uptake and adherence to follow-up care.
- Enhanced quality of tobacco cessation and shared decision-making is expected.
- Increased community awareness of lung cancer screening is a projected outcome.
Conclusions:
- A hybrid care model can improve lung cancer screening processes.
- The model aims to increase screening uptake and adherence.
- Community outreach and dissemination are key components for awareness.
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