title: Evaluation of Promotional Materials To Promote Low-Dose Computed Tomography (LDCT) Screening to High-Risk Consumers and Health Care Providers.
abstract: Low-dose computed tomography (LDCT) screening is a promising screening modality for increasing the detection rate of early stage lung cancers among high-risk individuals. Despite being recommended by the US Preventative Services Task Force, uptake of LDCT remains low. The objective of the current study was to gather feedback from high-risk consumers and health care providers on LDCT promotional materials. Focus group discussions were conducted with high-risk individuals (8 focus groups; N = 38) and primary care providers (9 focus groups; N = 23). Participants reviewed existing LDCT promotional materials to assess their perceptions of media materials created to publicize LDCT. Data were analyzed using the constant comparative method. Several key themes emerged from focus groups that can be used to inform development of future LDCT promotional materials. High-risk (HR) participants expressed greater receptivity for promotional materials that did not further stigmatize lung cancer and/or smoking and expressed preferences for materials that clearly outlined the risks/benefits of screening. Primary care providers (PCPs) offered suggestions to facilitate the referral process such as diagnostic codes and requested a design that clearly outlined eligibility criteria. A clear and thorough explanation of LDCT eligibility, cost, harms, and benefits was of chief importance for both PCP and HR audiences. Given that PCPs and HR audiences are not well informed on the specifics of LDCT screening eligibility and insurance coverage, creating provider and patient education opportunities will aid in shared decision-making opportunities. Promotional materials that meet the needs of the target audience are needed to facilitate discussions of risks/benefits of screening with HR individuals.
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, 4115 E. Fowler Ave, Tampa, FL, 33617, USA.
authors.forename: Janella N
authors.initials: JN
authors.lastname: Hudson
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, 4115 E. Fowler Ave, Tampa, FL, 33617, USA.|Department of Oncologic Sciences, University of South Florida, 4115 E. Fowler Ave, Tampa, FL, 33617, USA.
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, 4115 E. Fowler Ave, Tampa, FL, 33617, USA.
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Wilson
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, 4115 E. Fowler Ave, Tampa, FL, 33617, USA. vani.Simmons@moffitt.org.|Department of Oncologic Sciences, University of South Florida, 4115 E. Fowler Ave, Tampa, FL, 33617, USA. vani.Simmons@moffitt.org.|Department of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, 4115 E. Fowler Ave, Tampa, FL, 33617, USA. vani.Simmons@moffitt.org.
authors.forename: Vani N
authors.initials: VN
authors.lastname: Simmons
mesh_terms: D000368:Aged; D055088:Early Detection of Cancer; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010174:Pamphlets; D011829:Radiation Dosage; D012907:Smoking / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D014741:Video Recording
keywords: Focus groups; LDCT; Lung cancer screening; Promotional materials