为以人为本的方法制定概念框架，以改善肺癌筛查的依从性和结果：肺癌筛查的参与式方法》：简要报告

IF 3 Q2 ONCOLOGY

JTO Clinical and Research Reports Pub Date : 2024-09-17 DOI:10.1016/j.jtocrr.2024.100728

Margaret M. Byrne PhD , Erin A. Hirsch PhD, MS , Kaitlyn Hoover MS , Jessica H. McCoy RN, BSN , Courtney R. Blair MS , Michelle Futrell RN , Upal Basu Roy PhD, MPH , Jamie L. Studts PhD

{"title":"为以人为本的方法制定概念框架，以改善肺癌筛查的依从性和结果：肺癌筛查的参与式方法》：简要报告","authors":"Margaret M. Byrne PhD , Erin A. Hirsch PhD, MS , Kaitlyn Hoover MS , Jessica H. McCoy RN, BSN , Courtney R. Blair MS , Michelle Futrell RN , Upal Basu Roy PhD, MPH , Jamie L. Studts PhD","doi":"10.1016/j.jtocrr.2024.100728","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Translating outcomes from randomized trials of lung cancer screening into community practice settings has been challenging. We developed a framework—the Engaged Approach to Lung Cancer Screening (EA-LCS)—for improving adherence and individual and population health outcomes in LCS.</div></div><div><h3>Methods</h3><div>Employing community-engaged research, we conducted semistructured interviews with LCS program staff (N = 15) and participants (N = 7) and administered brief surveys to understand LCS adherence. We combined our knowledge of LCS implementation with data to formulate the EA-LCS framework<em>,</em> including principles and strategies instrumental for LCS adherence.</div></div><div><h3>Results</h3><div>Program staff identified four factors that facilitated adherence: (1) the use of specialized tracking software, (2) the importance of personal connection and a reliable touchpoint, (3) centralized program operations, and (4) standardization and streamlining of reports to participants and clinicians. Participant data identified four factors supporting adherence: (1) a single contact point and information availability, (2) tailored communications, (3) personalized results delivery, and (4) increased scan accessibility. Combined analyses identified three overarching themes in the EA-LCS framework: (1) respect, (2) trust, and (3) engagement.</div></div><div><h3>Conclusions</h3><div>The EA-LCS conceptual model integrates three foundational principles (person-centeredness, trustworthy relationships, and sustained communications) to enhance LCS adherence. Efforts are underway to translate the EA-LCS framework into materials to support adherence.</div></div>","PeriodicalId":17675,"journal":{"name":"JTO Clinical and Research Reports","volume":"5 12","pages":"Article 100728"},"PeriodicalIF":3.0000,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Developing a Conceptual Framework for a Person-Centered Approach to Improving Adherence and Outcomes in Lung Cancer Screening: The Engaged Approach to Lung Cancer Screening: A Brief Report\",\"authors\":\"Margaret M. Byrne PhD , Erin A. Hirsch PhD, MS , Kaitlyn Hoover MS , Jessica H. McCoy RN, BSN , Courtney R. Blair MS , Michelle Futrell RN , Upal Basu Roy PhD, MPH , Jamie L. Studts PhD\",\"doi\":\"10.1016/j.jtocrr.2024.100728\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Translating outcomes from randomized trials of lung cancer screening into community practice settings has been challenging. We developed a framework—the Engaged Approach to Lung Cancer Screening (EA-LCS)—for improving adherence and individual and population health outcomes in LCS.</div></div><div><h3>Methods</h3><div>Employing community-engaged research, we conducted semistructured interviews with LCS program staff (N = 15) and participants (N = 7) and administered brief surveys to understand LCS adherence. We combined our knowledge of LCS implementation with data to formulate the EA-LCS framework<em>,</em> including principles and strategies instrumental for LCS adherence.</div></div><div><h3>Results</h3><div>Program staff identified four factors that facilitated adherence: (1) the use of specialized tracking software, (2) the importance of personal connection and a reliable touchpoint, (3) centralized program operations, and (4) standardization and streamlining of reports to participants and clinicians. Participant data identified four factors supporting adherence: (1) a single contact point and information availability, (2) tailored communications, (3) personalized results delivery, and (4) increased scan accessibility. Combined analyses identified three overarching themes in the EA-LCS framework: (1) respect, (2) trust, and (3) engagement.</div></div><div><h3>Conclusions</h3><div>The EA-LCS conceptual model integrates three foundational principles (person-centeredness, trustworthy relationships, and sustained communications) to enhance LCS adherence. Efforts are underway to translate the EA-LCS framework into materials to support adherence.</div></div>\",\"PeriodicalId\":17675,\"journal\":{\"name\":\"JTO Clinical and Research Reports\",\"volume\":\"5 12\",\"pages\":\"Article 100728\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JTO Clinical and Research Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666364324000985\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JTO Clinical and Research Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666364324000985","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

导言将肺癌筛查随机试验的结果转化到社区实践环境中具有挑战性。我们开发了一个框架--肺癌筛查参与式方法（EA-LCS）--用于改善肺癌筛查的依从性以及个人和人群的健康结果。方法我们采用社区参与式研究，对肺癌筛查项目的工作人员（15 人）和参与者（7 人）进行了半结构式访谈，并进行了简短的调查，以了解肺癌筛查的依从性。我们将对 LCS 实施情况的了解与数据相结合，制定了 EA-LCS 框架，其中包括对坚持 LCS 有益的原则和策略。结果项目工作人员发现了四个有助于坚持 LCS 的因素：（1）使用专门的跟踪软件；（2）个人联系和可靠接触点的重要性；（3）集中的项目运作；（4）向参与者和临床医生报告的标准化和简化。参与者数据确定了支持坚持使用的四个因素：(1) 单一接触点和信息可用性，(2) 量身定制的沟通，(3) 个性化的结果交付，以及 (4) 扫描可及性的提高。综合分析确定了 EA-LCS 框架的三个首要主题：(1) 尊重；(2) 信任；(3) 参与。结论 EA-LCS 概念模型整合了三个基本原则（以人为本、值得信赖的关系和持续沟通），以提高 LCS 的依从性。目前正在努力将 EA-LCS 框架转化为支持坚持治疗的材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Developing a Conceptual Framework for a Person-Centered Approach to Improving Adherence and Outcomes in Lung Cancer Screening: The Engaged Approach to Lung Cancer Screening: A Brief Report

Introduction

Translating outcomes from randomized trials of lung cancer screening into community practice settings has been challenging. We developed a framework—the Engaged Approach to Lung Cancer Screening (EA-LCS)—for improving adherence and individual and population health outcomes in LCS.

Methods

Employing community-engaged research, we conducted semistructured interviews with LCS program staff (N = 15) and participants (N = 7) and administered brief surveys to understand LCS adherence. We combined our knowledge of LCS implementation with data to formulate the EA-LCS framework, including principles and strategies instrumental for LCS adherence.

Results

Program staff identified four factors that facilitated adherence: (1) the use of specialized tracking software, (2) the importance of personal connection and a reliable touchpoint, (3) centralized program operations, and (4) standardization and streamlining of reports to participants and clinicians. Participant data identified four factors supporting adherence: (1) a single contact point and information availability, (2) tailored communications, (3) personalized results delivery, and (4) increased scan accessibility. Combined analyses identified three overarching themes in the EA-LCS framework: (1) respect, (2) trust, and (3) engagement.

Conclusions

The EA-LCS conceptual model integrates three foundational principles (person-centeredness, trustworthy relationships, and sustained communications) to enhance LCS adherence. Efforts are underway to translate the EA-LCS framework into materials to support adherence.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊