Evidence map›Paper›PMID 34375628›Full record

ArticleJournal of the American College of Radiology : JACR2021

Feasibility and Acceptability of a Collaborative Lung Cancer Screening Educational Intervention Tailored for Individuals With Serious Mental Illness.

Efrén J Flores, Jordan M Neil, Keenae M Tiersma, Catherine R Pappano, Caitlin Mulligan, Manjola U Van Alphen, Elyse R Park, Kelly E Irwin

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. The Risk and The Course of Cancer Among People with Severe Mental Illness.Clinical practice and epidemiology in mental health : CP & EMH · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Efrén J FloresDepartment of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts; Assistant Professor, Department of Radiology, Harvard Medical School, Boston, Massachusetts; The Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: ejflores@mgh.harvard.edu.
Jordan M NeilThe Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Assistant Professor, Department of Family and Preventive Medicine, TSET Health Promotion Center, and Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Keenae M TiersmaDepartment of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts; North Suffolk Mental Health Association, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Catherine R PappanoDepartment of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts.
Caitlin MulliganNorth Suffolk Mental Health Association, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Manjola U Van AlphenDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Chief Medical Officer and Medical Director, Division of Ambulatory Services, North Suffolk Mental Health Association, Boston, Massachusetts.
Elyse R ParkProfessor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; Director, Behavioral Sciences, Tobacco Treatment & Research Center, the Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Director, Behavioral Research, Benson-Henry Institute for Mind Body Medicine, Massachusetts, General Hospital, Boston, Massachusetts.
Kelly E IrwinAssistant Professor, Department of Radiology, Harvard Medical School, Boston, Massachusetts; Director, Collaborative Care and Community Engagement Program Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital · USSuffolk University · USHarvard University · USUniversity of Oklahoma Health Sciences Center · US

Funding

Examining Delivery of Integrated Tobacco Treatment in Cancer CareK24CA197382 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PARK, ELYSE R. · 2015 to 2019
$841k
NCI NIH HHS K24 CA197382
6 · The paper itself

Abstract

purposeIndividuals with serious mental illness (SMI) experience disparities in lung cancer mortality. Using a two-phase, mixed-methods approach, we developed a person-centered lung cancer screening (LCS) educational intervention (phase 1) for individuals with SMI (schizophrenia and bipolar disorder) and evaluated acceptability, feasibility, and changes in attitudes toward LCS (phase 2).

methodsPhase 1: We conducted three focus groups with mental health, primary care, and radiology clinicians and utilized rapid qualitative analysis to adapt the LCS intervention (LCS walk-through video and smoking cessation handouts) tailored for individuals with SMI. Phase 2: We enrolled LCS-eligible patients with SMI (n = 15) and assessed the feasibility (>50% enrollment; >75% completion) and acceptability (>75% overall satisfaction) of an LCS educational intervention delivered by a radiologist and a mental health clinician at a community mental health clinic. We explored changes in participant attitudes about lung cancer, LCS, and smoking before and after the intervention.

resultsPhase 1: Focus groups with primary care (n = 5), radiologists (n = 9), and mental health clinicians (n = 6) recommended person-centered language and adapting a video demonstrating the process of LCS to address concerns specific to SMI, including paranoia and concrete thinking. Phase 2: Fifty percent (15 of 30) of eligible patients enrolled in the LCS intervention, 100% (15 of 15) completed the intervention, and 93% (14 of 15) were satisfied with the intervention. Participants reported a significantly greater worry about developing lung cancer postintervention, but there were no other significant differences.

conclusionsRadiologists can partner with primary care and community mental health clinics to lead equity efforts in LCS among individuals with SMI.

Indexed as

Lung NeoplasmsMental DisordersSmoking CessationEarly Detection of CancerFeasibility StudiesHumansCommunity-based participatory researchhealth equitylung cancer screening

Identifiers

PMID34375628
PMCPMC10336305
OpenAlexW3189249666

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.