Evidence map›Paper›PMID 34424342›Full record

ArticleTranslational behavioral medicine2022

Implementing lung cancer screening in primary care: needs assessment and implementation strategy design.

Thomas J Reese, Chelsey R Schlechter, Heidi Kramer, Polina Kukhareva, Charlene R Weir, Guilherme Del Fiol, Tanner Caverly, Rachel Hess, Michael C Flynn, Teresa Taft and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Translational behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073898 (Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07073898 nacompletednot on this mapstarted 2025, after this paper: background citation

Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial

TypeinterventionalSponsorUniversity of UtahRan2025 to 2026Enrolled65ConditionsLung CancerArmsRepeated Text Messages (TM+), Conversational Agent (CA), Educational Video, Proactive Patient Navigation (PPN), Reactive Patient Navigation (RPN)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Article
  7. Evaluating Pragmatism of Lung Cancer Screening Randomized Trials with the PRECIS-2 Tool.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  8. Article
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  11. Patient Perspectives on a Patient-Facing Tool for Lung Cancer Screening.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
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  18. Review
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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

11 authors.

Thomas J ReeseDepartment of Biomedical Informatics, Vanderbilt University, Nashville, TN 37203, USA.ORCID 0000-0002-1081-1670
Chelsey R SchlechterDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT 84108, USA.
Heidi KramerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.
Polina KukharevaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.ORCID 0000-0002-5576-1486
Charlene R WeirDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.ORCID 0000-0002-8297-2860
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.ORCID 0000-0001-9954-6799
Tanner CaverlyDepartment of Learning Health Sciences and Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Rachel HessDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT 84108, USA.
Michael C FlynnCommunity Physicians Group, University of Utah, Salt Lake City, UT 84112, USA.
Teresa TaftDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, USA.ORCID 0000-0003-4282-9338

Funding

UNIVERSITY OF UTAH MEDICAL INFORMATICS TRAININGT15LM007124 · NLM · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Karen Louise Eilbeck · 1997 to 2026
$22.0M
Scalable decision support and shared decision making for lung cancer screeningR18HS026198 · AHRQ · UNIVERSITY OF UTAH · PI KAWAMOTO, KENSAKU · 2019 to 2021
$1.2M
Implementing Shared Decision-Making for Cancer Screening in Primary CareIK2HX002246 · VA · VETERANS HEALTH ADMINISTRATION · PI CAVERLY, TANNER J · 2018 to 2022
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AHRQ HHS R18 HS026198HSRD VA IK2 HX002246NLM NIH HHS T15 LM007124
6 · The paper itself

Abstract

Lung cancer screening with low-dose computed tomography (CT) could help avert thousands of deaths each year. Since the implementation of screening is complex and underspecified, there is a need for systematic and theory-based strategies. Explore the implementation of lung cancer screening in primary care, in the context of integrating a decision aid into the electronic health record. Design implementation strategies that target hypothesized mechanisms of change and context-specific barriers. The study had two phases. The Qualitative Analysis phase included semi-structured interviews with primary care physicians to elicit key task behaviors (e.g., ordering a low-dose CT) and understand the underlying behavioral determinants (e.g., social influence). The Implementation Strategy Design phase consisted of defining implementation strategies and hypothesizing causal pathways to improve screening with a decision aid. Three key task behaviors and four behavioral determinants emerged from 14 interviews. Implementation strategies were designed to target multiple levels of influence. Strategies included increasing provider self-efficacy toward performing shared decision making and using the decision aid, improving provider performance expectancy toward ordering a low-dose CT, increasing social influence toward performing shared decision making and using the decision aid, and addressing key facilitators to using the decision aid. This study contributes knowledge about theoretical determinants of key task behaviors associated with lung cancer screening. We designed implementation strategies according to causal pathways that can be replicated and tested at other institutions. Future research is needed to evaluate the effectiveness of these strategies and to determine the contexts in which they can be effectively applied.

Indexed as

Early Detection of CancerLung NeoplasmsDecision MakingHumansMass ScreeningNeeds AssessmentPrimary Health CareClinical decision supportEligibilityImplementation strategyLung cancerScreeningShared decision making

Identifiers

PMID34424342
PMCPMC8848991

What OpenQuestion holds

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Registered trials

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.