Evidence map›Paper›PMID 37674596›Full record

ArticleFrontiers in health services2023

Rural barriers and facilitators of lung cancer screening program implementation in the veterans health administration: a qualitative study.

Jennifer A Lewis, Kemberlee Bonnet, David G Schlundt, Susan Byerly, Christopher J Lindsell, Claudia I Henschke, David F Yankelevitz, Sally J York, Fred Hendler, Robert S Dittus and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Frontiers in health services, 2023. 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
0.9field-weighted citation impact, top 20% 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, 4 citations in OpenAlex.

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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

16 authors at 7 institutions in 1 country.

Jennifer A LewisVeterans Health Administration-Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, TN, United States.
Kemberlee BonnetDepartment of Psychology, Vanderbilt University, Nashville, TN, United States.
David G SchlundtDepartment of Psychology, Vanderbilt University, Nashville, TN, United States.
Susan ByerlyVeterans Health Administration-Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, TN, United States.
Christopher J LindsellDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN, United States.
Claudia I HenschkeDepartment of Radiology, Icahn School of Medicine at Mount Sinai, NY, New York, United States.
David F YankelevitzDepartment of Radiology, Icahn School of Medicine at Mount Sinai, NY, New York, United States.
Sally J YorkVeterans Health Administration-Tennessee Valley Healthcare System, Medicine Service, Nashville, TN, United States.
Fred HendlerRex Robley VA Medical Center, Medicine Service, Louisville, KY, United States.
Robert S DittusVeterans Health Administration-Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, TN, United States.
Timothy J VogusCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, United States.
Sunil KripalaniCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, United States.
Drew MoghanakiVeterans Health Administration-Greater Los Angeles Veterans Affairs Medical Center, Radiation Oncology Service, Los Angeles, CA, United States.
Carolyn M AudetCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, United States.
Christianne L RoumieVeterans Health Administration-Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, TN, United States.
Lucy B SpallutoVeterans Health Administration-Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center (GRECC), Nashville, TN, United States.
Vanderbilt University Medical Center · USVanderbilt University · USIcahn School of Medicine at Mount Sinai · USLouisville VA Medical Center · USVA Tennessee Valley Healthcare System · USVeterans Health Administration · USWest Los Angeles College · US

Funding

Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
6 · The paper itself

Abstract

Introduction: To assess healthcare professionals' perceptions of rural barriers and facilitators of lung cancer screening program implementation in a Veterans Health Administration (VHA) setting through a series of one-on-one interviews with healthcare team members. Methods: Based on measures developed using Reach Effectiveness Adoption Implementation Maintenance (RE-AIM), we conducted a cross-sectional qualitative study consisting of one-on-one semi-structured telephone interviews with VHA healthcare team members at 10 Veterans Affairs medical centers (VAMCs) between December 2020 and September 2021. An iterative inductive and deductive approach was used for qualitative analysis of interview data, resulting in the development of a conceptual model to depict rural barriers and facilitators of lung cancer screening program implementation. Results: A total of 30 interviews were completed among staff, providers, and lung cancer screening program directors and a conceptual model of rural barriers and facilitators of lung cancer screening program implementation was developed. Major themes were categorized within institutional and patient environments. Within the institutional environment, participants identified systems-level (patient communication, resource availability, workload), provider-level (attitudes and beliefs, knowledge, skills and capabilities), and external (regional and national networks, incentives) barriers to and facilitators of lung cancer screening program implementation. Within the patient environment, participants revealed patient-level (modifiable vulnerabilities) barriers and facilitators as well as ecological modifiers (community) that influence screening behavior. Discussion: Understanding rural barriers to and facilitators of lung cancer screening program implementation as perceived by healthcare team members points to opportunities and approaches for improving lung cancer screening reach, implementation and effectiveness in VHA rural settings.

Indexed as

barriersfacilitatorsimplementation sciencelow-dose CTlung cancer screeningRE-AIMrural

Identifiers

PMID37674596
PMCPMC10477991
OpenAlexW4386073795

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.