Knowledge and attitudes of lung cancer screening in a high-risk, rural population
Methods: Community health workers conducted six focus groups in rural Kentucky in fall 2014 among individuals who were eligible to receive LCS (age 55-80, smoking > 30 pack year, quit smoking <15 years ago). Focus groups sought to a.) Assess knowledge and attitudes regarding low dose CT scan (LDCT) to screen for lung cancer, b.) Identify barriers to LCS uptake, and c.) Identify meaningful communication approaches related to LCS. Qualitative analysis was conducted to identify prevailing themes.
Results: Among 56 participants in the six focus groups, no one could accurately define LCS, although many believed that pulmonary function tests, chest x-rays, or biopsies were screening tools. Once participants were informed about LCS, there was interest in obtaining this service in all focus groups. Several wondered why their healthcare provider hadn’t already recommended it. Suggestions for message content included improved prognosis with early detection and protecting one’s health for the sake of their family. Participants suggested message appeal would be optimized with testimonials, and multiple communication channels were recommended.
Discussion: These findings informed the development of a community outreach campaign to increase LCS in the region and may inform other high risk rural-focused lung cancer screening initiatives.
Learning Areas:Assessment of individual and community needs for health education
Communication and informatics
Implementation of health education strategies, interventions and programs
Describe attitudes of a high-risk, rural population toward lung cancer screening. Identify barriers to lung cancer screening in a rural population. Formulate meaningful communication approaches related to lung cancer screening in a high-risk population.
Keyword(s): Cancer Prevention and Screening, Health Literacy
Qualified on the content I am responsible for because: I have served as the PI of more than half dozen NIH and CDC funded studies focused on cancer screening in underserved populations. I have published in health literacy and in cancer control in high risk populations.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.