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Lung Cancer Screening Outreach Program in an Urban Native American Clinic
Journal article   Open access   Peer reviewed

Lung Cancer Screening Outreach Program in an Urban Native American Clinic

Camille Robichaux, Madison Anderson, Rebecca Freese, Antony Stately and Abbie Begnaud
Journal of primary care & community health, Vol.14, p.21501319231212312
2023
DOI: 10.1177/21501319231212312
PMID: 37994788
url
https://doi.org/10.1177/21501319231212312View
Published (Version of record) Open Access

Abstract

Objectives: To evaluate uptake of lung cancer screening in an urban Native American clinic using 2 culturally targeted promotion strategies. Methods: Patients eligible for lung cancer screening from July 2019 to July 2021 were randomized to receive either a single culturally-targeted mailer from the clinic regarding possible eligibility for screening, or the same mailer plus a follow-up text message and additional mailing. Results: Overall, there were low rates of shared decision-making visit scheduling (8.5%) with no difference between promotion strategy groups (9.4% in control group vs 7.7% in culturally-targeted outreach group). Only about 50% of the lung cancer screening CT exams ordered were completed and returned to the clinic. Conclusions: While there was no difference between arms in this intervention, 8.5% of the sample did complete a shared decision-making visit after these low-cost interventions. The gap between the number of screening CTs ordered and number who completed the CT represents an area where further interventions should focus.
Community Health Health Promotion Lung Cancer cancer screening Native American health

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