{"doi":"10.1093/tbm/ibaf008","title":"Providing Reminders and Education Prior to lung cancer screening: Feasibility and acceptability of a multilevel approach to address disparities in lung cancer screening","abstract":"BACKGROUND: African American individuals experience disparities in the burden of lung cancer compared to other racial or ethnic groups. Yet, African Americans are less likely than White patients to have provider-initiated discussions about lung cancer screening (LCS). In addition to provider-level barriers, predictors of racial disparities include patient-level knowledge barriers and medical mistrust. This study assessed the feasibility and acceptability of provider- and patient-oriented approaches to increase uptake of LCS in a majority African American primary care clinic setting. METHODS: In Phase 1, we conducted surveys (N = 22) and usability testing with providers (N = 7) to develop a previsit planning message, a type of clinician reminder. The clinician reminder is sent via the electronic health record ahead of scheduled visits with screening-eligible participants to promote LCS discussion. We partnered with a primary care clinic (N = 5 providers; N = 399 patients 50-80 years old with a documented smoking history, no prior lung cancer diagnosis) to evaluate the impact of the reminder on LCS referral rates. In Phase 2, we conducted a pretest-posttest study (N = 16) to pilot a previsit phone-based patient education session. Patient-level LCS knowledge was assessed using 10 true/false items and a single item measured screening intentions. RESULTS: In Phase 1, LCS referrals increased from 6 6-months prepilot to 49 during the 6-month pilot period. The majority (89.8%) of the orders placed had a clinician reminder. In Phase 2, from pretest to posttest, there was improvement in LCS knowledge (mean percent correct: 63.3% to 76.7%; P = .013) and screening intentions (43.8% to 82%; P = .05). CONCLUSIONS: In a diverse clinical setting, we developed a feasible and acceptable multilevel approach aimed at increasing LCS equitably. CLINICAL TRIAL INFORMATION: The Clinical Trials Registration #NCT04675476.","journal":"Translational Behavioral Medicine","year":2025,"id":543774,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":1,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9552,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT04675476"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1269743,"name":"Julia Whealan","orcid":"0000-0001-5826-8913","position":1,"is_corresponding":false},{"id":252713,"name":"Anu Sangraula","orcid":null,"position":2,"is_corresponding":false},{"id":292843,"name":"Kathryn L. Taylor","orcid":"0000-0001-7351-0413","position":3,"is_corresponding":false},{"id":592311,"name":"Lucile L. Adams‐Campbell","orcid":"0000-0002-3444-3884","position":4,"is_corresponding":false},{"id":525775,"name":"Kristen Miller","orcid":"0000-0002-8991-2342","position":5,"is_corresponding":false},{"id":1270203,"name":"Katharine Glassmeyer","orcid":null,"position":6,"is_corresponding":false},{"id":1270204,"name":"Peyton Yee","orcid":null,"position":7,"is_corresponding":false},{"id":1270205,"name":"Kaylin Camidge","orcid":null,"position":8,"is_corresponding":false},{"id":411789,"name":"Kristie L. Foley","orcid":"0000-0002-3759-4581","position":9,"is_corresponding":false},{"id":62725,"name":"George Luta","orcid":"0000-0002-4035-7632","position":10,"is_corresponding":false},{"id":1433741,"name":"Kenneth Lin","orcid":"0000-0001-9643-5858","position":11,"is_corresponding":false},{"id":1434089,"name":"Rachelle Barnes","orcid":null,"position":12,"is_corresponding":false},{"id":1434090,"name":"William F. DuBoyce","orcid":null,"position":13,"is_corresponding":false},{"id":744572,"name":"Randi M. Williams","orcid":"0000-0003-0837-9281","position":0,"is_corresponding":true}],"reference_count":61,"raw_metadata":null,"created_at":"2026-07-19T02:53:08.338070Z","pmid":"40231692","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}