Using User-Centered Design to Facilitate Adherence to Annual Lung Cancer Screening: Protocol for a Mixed Methods Study for Intervention Development.
Using User-Centered Design to Facilitate Adherence to Annual Lung Cancer Screening: Protocol for a Mixed Methods Study for Intervention Development.
复制标题
DOI：
10.2196/46657
复制
发表时间：
2023-04-14
影响因子：
1.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在美国，肺癌是癌症相关死亡的主要原因，大多数肺癌是在疾病转移后被诊断出来的。使用低剂量计算机断层扫描进行肺癌筛查(LCS)可以诊断早期疾病，特别是当符合条件的个人每年参加筛查时。不幸的是，每年的坚持已经成为学术和社区筛查计划的一个挑战，危及LCS的个人和人群健康利益。提醒信息有效地提高了乳腺癌、结直肠癌和宫颈癌筛查的依从率，但尚未在LCS参与者中进行测试，这些参与者经历了与吸烟耻辱和健康的社会决定因素相关的独特筛查障碍。本研究旨在与LCS专家和参与者一起，使用理论知识、多阶段和混合方法来开发一套清晰且引人入胜的提醒信息，以支持LCS的年度遵守。在目标1中，将收集由认知-社会健康信息处理模型提供信息的调查数据，以评估LCS参与者如何处理针对健康保护行为的健康信息，以开发提醒信息的内容，并确定信息目标和定制的选择。目标2侧重于通过修改后的PhotoVoice活动确定消息图像的主题，该活动要求参与者识别3张代表LC的图像，然后参与关于每张照片的选择、喜欢和不喜欢的采访。将在Aim 3中开发用于多个交付平台的候选报文池，将Aim 1的结果用于报文内容，将Aim 2的结果用于图像选择。信息内容和图像组合的改进将通过LCS专家和参与者的反复反馈完成。数据收集从2022年7月开始，将于2023年5月完成。候选人的最终提醒信息预计将于2023年6月完成。该项目提出了一种新的方法，通过在设计过程中直接编制包含代表目标人群的内容和图像的提醒信息，促进遵守年度《行动纲领》。制定有效的策略以提高长期保健服务的依从性，有助于在个人和人群健康水平上实现长期保健服务的最佳结果。DERR1-10.2196/46657
Lung cancer is the leading cause of cancer-related death in the United States, with the majority of lung cancer occurrence diagnosed after the disease has already metastasized. Lung cancer screening (LCS) with low-dose computed tomography can diagnose early-stage disease, especially when eligible individuals participate in screening on a yearly basis. Unfortunately, annual adherence has emerged as a challenge for academic and community screening programs, endangering the individual and population health benefits of LCS. Reminder messages have effectively increased adherence rates in breast, colorectal, and cervical cancer screenings but have not been tested with LCS participants who experience unique barriers to screening associated with the stigma of smoking and social determinants of health. This research aims to use a theory-informed, multiphase, and mixed methods approach with LCS experts and participants to develop a set of clear and engaging reminder messages to support LCS annual adherence. In aim 1, survey data informed by the Cognitive-Social Health Information Processing model will be collected to assess how LCS participants process health information aimed at health protective behavior to develop content for reminder messages and pinpoint options for message targeting and tailoring. Aim 2 focuses on identifying themes for message imagery through a modified photovoice activity that asks participants to identify 3 images that represent LCS and then participate in an interview about the selection, likes, and dislikes of each photo. A pool of candidate messages for multiple delivery platforms will be developed in aim 3, using results from aim 1 for message content and aim 2 for imagery selection. The refinement of message content and imagery combinations will be completed through iterative feedback from LCS experts and participants. Data collection began in July 2022 and will be completed by May 2023. The final reminder message candidates are expected to be completed by June 2023. This project proposes a novel approach to facilitate adherence to annual LCS through the development of reminder messages that embrace content and imagery representative of the target population directly in the design process. Developing effective strategies to increase LCS adherence is instrumental in achieving optimal LCS outcomes at individual and population health levels. DERR1-10.2196/46657