Development and Evaluation of Brief Web-Based Education for Primary Care Providers to Address Inequities in Lung Cancer Screening and Smoking Cessation Treatment.
Development and Evaluation of Brief Web-Based Education for Primary Care Providers to Address Inequities in Lung Cancer Screening and Smoking Cessation Treatment.
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为初级保健提供者开发和评估简短的网络教育，以解决肺癌筛查和戒烟治疗中的不平等问题。
DOI：
10.1007/s13187-023-02262-3
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Taylor,KathrynL
中科院分区：
文献类型：
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作者：
Smith,Laney;Williams,RandiM;Whealan,Julia;Windels,Allison;Anderson,EricD;Parikh,Vicky;Breece,ChavaliaJoan;Puran,Namita;Shepherd,AndreaK;Geronimo,Maria;Luta,George;Adams-Campbell,Lucile;Taylor,KathrynL
每年的肺癌筛查（LCS）是推荐给肺癌高危人群的。然而，初级保健提供者发起的关于LCS和转诊筛查的讨论总体上很低，特别是在黑人或非裔美国人和其他少数民族和种族群体中。在接受提供者戒烟建议方面也存在差异。需要有效的方法来提高供应商对LCS和烟草相关差异的了解，并提供资源以实现LCS费率的公平。我们报告的可行性和影响配对自我导向的肺癌健康差异（HD）基于网络的课程与国家培训网络肺癌筛查（LuCa）课程的初级保健提供者的知识LCS和与LCS相关的健康差异。在一项准实验研究中，从MedStar Health System招募的初级保健提供者（N= 91）被分配仅完成LuCa课程与LuCa + HD课程。我们测量前后LCS相关的知识和意见的课程。大多数（60.4%）提供者是住院医师。两组学生的后测知识差异无统计学意义（p> 0.05）。然而，在组内，从测试前到测试后，知识有所改善（仅LuCa（p= 0.03）; LuCa + HD（p< 0.001））。大多数供应商（81%）表示，他们计划在审查教育模块后改进其筛查和预防做法。这些研究结果提供了初步证据，表明该电子学习课程可用于教育供应商LCS，戒烟以及影响患者的相关差异。
Annual lung cancer screening (LCS) is recommended for individuals at high risk for lung cancer. However, primary care provider–initiated discussions about LCS and referrals for screening are low overall, particularly among Black or African Americans and other minoritized racial and ethnic groups. Disparities also exist in receiving provider advice to quit smoking. Effective methods are needed to improve provider knowledge about LCS and tobacco-related disparities, and to provide resources to achieve equity in LCS rates. We report the feasibility and impact of pairing a self-directed Lung Cancer Health Disparities (HD) Web-based course with the National Training Network Lung Cancer Screening (LuCa) course on primary care providers’ knowledge about LCS and the health disparities associated with LCS. In a quasi-experimental study, primary care providers (N= 91) recruited from the MedStar Health System were assigned to complete the LuCa course only vs. the LuCa + HD courses. We measured pre-post–LCS-related knowledge and opinions about the courses. The majority (60.4%) of providers were resident physicians. There was no significant difference between groups on post-test knowledge (p> 0.05). However, within groups, there was an improvement in knowledge from pre- to post-test (LuCa only (p= 0.03); LuCa + HD (p< 0.001)). The majority of providers (81%) indicated they planned to improve their screening and preventive practices after having reviewed the educational modules. These findings provide preliminary evidence that this e-learning course can be used to educate providers on LCS, smoking cessation, and related disparities impacting patients.