Barriers to Integrating Tobacco Dependence Treatment into Lung Cancer Screening: A Qualitative Assessment.
Introduction/objective: We qualitatively assessed current practices and perceived barriers surrounding the integration of tobacco dependence treatment (TDT) into lung cancer screening (LCS). Methods: Informed by the Practical, Robust Implementation and Sustainability Model, we conducted semi-structu...
| Publicado en: | Journal of Primary Care & Community Health Vol. 16; pp. 1 - 8 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2/24/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183272864&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183272864 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21501319 AZBE jtl: Journal of Primary Care & Community Health issn: 21501319 maglogo: Y pubinfo: dt: 2/24/2025 vid: 16 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 183272864 183272864 183272864 10.1177/21501319251321608 183272864 ppf: 1 ppct: 7 formats: tig: atl: Barriers to Integrating Tobacco Dependence Treatment into Lung Cancer Screening: A Qualitative Assessment. aug: au: Pestka, Deborah L. Campbell, Megan E. Schmulewitz, Naomi A. Melzer, Anne C. affil: University of Minnesota, Minneapolis, MN, USA sug: subj: Smoking Therapy Lung Neoplasms Prevention and Control Cancer Screening Practice Patterns Evaluation Health Care Delivery, Integrated Attitude of Health Personnel Evaluation Personnel, Health Facility Psychosocial Factors Hospitals, Veterans Human Qualitative Studies Semi-Structured Interview Decision Making, Shared Reminder Systems Dashboard Systems Feedback Outcomes (Health Care) Referral and Consultation Quality Improvement Implementation Science Conceptual Framework Purposive Sample Interview Guides Descriptive Statistics Data Analysis Software Psychologists Registered Nurses Nurse Practitioners Social Workers Physicians, Family Pulmonologists Leaders Physicians Government Regulations Patient Participation Smoking Cessation Funding Source ab: Introduction/objective: We qualitatively assessed current practices and perceived barriers surrounding the integration of tobacco dependence treatment (TDT) into lung cancer screening (LCS). Methods: Informed by the Practical, Robust Implementation and Sustainability Model, we conducted semi-structured interviews with clinicians (n = 18) at 6 Veterans Affairs medical centers in the Midwest. Results: TDT was usually addressed at an initial shared decision-making visit but often not with subsequent rounds of screening or nodule follow-up. No site was aware that any TDT-related outcomes were tracked within their program. While the LCS clinical reminders included some aspects of tobacco use (eg, tobacco pack-years), they did not support clinicians in offering TDT or capture outcomes and were perceived as "checkboxes to nowhere." This was contrasted with other clinical reminders linked to dashboards that provide rolling feedback for important clinical outcomes (eg, diabetes care). Interviewees reported competing demands and limited expertise in motivational interventions as additional barriers. A dedicated team for TDT and a "one-click referral" were perceived as key success factors. Conclusions: TDT remains poorly integrated into LCS. Addressing identified barriers will require considerable investment in TDT resources and improvements to LCS tools to support the provision of cessation support. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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