Karen Kane McDonnell|Scott M. Strayer|Erica Sercy|Callie Campbell|Daniela B. Friedman|Kathleen B. Cartmell|Jan M. Eberth
Developing and testing a brief clinic?based lung cancer screening decision aid for primary care settings
University of South Carolina|University of South Carolina|University of South Carolina|University of South Carolina|University of South Carolina|Medical University of South Carolina|University of South Carolina
abstract background cancer screeningrelated decisions require patients evaluate complex medical information short time frames often primary care providers pcp know pcp play essential role facilitating comprehensive shared decision making sdm objective develop test decision aid da sdm strategy pcp highrisk patients design da tested 20 dyads dyad consisted one pcp one patient eligible screening prospective onegroup mixedmethod study design measured fidelity patient values screening intention acceptability satisfaction results four pcp 20 patients recruited urban academic medical centre patients female n 14 70 completed high school n 15 75 average age 65 years old half african american patients pcp rated da helpful easy read use acceptable terms time frame observed 116 minutes sd 27 patients n 16 80 indicated intent screened pcp recommended screening patients n 17 85 conclusions evidence supports value lung cancer screening ldct select highrisk patients guidelines endorse engaging patients pcp sdm discussions findings suggest using brief interactive plainlanguage culturally sensitive theorybased da sdm strategy feasible acceptable may essential effectively translate sustain adoption ldct screening recommendations clinic setting