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Feasibility and Acceptability of a Collaborative Lung Cancer Screening Educational Intervention Tailored for Individuals With Serious Mental Illness.
Flores, Efrén J; Neil, Jordan M; Tiersma, Keenae M; Pappano, Catherine R; Mulligan, Caitlin; Van Alphen, Manjola U; Park, Elyse R; Irwin, Kelly E.
Afiliación
  • Flores EJ; Department of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts; Assistant Professor, Department of Radiology, Harvard Medical School, Boston, Massachusetts; The Mongan Institute, Massachusetts General Hospital, Boston, Massachuse
  • Neil JM; The Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Assistant Professor, Department of Family and Preventive Medicine, TSET Health Promotion Center, and Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
  • Tiersma KM; Department of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts; North Suffolk Mental Health Association, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
  • Pappano CR; Department of Radiology and Officer of Radiology, Community, and Health Equity, Massachusetts General Hospital, Boston, Massachusetts.
  • Mulligan C; North Suffolk Mental Health Association, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
  • Van Alphen MU; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Chief Medical Officer and Medical Director, Division of Ambulatory Services, North Suffolk Mental Health Association, Boston, Massachusetts.
  • Park ER; Professor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; Director, Behavioral Sciences, Tobacco Treatment & Research Center, the Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Director, Behavioral Research, Benson-Henry Institute for Mind Body
  • Irwin KE; Assistant Professor, Department of Radiology, Harvard Medical School, Boston, Massachusetts; Director, Collaborative Care and Community Engagement Program Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
J Am Coll Radiol ; 18(12): 1624-1634, 2021 12.
Article en En | MEDLINE | ID: mdl-34375628
PURPOSE: Individuals with serious mental illness (SMI) experience disparities in lung cancer mortality. Using a two-phase, mixed-methods approach, we developed a person-centered lung cancer screening (LCS) educational intervention (phase 1) for individuals with SMI (schizophrenia and bipolar disorder) and evaluated acceptability, feasibility, and changes in attitudes toward LCS (phase 2). METHODS: Phase 1: We conducted three focus groups with mental health, primary care, and radiology clinicians and utilized rapid qualitative analysis to adapt the LCS intervention (LCS walk-through video and smoking cessation handouts) tailored for individuals with SMI. Phase 2: We enrolled LCS-eligible patients with SMI (n = 15) and assessed the feasibility (>50% enrollment; >75% completion) and acceptability (>75% overall satisfaction) of an LCS educational intervention delivered by a radiologist and a mental health clinician at a community mental health clinic. We explored changes in participant attitudes about lung cancer, LCS, and smoking before and after the intervention. RESULTS: Phase 1: Focus groups with primary care (n = 5), radiologists (n = 9), and mental health clinicians (n = 6) recommended person-centered language and adapting a video demonstrating the process of LCS to address concerns specific to SMI, including paranoia and concrete thinking. Phase 2: Fifty percent (15 of 30) of eligible patients enrolled in the LCS intervention, 100% (15 of 15) completed the intervention, and 93% (14 of 15) were satisfied with the intervention. Participants reported a significantly greater worry about developing lung cancer postintervention, but there were no other significant differences. CONCLUSIONS: Radiologists can partner with primary care and community mental health clinics to lead equity efforts in LCS among individuals with SMI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cese del Hábito de Fumar / Neoplasias Pulmonares / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Qualitative_research / Screening_studies Límite: Humans Idioma: En Revista: J Am Coll Radiol Asunto de la revista: RADIOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cese del Hábito de Fumar / Neoplasias Pulmonares / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Qualitative_research / Screening_studies Límite: Humans Idioma: En Revista: J Am Coll Radiol Asunto de la revista: RADIOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos