关键词: early detection implementation science lung cancer screening lung neoplasm shared decision‐making tobacco cessation

Mesh : Humans Female Male Lung Neoplasms / diagnosis Middle Aged Early Detection of Cancer / psychology Health Knowledge, Attitudes, Practice Smoking Cessation / methods psychology Adult Hotlines Surveys and Questionnaires Attitude of Health Personnel

来  源:   DOI:10.1002/cam4.7443   PDF(Pubmed)

Abstract:
OBJECTIVE: To evaluate the impact of training quitline staff in lung cancer screening (LCS) on knowledge and attitudes towards connecting quitline callers to LCS educational materials.
METHODS: We conducted a pre-post evaluation within a larger implementation project in the U.S. to support LCS among quitline callers. From July 2020 to June 2021, staff from four quitline service providers completed surveys before and after training on LCS knowledge. After training, staff completed the acceptability of intervention measure, intervention appropriateness measure, and feasibility of the intervention measure.
RESULTS: A total of 245 staff completed the initial demographic survey (analytic sample), 130 completed the pre-training survey, and 225 completed the post-training survey. Staff were on average 47.4 years old and 76.7% were female. LCS knowledge improved after the training (n = 120, mean difference = +26.5%, 95% CI 21.6, 31.4, p < 0.001). Overall, staff felt that connecting quitline callers to LCS education materials was acceptable (M = 4.0, SD = 0.8), appropriate (M = 4.1, SD = 0.7), and feasible (M = 4.0, SD = 0.7).
CONCLUSIONS: Receiving training about LCS eligibility and the benefits and harms of screening improved LCS knowledge among quitline staff. Quitline staff found that connecting callers with LCS educational materials is acceptable, appropriate, and feasible, and aligned with their primary mission.
摘要:
目的:评估在肺癌筛查(LCS)中培训戒烟者对将戒烟者与LCS教育材料联系起来的知识和态度的影响。
方法:我们在美国的一个更大的实施项目中进行了前后评估,以支持戒烟者中的LCS。从2020年7月到2021年6月,来自四家quitline服务提供商的员工在LCS知识培训前后完成了调查。培训后,工作人员完成了干预措施的可接受性,干预适当性措施,干预措施的可行性。
结果:共有245名员工完成了初步人口调查(分析样本),130完成了培训前调查,225人完成了培训后的调查。员工平均年龄为47.4岁,女性占76.7%。训练后LCS知识提高(n=120,平均差=+26.5%,95%CI21.6,31.4,p<0.001)。总的来说,工作人员认为将戒烟热线来电者连接到LCS教育材料是可以接受的(M=4.0,SD=0.8),适当(M=4.1,SD=0.7),且可行(M=4.0,SD=0.7)。
结论:接受有关LCS资格和筛查的益处和危害的培训可提高戒烟人员的LCS知识。Quitline工作人员发现,将呼叫者与LCS教育材料联系起来是可以接受的,适当,可行,并与他们的主要任务保持一致。
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