PO.PS01.09 · 人群科学
迈向早期检测之路：一项关于社区参与移动式肺癌筛查的障碍与促进因素的调查
On the road to early detection: A survey of barriers and facilitators to community participation in mobile lung cancer screening
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摘要 Abstract
中文摘要
引言：移动筛查单元（MSU）是一种缓解社区获取癌症筛查方式障碍的创新策略。实施MSU的关键一步是识别可能影响社区利用的潜在障碍。因此，本研究的目标是开展一项全社区横断面调查，使用经过验证的调查测量工具评估移动式肺癌筛查的障碍与促进因素。
方法：患者入选条件包括在2023年1月1日至2024年12月1日期间在Moffitt Cancer Center（MCC）接受过任何癌症筛查，或在同一时期就诊于MCC且符合当前肺癌筛查指南的患者。基于网络的调查于2025年5月至2025年6月实施，包含来源于经过验证的测量工具、现有文献及研究团队自行开发问题的项目。调查收集了关于健康行为、障碍、促进因素、筛查偏好及人口学信息的数据。参与者完成调查后可获得10美元的Amazon礼品卡。采用描述性统计和探索性分层分析对调查回答进行量化。
结果：在完成调查的218名参与者中，33%报告曾与临床医生讨论过肺癌筛查。大多数参与者（73.4%）报告对在移动筛查单元中接受筛查无顾虑，但67.9%报告担心费用或保险是否覆盖移动式肺癌筛查，84.4%报告如果有代金券或保险付费他们会接受筛查。在偏好方面，54.1%报告对移动筛查活动的时节无偏好，59.6%报告愿意等待最多30分钟接受筛查，44%愿意行程超过20分钟接受筛查，44%偏好仅在周一至周五上午9点至下午5点在移动单元中接受筛查。按吸烟状况（曾吸烟与从不吸烟）、种族/族裔（非西班牙裔白人与所有其他群体）、年龄（<67岁与≥67岁）及退伍军人身份（曾服役/现役与非）进行的分层分析仅发现少数具有统计学意义的差异。
结论：在这项全社区调查研究中，移动式肺癌筛查被广泛接受。可操作的偏好包括：日间工作日活动、室内等候、短暂等待、邻近住所、明确的费用覆盖，以及简化的临床医生推荐。侧重于医疗提供者提示/转诊、财务透明（代金券/覆盖）及混合工作流程（代金券/覆盖）的实施策略可能提升参与度。
查看英文原文 English abstract
Introduction: Mobile screening units (MSUs) are an innovative strategy to mitigate barriers to community access to cancer screening modalities. A pivotal step in implementing an MSU is identifying potential barriers that may impact community utilization. Therefore, the goal of this study was to conduct a community-wide cross-sectional survey to assess barriers and facilitators to mobile lung cancer screening using validated survey measures.
Methods: Patient eligibility included have undergone any cancer screening at Moffitt Cancer Center (MCC) between Jan 1, 2023 and Dec 1, 2024, or patients who visited MCC during the same time and met current lung cancer screening guidelines. The web-based survey was administered from May 2025 to June 2025 and included items derived from validated measures, existing literature, and questions developed by the study team. The survey collected data on health behaviors, barriers, facilitators, screening preferences, and demographics. Participants were offered a $10 Amazon gift card upon survey completion. Descriptive statistics and exploratory stratified analyses were used to quantify survey responses.
Results: Among the 218 participants who completed the survey, 33% reported a prior clinician discussion about lung cancer screening. Most participants (73.4%) reported no concerns about getting screened in a mobile screening unit, but 67.9% reported concerned about the cost or if insurance covered mobile lung cancer screening, and 84.4% reported they would be screened if a voucher or insurance would pay for it. Regarding preferences, 54.1% reported no preference for the time of year for a mobile screening event, 59.6% reported they will be willing to wait up to 30 minutes to get screened, 44% would travel more than 20 minutes to get screened, and 44% preferred only Monday-Friday 9 am to 5 pm to get screened in a mobile unit. There were only few statistically significant differences found in stratified analyses by smoking status (ever vs. never), race/ethnicity (non-Hispanic Whites vs. all other groups), age (<67 vs. ≥67), and veteran status (former/active vs. no).
Conclusions: In this community-wide survey study, mobile lung cancer screening was broadly acceptable. Actionable preferences included: daytime weekday events, indoor waiting, short waits, proximity to home, clear cost coverage, and streamlined clinician recommendation. Implementation strategies that focus on provider prompts/referrals, financial transparency (vouchers/coverage), and hybrid workflows (vouchers/coverage) may enhance uptake.
利益披露 Disclosure
C. Cottrell-Daniels, None..
N. Sadig, None..
S. Haddan, None..
S. Roman, None..
V. N. Simmons, None..
M. B. Schabath, None.