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. Author manuscript; available in PMC: 2024 Oct 1.
Published in final edited form as: Patient Educ Couns. 2023 Jun 29;115:107871. doi: 10.1016/j.pec.2023.107871

Table 3.

Data Display Integrating Phase I (QUAN) and Phase II (QUAL) Findings

Variable Phase I: Summary Statistic Phase II: Categories Interpretation Opportunities for Future Intervention/Training
Knowledge 2.7 (1.4); range 0–7 Lack of knowledge; Teachable moment for tobacco treatment Self-awareness of low knowledge regarding lung cancer screening with potential to impact self-efficacy to engage in a shared discussion with a patient about lung cancer screening
  • Develop educational content about lung cancer screening relevant to the context of a tobacco treatment encounter

  • Develop resources for TTSs that support the integration of lung cancer screening and the teachable moment of tobacco treatment

Barriers 44.2% lack of knowledge 11.0% belief that LCS may expose patient to harms a) patient fear, worry and fatalism; (b) worried about scaring the patient; (c) complexity of navigating the healthcare system; (d) lack of clinician knowledge about lung cancer screening; (e) cost; and (f) worry about scope of practice Qualitative results expand understanding of potential barriers
  • Provides the opportunity for content to be developed for future intervention with TTSs that include overcoming perceived patient and TTS barriers

Practice Behaviors 62.6% patients rarely or never ask about LCS Highly variable results for TTS discussing LCS with their patients (38.1% most or always discuss; 32.3% rarely or never discuss (a) opportunity to advocate for screening as important for the patient’s lung health; and (b) never had a patient ask and never asked a patient. Bidirectional avoidance of topic of lung screening
  • Importance of developing and disseminating clinical decision support tools that facilitate patient-clinician discussions about lung cancer screening from the TTS perspective