Your browser doesn't support javascript.
loading
Stakeholder Research Priorities to Promote Implementation of Shared Decision-Making for Lung Cancer Screening: An American Thoracic Society and Veterans Affairs Health Services Research and Development Statement.
Am J Respir Crit Care Med ; 205(6): 619-630, 2022 03 15.
Article en En | MEDLINE | ID: mdl-35289730
ABSTRACT
Rationale Shared decision-making (SDM) for lung cancer screening (LCS) is recommended in guidelines and required by Medicare, yet it is seldom achieved in practice. The best approach for implementing SDM for LCS remains unknown, and the 2021 U.S. Preventive Services Task Force calls for implementation research to increase uptake of SDM for LCS.

Objectives:

To develop a stakeholder-prioritized research agenda and recommended outcomes to advance implementation of SDM for LCS.

Methods:

The American Thoracic Society and VA Health Services Research and Development Service convened a multistakeholder committee with expertise in SDM, LCS, patient-centered care, and implementation science. During a virtual State of the Art conference, we reviewed evidence and identified research questions to address barriers to implementing SDM for LCS, as well as outcome constructs, which were refined by writing group members. Our committee (n = 34) then ranked research questions and SDM effectiveness outcomes by perceived importance in an online survey.

Results:

We present our committee's consensus on three topics important to implementing SDM for LCS 1) foundational principles for the best practice of SDM for LCS; 2) stakeholder rankings of 22 implementation research questions; and 3) recommended outcomes, including Proctor's implementation outcomes and stakeholder rankings of SDM effectiveness outcomes for hybrid implementation-effectiveness studies. Our committee ranked questions that apply innovative implementation approaches to relieve primary care providers of the sole responsibility of SDM for LCS as highest priority. We rated effectiveness constructs that capture the patient experience of SDM as most important.

Conclusions:

This statement offers a stakeholder-prioritized research agenda and outcomes to advance implementation of SDM for LCS.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Veteranos / Neoplasias Pulmonares Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2022 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Veteranos / Neoplasias Pulmonares Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2022 Tipo del documento: Article