Grant Number:	5R00CA277366-03 Interpret this number
Primary Investigator:	Richmond, Jennifer
Organization:	Wake Forest University Health Sciences
Project Title:	Developing a Trustworthy Multilevel Intervention to Improve Lung Cancer Screening
Fiscal Year:	2024

Lung cancer screening using low-dose computed tomography significantly reduces lung cancer mortality, the leading cause of cancer mortality in the United States. Despite its life-saving potential, lung cancer screening uptake remains extremely low among eligible populations. Multilevel barriers to lung cancer screening exist at the patient, provider, and health system levels. However, prior research assessing these barriers is limited by inadequate involvement of many communities affected by lung cancer (e.g., populations with lower access to health care) and by the exclusion of key health care staff (e.g., nurses) who often champion screening programs. Many health care interventions also lack trustworthiness, partly because they are often designed without community input. Little is known about how screening barriers can be addressed through implementation strategies that have an explicit goal to earn patient trust and improve lung cancer outcomes for all populations. Through three specific aims, this study will address these knowledge gaps. These aims are to: 1) identify multilevel barriers and facilitators to the implementation of lung cancer screening, 2) engage with community advisors and key stakeholders to identify multilevel implementation strategies to promote lung cancer screening, and 3) pilot test the feasibility of multilevel implementation strategies designed to improve lung cancer screening uptake (one at the patient level and one at the provider/system level). Overall, this innovative study will be among the first to respond to the need to increase lung cancer screening receipt for all populations. It will also lay the groundwork for a R01 application to evaluate the intervention pilot tested in this study.




Racism, discrimination, medical mistrust, stigma, and lung cancer screening: a scoping review.
Authors: Miriyala S. , Nguyen K.V. , Park A. , Hwang T. , Aldrich M.C. , Richmond J. .
Source: Ethnicity & Health, 2025-02-03 00:00:00.0; , p. 1-26.
EPub date: 2025-02-03 00:00:00.0.
PMID: 39901346
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Motivators and Barriers to COVID-19 Vaccination Intentions Across U.S. County-Level Barriers in the COVID-19 Vaccine Coverage Index.
Authors: Fernandez J.R. , Richmond J. , Strassle P.D. , Cunningham-Erves J. , Forde A.T. .
Source: Journal Of Racial And Ethnic Health Disparities, 2024-08-02 00:00:00.0; , .
EPub date: 2024-08-02 00:00:00.0.
PMID: 39093376
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Racial discrimination and healthcare system trust among American adults with and without cancer.
Authors: Brown J.A. , Taffe B.D. , Richmond J.A. , Roberson M.L. .
Source: Journal Of The National Cancer Institute, 2024-06-27 00:00:00.0; , .
EPub date: 2024-06-27 00:00:00.0.
PMID: 38937274
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Combined Breast and Lung Cancer Screening Among Dual-Eligible Women: A Descriptive Study.
Authors: Yue T. , Wong L.Y. , Jani C. , Agarwal L. , Al Omari O. , Aghagoli G. , Ahmed A. , Bhatt P. , Lee A. , Lotz M. , et al. .
Source: The Journal Of Surgical Research, 2024-06-10 00:00:00.0; , .
EPub date: 2024-06-10 00:00:00.0.
PMID: 38862305
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All of Us Participant Perspectives on the Return of Value in Research.
Authors: Richmond J. , Cunningham-Erves J. , Givens B. , Guide A. , Barnes L.K. , Fair A.M. , Carpenter S.M. , Chen Q. , Watson K.S. , Cohn E.G. , et al. .
Source: Genetics In Medicine : Official Journal Of The American College Of Medical Genetics, 2024-05-09 00:00:00.0; , p. 101163.
EPub date: 2024-05-09 00:00:00.0.
PMID: 38738530
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Patient Lung Cancer Screening Decisions and Environmental and Psychosocial Factors.
Authors: Richmond J. , Fernandez J.R. , Bonnet K. , Sellers A. , Schlundt D.G. , Forde A.T. , Wilkins C.H. , Aldrich M.C. .
Source: Jama Network Open, 2024-05-01 00:00:00.0; 7(5), p. e2412880.
EPub date: 2024-05-01 00:00:00.0.
PMID: 38819825
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Conceptualizing and Measuring Trust, Mistrust, and Distrust: Implications for Advancing Health Equity and Building Trustworthiness.
Authors: Richmond J. , Anderson A. , Cunningham-Erves J. , Ozawa S. , Wilkins C.H. .
Source: Annual Review Of Public Health, 2023-12-15 00:00:00.0; , .
EPub date: 2023-12-15 00:00:00.0.
PMID: 38100649
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Integrating participants as partners in research governance and operations: an approach from the All of Us Research Program Engagement Core.
Authors: Hammack-Aviran C. , Fair A.M. , Aldrich M. , Richmond J. , Carpenter S.M. , Watson K.S. , Cohn E.G. , Wilkins C.H. .
Source: Bmj Open, 2023-11-27 00:00:00.0; 13(11), p. e068100.
EPub date: 2023-11-27 00:00:00.0.
PMID: 38011981
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Patient perspectives on a proposed pharmacy-based colorectal cancer screening program.
Authors: Ferrari R.M. , Atkins D.L. , Wangen M. , Rohweder C.L. , Waters A.R. , Correa S. , Richmond J. , van Rensburg D. , Ittes A. , Odebunmi O. , et al. .
Source: Translational Behavioral Medicine, 2023-09-26 00:00:00.0; , .
EPub date: 2023-09-26 00:00:00.0.
PMID: 37756664
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Disparities in geospatial patterns of cancer care within urban counties and structural inequities in access to oncology care.
Authors: McGee-Avila J.K. , Richmond J. , Henry K.A. , Stroup A.M. , Tsui J. .
Source: Health Services Research, 2023 Aug; 58 Suppl 2(Suppl 2), p. 152-164.
EPub date: 2023-05-19 00:00:00.0.
PMID: 37208901
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County-level barriers in the COVID-19 vaccine coverage index and their associations with willingness to receive the COVID-19 vaccine across racial/ethnic groups in the U.S.
Authors: Fernandez J.R. , Strassle P.D. , Richmond J. , Mays V.M. , Forde A.T. .
Source: Frontiers In Public Health, 2023; 11, p. 1192748.
EPub date: 2023-10-12 00:00:00.0.
PMID: 37900019
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