Understanding the barriers and facilitators for lung cancer screening implementation amongst key stakeholders

Project Details

This qualitative study aimed to elicit health care providers’ and policymakers’ views about the acceptability and feasibility of lung cancer screening (LCS), barriers and enablers to implementation in the Australian setting, and optimal implementation of evidence-based smoking cessation support.

Nearly all participants considered LCS to be acceptable and feasible but identified a wide range of implementation challenges at both the participant- and health system level. The development of awareness campaigns that engaged LCS participants and health professionals, streamlined referral processes for initial entry and follow-up, and ensuring that access and equity issues were carefully considered in program design were strongly advocated for. Participants also strongly supported capitalizing on an “opportune time” for smoking cessation and new LCS participant contact opportunities throughout the screening and assessment pathway.

Study design

  • Qualitative
  • Focus group
  • Interview

Project findings

Practical strategies to address equity and access, such as using mobile screening vans, were emphasised.

Researchers

  • A/Prof Nicole Rankin
  • Dr Rachael Dodd
  • Nathan Harrison

Funding

Accelerating Translation: Acceptability and Feasibility of Potential Lung Cancer Screening Implementation in Australian Communities

Grant number: 1185390

Research Outcomes

Dodd, R. H., Sharman, A. R., Marshall, H. M., Yap, M. L., Stone, E., Rhee, J., McCullough, A. O. M. S., & Rankin, N. M. (2023). "What do I think about implementing lung cancer screening? It all depends on how." Acceptability and feasibility of lung cancer screening in Australia: The view of key stakeholders about health system factors. PLoS One, 18(4), e0283939. https://doi.org/10.1371/journal.pone.0283939

Dodd, R. H., Sharman, A. R., Yap, M. L., Stone, E., Marshall, H., Rhee, J., McCullough, S., & Rankin, N. M. (2024). "We need to work towards it, whatever it takes."-participation factors in the acceptability and feasibility of lung cancer screening in Australia: the perspectives of key stakeholders. Transl Lung Cancer Res, 13(2), 240-255. https://doi.org/10.21037/tlcr-23-623

Harrison, N. J., Dodd, R. H., Sharman, A. R., Marshall, H. M., Stone, E., Rhee, J. J., Yap, M. L., McCullough, S., Paul, C., Bowden, J. A., Bonevski, B., & Rankin, N. M. (2024). "Because that is the right thing to do": A focus group study of Australian expert perspectives on offering smoking cessation support in lung cancer screening. Nicotine Tob Res. https://doi.org/10.1093/ntr/ntae215

Research Group

Evaluation and Implementation Science Unit

Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Centre for Health Policy

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