Effectiveness of a Patient Education Class to Enhance Knowledge about Lung Cancer Screening: a Quality Improvement Evalu
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Effectiveness of a Patient Education Class to Enhance Knowledge about Lung Cancer Screening: a Quality Improvement Evaluation Lori C. Sakoda 1 & Melanie A. Meyer 2 & Neetu Chawla 1,3 & Michael A. Sanchez 4 & Maruta A. Blatchins 1 & Sundeep Nayak 5 & Karen San 2 & Gary K. Zin Jr 2 & George Minowada 6 & On behalf of The Permanente Medical Group Lung Cancer Screening Task Force
# American Association for Cancer Education 2019
Abstract Best practices to facilitate high-quality shared decision-making for lung cancer screening (LCS) are not well established. In our LCS program, patients are first referred to attend a free group education class on LCS, taught by designated clinician specialists, before a personal shared decision-making visit is scheduled. We conducted an evaluation on the effectiveness of this class to enhance patient knowledge and shared decision-making about LCS. For quality improvement purposes, participants were asked to complete one-page surveys immediately before and after class to assess knowledge and decision-making capacity regarding LCS. To evaluate knowledge gained, we tabulated the distributions of correct, incorrect, unsure, and missing responses to eight true-false statements included on both pre- and post-class surveys and assessed pre-post differences in the number of correct responses. To evaluate decision-making capacity, we tabulated the distributions of post-class responses to items on decision uncertainty. From June 2017 to August 2018, 680 participants completed both pre- and post-class surveys. Participants had generally poor baseline knowledge about LCS. The proportion who responded correctly to each knowledge-related statement increased pre- to post-class, with a mean difference of 0.9 (paired t test, p < 0.0001) in the total number of correct responses between surveys. About 70% reported having all the information needed to make a screening decision. Our results suggest that a well-designed group education class is an effective system-level approach for initially educating and equipping patients with appropriate knowledge to make informed decisions about LCS. Keywords Lung neoplasms . Mass screening . Patient education . Shared decision-making . Quality improvement
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13187-019-01540-3) contains supplementary material, which is available to authorized users. * Lori C. Sakoda [email protected] 1
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612, USA
2
Quality and Operations Support, The Permanente Medical Group, Oakland, CA, USA
3
Veterans Affairs Greater Los Angeles Healthcare System, North Hills, CA, USA
4
Regional Health Education, The Permanente Medical Group, Oakland, CA, USA
5
Department of Radiology, Kaiser Permanente Northern California, San Leandro, CA, USA
6
Department of Pulmonary Medicine, Kaiser Permanente Northern California, Vallejo, CA, USA
Results from the National Lung Screening Trial (NLST) support current guidel
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