Development and Evaluation of Brief Web-based Education for Primary Care Providers to Address Inequi
				Thursday, January 19, 2023  		
		 Posted by: Natalia Gromov		
	
			 
			
			
			 
				Smith
L, Williams RM, Whealan J, Windels A, Anderson ED, Parikh V, Breece CJ, Puran
N, Shepherd AK, Geronimo M, Luta G, Adams-Campbell L, Taylor KL. 
Development and Evaluation
of Brief Web-based Education for Primary Care Providers to Address Inequities
in Lung Cancer Screening and Smoking Cessation Treatment. 
J Cancer Educ. 2023 Jan 13. doi: 10.1007/s13187-023-02262-3. Epub ahead of
print. PMID: 36637713. 
 
Annual lung cancer screening (LCS) is recommended for individuals at high risk
for lung cancer. However, primary care provider-initiated discussions about LCS
and referrals for screening are low overall, particularly among Black or
African Americans and other minoritized racial and ethnic groups. Disparities
also exist in receiving provider advice to quit smoking. Effective methods are
needed to improve provider knowledge about LCS and tobacco-related disparities,
and to provide resources to achieve equity in LCS rates. We report the
feasibility and impact of pairing a self-directed Lung Cancer Health
Disparities (HD) Web-based course with the National Training Network Lung
Cancer Screening (LuCa) course on primary care providers' knowledge about LCS
and the health disparities associated with LCS. In a quasi-experimental study,
primary care providers (N = 91) recruited from the MedStar Health System were
assigned to complete the LuCa course only vs. the LuCa + HD courses. We
measured pre-post-LCS-related knowledge and opinions about the courses. The
majority (60.4%) of providers were resident physicians. There was no
significant difference between groups on post-test knowledge (p > 0.05).
However, within groups, there was an improvement in knowledge from pre- to
post-test (LuCa only (p = 0.03); LuCa + HD (p < 0.001)). The majority of
providers (81%) indicated they planned to improve their screening and
preventive practices after having reviewed the educational modules. These
findings provide preliminary evidence that this e-learning course can be used
to educate providers on LCS, smoking cessation, and related disparities
impacting patients. 
 
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