Using Implementation Science to Disseminate a Lung Cancer Screening Education Intervention Through Community Health Workers

Lovoria B. Williams, Brent J. Shelton, Maria L. Gomez, Yazan D. Al-Mrayat, Jamie L. Studts

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


National lung cancer screening with low dose computed tomography (LDCT) uptake is suboptimal. One factor contributing to slow uptake is lack of awareness. Trained Community Health Workers (CHWs) may be effective in increasing lung cancer screening awareness among disparate populations, however little is known about the processes necessary to scale an intervention for implementation by CHWs in a new area. We examined implementation processes with the RE-AIM framework and pilot tested a CHW-delivered lung cancer education intervention based on the Health Belief Model. We measured pre-post participant knowledge, attitudes and beliefs regarding cancer screening, lung cancer stigma, and intent to obtain LDCT screening. We used community-engaged strategies to collaborate with a local health system, to identify CHWs. CHWs were trained to recruit participants and deliver the one-session lung cancer education intervention. Seven CHWs and eight community sites participated. Participants (n = 77) were female (53%) primarily low income (62.9%); tobacco use was high (36.9%). Post intervention changes in lung cancer screening knowledge (p = <.0001), attitudes regarding lung cancer screening benefit (p =.034) and lung cancer stigma. (p =.024) We learned important lessons that will be useful in subsequent scaling. Collaborating with a local health system is a promising method to disseminate a lung cancer screening education intervention.

Original languageEnglish
Pages (from-to)165-173
Number of pages9
JournalJournal of Community Health
Issue number1
StatePublished - Feb 2021

Bibliographical note

Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.


  • Community health worker
  • Dissemination and implementation
  • Education
  • Lung cancer screening
  • Lung cancer stigma

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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