Community Empowerment for Lung Cancer Prevention

Abstract

Purpose: Lung cancer remains a leading cause of mortality globally. This study aims to 1) investigate the effects of the Community Empowerment for Lung Cancer Prevention Program on participants' knowledge of lung cancer, including risk factors, symptoms, screening, treatment, and prevention; and 2) explore lessons learned, challenges, and recommendations from program implementation.

Design: A quasi-experimental with one-group pretest and posttest design, followed by focus group discussions.

Methods: A purposive sample of 132 adults aged 18 and above participated in a one-day educational program. Participants completed a pretest before and a posttest after the program. Focus group discussions were conducted at one and three months after the program with nine community leaders, guided by an interview protocol.

Results: After the program, participants demonstrated significantly higher knowledge compared to before the program. Community leaders were trained to disseminate knowledge, with focus group discussions conducted at 1- and 3-month follow-ups, revealing that crowded living conditions increased exposure to cigarette smoke. Long-term smokers struggled to quit despite awareness. Family influence, especially from children and grandchildren, was a strong motivator for cessation. Leaders emphasized the need for consistent education campaigns and suggested practical strategies such as smoker registration, mobile chest X-ray services for older adults, and youth-targeted activities. Financial and legal barriers were identified as key obstacles.

Conclusions: Community-specific strategies are essential for lung cancer prevention. Promoting awareness, self-monitoring, and preventive behaviors can reduce risk.

Clinical relevance: Community leaders and family members play crucial roles in smoking cessation. Results suggest that sustained education and culturally relevant messaging are critical to community empowerment for lung cancer prevention.