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. 2026 Feb 19.
doi: 10.1186/s43058-026-00874-6. Online ahead of print.

Implementation of a hybrid lung health program for Northeast Texas: study protocol

Anastasia Rogova  1 , Lorraine R Reitzel  2 , Lisa M Lowenstein  1 , Paul M Cinciripini  2 , Maggie Britton  2 , Robert J Volk  1 , James G Fox  3 , Tzuan A Chen  4   5 , Jennifer A Minnix  6
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Free article

Implementation of a hybrid lung health program for Northeast Texas: study protocol

Anastasia Rogova et al. Implement Sci Commun. .
Free article

Abstract

Background: Lung cancer is the leading cause of cancer-related mortality in the United States. Lung cancer screening is recommended to individuals with a history of heavy cigarette smoking; it is proven to be effective in reducing lung cancer-related mortality, but the uptake remains low. In this project, we employ a hybrid model to ensure consistent screening for tobacco use and lung cancer screening eligibility, provision of tobacco cessation care, shared decision making for lung cancer screening, subsequent completion of screening, and navigation to follow-up care as needed, in Northeast Texas.

Methods: The project is a partnership between a comprehensive cancer center, a university-affiliated hospital system, and a Federally Qualified Health Center. The intervention is designed as a hybrid lung cancer screening program, with a mix of centralized and decentralized features, to deliver high-quality tobacco cessation and lung cancer screening care for individuals in Northeast Texas. Major components of the intervention include training clinicians in shared decision making for lung cancer screening and tobacco cessation interventions; ensuring consistent screening for tobacco use and identification of patients eligible to lung cancer screening; provision of tobacco cessation interventions; and lung cancer screening completion support and navigation for further care, including follow-up testing and lung cancer treatment, as needed.

Discussion: Through a hybrid care model, the project aims to enhance the quality of tobacco cessation care and shared decision making for lung cancer screening, increase screening uptake by eligible patients, and promote adherence to follow-up care and annual screening. The project also contributes to increased awareness of lung cancer and lung cancer screening in the community through dissemination and outreach strategies.

Keywords: Cancer prevention; Community engagement; Lung cancer screening; Shared decision-making; Tobacco cessation.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This work is focused on quality improvement in healthcare practice and did not meet the regulatory definition of human subjects research. The project procedures were approved by the Quality Improvement Assessment Board at the University of Texas MD Anderson Cancer Center on 1/28/25. UT Health East Texas Institutional Review Board determined 05/05/2025 that this project does not meet the definition of human subjects research and does not require IRB review and oversight. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

References

    1. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17–48. https://doi.org/10.3322/caac.21763.
    1. Cornelius ME, Loretan CG, Jamal A, et al. Tobacco product use among adults - United States, 2021. MMWR Morb Mortal Wkly Rep. 2023;72(18):475–83. https://doi.org/10.15585/mmwr.mm7218a1.
    1. Aberle DR, Adams AM, Berg CD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening - The National Lung Screening Trial Research Team. N Engl J Med. 2011;365(5):NEJMoa1102873.
    1. de Koning HJ, van der Aalst CM, de Jong PA, et al. Reduced lung-cancer mortality with volume CT screening in a randomized trial. N Engl J Med. 2020;382(6):503–13. https://doi.org/10.1056/NEJMoa1911793.
    1. Moyer VA. Screening for lung cancer: U.S. preventive services task force recommendation statement. Ann Intern Med. 2014;160(5):330–8. https://doi.org/10.7326/M13-2771.

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