数字健康传播内容与推送促进肺癌筛查共享决策的混合方法形成性评估与文化适配
本研究采用混合方法（横断面调查与可用性观察）对LungSMART Utah项目面向社区健康中心患者的数字健康传播内容进行形成性评估与文化适配。消息研究（N=79）显示患者对内容评价总体积极，英语和西班牙语评价相似；可用性评估（N=17）发现选择过载和消息顺序等技术推送障碍。西班牙语参与者提出需使用口语化替代正式医学术语、明确费用透明度和缓解获取焦虑，所有参与者认为内容来自社区健康中心有助于建立信任。
要点
- 患者对肺癌筛查数字传播内容评价总体积极，英语和西班牙语版本评价相似。
- 可用性评估发现选择过载和消息顺序等技术推送障碍需解决。
- 西班牙语参与者需口语化术语、费用透明和缓解获取焦虑的文化适配。
核心结论
- 混合方法形成性评估与文化适配为开发数字人群健康工具提供了重要见解。
- 解决技术推送差距和特定社区关切将提高低资源环境下肺癌筛查推广的可及性和有效性。
研究设计与样本
- 采用混合方法（横断面调查和可用性观察）评估已开发内容并确保文化适配。
- 消息研究（N=79）使用在线调查评估患者对内容质量的感知并收集英语和西班牙语反馈。
- 可用性评估（N=17）采用出声思维协议评估用户体验和技术推送。
主要发现
- 消息研究中患者对内容评价总体积极，英语和西班牙语评价相似，部分参与者建议调整措辞。
- 可用性评估发现关键技术和推送障碍，包括部分项目组件选择过载和消息顺序问题。
- 西班牙语参与者的文化适配见解强调需使用口语化替代正式医学术语、明确费用透明度和解决获取焦虑。
- 所有参与者表示注意到消息内容来自社区健康中心有助于建立信任。
临床怎么用
- 在低资源社区健康中心推广肺癌筛查共享决策时，应优先解决数字工具的技术推送障碍。
- 针对西班牙语人群的文化适配需采用口语化表达、明确费用信息并缓解获取焦虑。
- 强调消息来源为社区健康中心可增强患者信任。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
Cancer Control. 2026 Jan-Dec;33:10732748261456371. doi: 10.1177/10732748261456371. Epub 2026 May 27. ABSTRACT IntroductionLung cancer remains a leading cause of cancer death, though lung cancer screening (LCS) uptake remains low, particularly among low-resource patient populations. LungSMART Utah uses a multi-level approach to promote LCS to patients served by Community Health Centers (CHCs). This paper reports on the formative evaluation and cultural adaptation of the project's patient-facing digital health communication content and delivery, in service of the larger population health effort to promote shared decision-making for LCS.MethodsWe used a mixed-method approach (cross-sectional surveys and usability observations) to evaluate developed content and ensure cultural adaptation to serve all patients within the CHCs. First, a messaging study ( N =79) used an online survey to evaluate patient perceptions of content quality and to collect feedback on the quality of content in both English and Spanish. Second, a usability assessment ( N =17) employed think-aloud protocols to evaluate user experience and technical delivery.ResultsPatients in the messaging study generally rated content favorably. Content evaluations were similar in English and Spanish, though some participants did suggest phrasing changes. The usability assessment identified critical technical and delivery hurdles, including feeling overloaded by choices for some project components and message sequencing concerns. Cultural adaptation insights from Spanish-speaking participants highlighted the need for conversational alternatives to some formal medical terms, explicit transparency about cost, and addressing access anxiety. All participants indicated noting message content came from the CHCs helped foster trust.ConclusionMixed-method formative evaluation and cultural adaptation provide important insights for developing digital population health tools. Addressing technical delivery gaps and specific community concerns will improve the reach and efficacy of LCS promotion in low-resource settings. PMID: 42201308 | PMC: PMC13219954 | DOI: 10.1177/10732748261456371
引用
- PubMed 高证据 · 肺结节与肺癌筛查：Mixed-Method Formative Evaluation and Cultural Adaptation of Digital Health Communication Content and Delivery Promoting Lung Cancer Screening Shared Decision-Making
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。