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Evaluating knowledge, attitudes, and beliefs about lung cancer screening using crowdsourcing

Chest Feb 15, 2020

Monu J, Triplette M, Wood DE, et al. - Because of traditional participant recruitment strategies and examination of only subpopulations eligible for screening, there is a possibility of limited generalizability of prior studies that examined knowledge, attitudes, and beliefs to better understand the reasons underlying low screening rates. Researchers here employed crowdsourcing to recruit a wider population to evaluate these factors in a potentially more general population. To appraise the knowledge, attitudes, and beliefs regarding screening among individuals considered high-risk for lung cancer by the United States Preventive Services Task Force, they developed a 31-item survey. Amazon’s crowdsourcing platform—Mechanical Turk— was used to recruit individuals. They identified 240 respondents who qualified for this study; of these, 106 (44%) reported knowledge of a screening test for lung cancer. However, there were only 36 (35%) who correctly recognized low-dose computed tomography as the appropriate test. This suggests that only a minority of individuals at high-risk for lung cancer are knowledgeable concerning screening. However, the majority of these individuals consider that early detection saves lives and would pursue screening if advised by their primary care physician. They suggest improving patient and physician awareness of lung cancer screening as possibly valuable for improving screening rates.
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