{"id":"https://openalex.org/W7154696331","doi":"https://doi.org/10.64898/2026.04.15.26350954","title":"On the road to early detection: A survey study of barriers and facilitators to community participation in a mobile lung cancer screening program","display_name":"On the road to early detection: A survey study of barriers and facilitators to community participation in a mobile lung cancer screening program","publication_year":2026,"publication_date":"2026-04-17","ids":{"openalex":"https://openalex.org/W7154696331","doi":"https://doi.org/10.64898/2026.04.15.26350954","pmid":"https://pubmed.ncbi.nlm.nih.gov/42064964"},"language":"en","primary_location":{"id":"doi:10.64898/2026.04.15.26350954","doi":"https://doi.org/10.64898/2026.04.15.26350954","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.04.15.26350954","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/04/17/2026.04.15.26350954.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/04/17/2026.04.15.26350954.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085221336","display_name":"Cherell Cottrell\u2010Daniels","orcid":"https://orcid.org/0000-0001-5530-5088","observed_orcids":["https://orcid.org/0000-0001-5530-5088"]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]},{"id":"https://openalex.org/I4210136441","display_name":"Health Choice Network","ror":"https://ror.org/03s0p4v02","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210136441"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cherell Cottrell-Daniels","raw_affiliation_strings":["Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","Reseach Department, Health Choice Network, Miami, FL, USA"],"raw_orcid":"https://orcid.org/0000-0001-5530-5088","affiliations":[{"raw_affiliation_string":"Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]},{"raw_affiliation_string":"Reseach Department, Health Choice Network, Miami, FL, USA","institution_ids":["https://openalex.org/I4210136441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5132914339","display_name":"Najy Sadig","orcid":"https://orcid.org/0009-0001-0718-6528","observed_orcids":["https://orcid.org/0009-0001-0718-6528"]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Najy Sadig","raw_affiliation_strings":["Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"],"raw_orcid":"https://orcid.org/0009-0001-0718-6528","affiliations":[{"raw_affiliation_string":"Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117232609","display_name":"Sofia Haddan","orcid":"https://orcid.org/0009-0003-9237-7269","observed_orcids":["https://orcid.org/0009-0003-9237-7269"]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sofia Haddan","raw_affiliation_strings":["Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5132837306","display_name":"Sashanna Roman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sashanna Roman","raw_affiliation_strings":["Participant Research, Interventions, and Measurement (PRISM) Core, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Participant Research, Interventions, and Measurement (PRISM) Core, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054915197","display_name":"Vani Nath Simmons","orcid":"https://orcid.org/0000-0002-4381-5336","observed_orcids":["https://orcid.org/0000-0002-4381-5336"]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vani N. Simmons","raw_affiliation_strings":["Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"],"raw_orcid":"https://orcid.org/0000-0002-4381-5336","affiliations":[{"raw_affiliation_string":"Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066835564","display_name":"Matthew B. Schabath","orcid":"https://orcid.org/0000-0003-3241-3216","observed_orcids":["https://orcid.org/0000-0003-3241-3216"]},"institutions":[{"id":"https://openalex.org/I3019308854","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I3019308854"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Matthew B. Schabath","raw_affiliation_strings":["Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"],"raw_orcid":"https://orcid.org/0000-0003-3241-3216","affiliations":[{"raw_affiliation_string":"Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA","institution_ids":["https://openalex.org/I3019308854"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5066835564"],"corresponding_institution_ids":["https://openalex.org/I3019308854"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.012900000438094139,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10060","display_name":"Smoking Behavior and Cessation","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/barriers-to-screening","display_name":"barriers to screening","score":0.6330000162124634},{"id":"https://openalex.org/keywords/facilitators-of-screening","display_name":"facilitators of screening","score":0.925000011920929},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.9449999928474426},{"id":"https://openalex.org/keywords/screening-preferences","display_name":"screening preferences","score":0.5080000162124634},{"id":"https://openalex.org/keywords/cost-concerns","display_name":"cost concerns","score":0.578000009059906},{"id":"https://openalex.org/keywords/insurance-coverage","display_name":"insurance coverage","score":0.9290000200271606},{"id":"https://openalex.org/keywords/travel-time","display_name":"travel time","score":0.42899999022483826},{"id":"https://openalex.org/keywords/waiting-time","display_name":"waiting time","score":0.6259999871253967},{"id":"https://openalex.org/keywords/clinician-recommendations","display_name":"clinician recommendations","score":0.6570000052452087},{"id":"https://openalex.org/keywords/early-detection","display_name":"early detection","score":0.5720000267028809},{"id":"https://openalex.org/keywords/lung-cancer-screening-eligibility","display_name":"lung cancer screening eligibility","score":0.5080000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7857999801635742},{"id":"https://openalex.org/C2777405583","wikidata":"https://www.wikidata.org/wiki/Q6704277","display_name":"Lung cancer screening","level":3,"score":0.7512999773025513},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5620999932289124},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5415999889373779},{"id":"https://openalex.org/C2776256026","wikidata":"https://www.wikidata.org/wiki/Q47912","display_name":"Lung cancer","level":2,"score":0.5357000231742859},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.4499000012874603},{"id":"https://openalex.org/C105458232","wikidata":"https://www.wikidata.org/wiki/Q689044","display_name":"Voucher","level":2,"score":0.4471000134944916},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.41530001163482666},{"id":"https://openalex.org/C173481278","wikidata":"https://www.wikidata.org/wiki/Q7257997","display_name":"Survey research","level":2,"score":0.4099000096321106},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.37470000982284546},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3571000099182129},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.3188999891281128},{"id":"https://openalex.org/C2781249084","wikidata":"https://www.wikidata.org/wiki/Q908656","display_name":"Preference","level":2,"score":0.3147999942302704},{"id":"https://openalex.org/C73945780","wikidata":"https://www.wikidata.org/wiki/Q814232","display_name":"Survey methodology","level":2,"score":0.28600001335144043},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.28529998660087585},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.28130000829696655},{"id":"https://openalex.org/C2988145974","wikidata":"https://www.wikidata.org/wiki/Q620615","display_name":"Mobile apps","level":2,"score":0.25679999589920044},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C3018590553","wikidata":"https://www.wikidata.org/wiki/Q136208","display_name":"Zip code","level":2,"score":0.2556999921798706},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.25540000200271606},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2549000084400177}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.64898/2026.04.15.26350954","doi":"https://doi.org/10.64898/2026.04.15.26350954","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.04.15.26350954","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/04/17/2026.04.15.26350954.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},{"id":"pmid:42064964","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42064964","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"medRxiv : the preprint server for health sciences","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13127490","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13127490/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.64898/2026.04.15.26350954","doi":"https://doi.org/10.64898/2026.04.15.26350954","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.04.15.26350954","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/04/17/2026.04.15.26350954.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G2552001102","display_name":null,"funder_award_id":"T32CA090314","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"},{"id":"https://openalex.org/G362094","display_name":null,"funder_award_id":"P30CA076292","funder_id":"https://openalex.org/F4320311073","funder_display_name":"Moffitt Cancer Center"},{"id":"https://openalex.org/G4551976579","display_name":null,"funder_award_id":"CA076292","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"},{"id":"https://openalex.org/G8135003176","display_name":null,"funder_award_id":"CA076292","funder_id":"https://openalex.org/F4320311073","funder_display_name":"Moffitt Cancer Center"},{"id":"https://openalex.org/G9000876523","display_name":"Moffitt Cancer Center Support Grant","funder_award_id":"P30CA076292","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320311073","display_name":"Moffitt Cancer Center","ror":"https://ror.org/01xf75524"},{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7154696331.pdf","grobid_xml":"https://content.openalex.org/works/W7154696331.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Background:":[0],"While":[1],"a":[2,17,117,143,163],"mobile":[3,118,131,164,216],"lung":[4,132,217],"cancer":[5,56,133,218],"screening":[6,57,90,119,165,219],"(mLCS)":[7],"program":[8],"can":[9],"mitigate":[10],"barriers":[11,22,200],"to":[12,20,25,39,50,79,98,173,176,179,190,234],"access,":[13],"this":[14],"study":[15,19],"conducted":[16],"survey":[18,73,100],"assess":[21],"and":[23,52,67,92,135,182,201,220,239],"facilitators":[24,202],"mLCS":[26,34],"which":[27,82],"could":[28],"inform":[29,37],"the":[30,107,125,158,204],"implementation":[31],"of":[32,48,160,215],"new":[33],"programs":[35],"or":[36,127,145],"modifications":[38],"existing":[40],"programs.":[41],"Methods:":[42],"Patient":[43],"eligibility":[44],"included":[45],"current":[46],"age":[47],"50":[49],"80":[51],"had":[53],"undergone":[54],"any":[55],"at":[58],"Moffitt":[59],"Cancer":[60],"Center":[61],"(MCC)":[62],"between":[63],"January":[64],"1,":[65,69],"2023":[66],"December":[68],"2024.":[70],"A":[71],"web-based":[72],"was":[74],"administered":[75],"from":[76],"May":[77],"2025":[78,81],"June":[80],"collected":[83],"data":[84],"on":[85],"health":[86],"behaviors,":[87],"barriers,":[88],"facilitators,":[89],"preferences,":[91,152],"demographics.":[93],"Descriptive":[94],"statistics":[95],"were":[96,194,206],"used":[97],"quantify":[99],"responses.":[101],"Results:":[102],"Among":[103],"participants":[104],"who":[105],"completed":[106],"survey,":[108],"73.4%":[109],"reported":[110,122,137,154,168],"no":[111,155,195],"concerns":[112],"about":[113,124],"getting":[114],"screened":[115,141],"in":[116,199],"unit,":[120],"67.9%":[121],"concerned":[123],"cost":[126,237],"if":[128,142],"insurance":[129,146],"covered":[130],"screening,":[134],"82.4%":[136],"they":[138,169],"would":[139,147,184],"be":[140,171],"voucher":[144],"pay":[148],"for":[149,157,162],"it.":[150],"For":[151],"54.1%":[153],"preference":[156],"time":[159],"year":[161],"event,":[166],"59.6%":[167],"will":[170],"willing":[172],"wait":[174],"up":[175],"30":[177],"minutes":[178,189],"get":[180,191],"screened,":[181],"44%":[183],"travel":[185],"more":[186],"than":[187],"20":[188],"screened.":[192],"There":[193],"statistically":[196],"significant":[197],"differences":[198],"when":[203],"analyses":[205],"stratified":[207],"by":[208],"LCS":[209],"eligibility.":[210],"Conclusions:":[211],"We":[212],"found":[213],"acceptability":[214],"preferences":[221],"that":[222],"are":[223],"actionable":[224],"including":[225],"daytime":[226],"weekday":[227],"events,":[228],"indoor":[229],"waiting,":[230],"short":[231],"waits,":[232],"proximity":[233],"home,":[235],"clear":[236],"coverage,":[238],"streamlined":[240],"clinician":[241],"recommendation.":[242]},"counts_by_year":[],"updated_date":"2026-10-15T10:00:46.086208","created_date":"2026-04-18T00:00:00"}
