{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:23:08Z","timestamp":1787570588967,"version":"build-2736575974"},"reference-count":55,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"UF Health Cancer Institute and the National Cancer Institute of the National Institutes of Health","doi-asserted-by":"publisher","award":["F30CA298514"],"award-info":[{"award-number":["F30CA298514"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Curr. Oncol.","Current Oncology"],"abstract":"<jats:p>Background\/Objectives: Although lung cancer is the leading cause of cancer-related deaths in the United States, rates of screening have remained persistently low nationwide. This study sought to identify barriers, facilitators, and support strategies necessary for implementing a novel community health navigator workflow to improve lung cancer screening uptake in both rural and urban settings. Methods: Semi-structured interviews were conducted with primary care providers (n = 5), community scientists (n = 7), community health navigators (n = 4), and radiology staff (n = 2). Interview transcripts were analyzed using a rapid qualitative analysis approach. Three authors coded based on the Consolidated Framework for Implementation Research (CFIR) and the Expert Recommendations for Implementing Change (ERIC) frameworks using a hybrid deductive\u2013inductive approach. Results: Participants highlighted several primary barriers: access to knowledge and information (e.g., knowledge of eligibility, knowledge of insurance coverage), IT infrastructure (e.g., quality of pack-year data), relative priority (e.g., need to discuss other conditions), and patient needs and resources (e.g., time off work, transportation, difficulty scheduling). Key facilitators for screening were again IT infrastructure (e.g., automated electronic health record alerts) as well as relational connections (e.g., trust between patients and providers). To address provider-level barriers, participants recommended educational meetings, using clinical champions, and providing feedback on current lung cancer screening rates. To address patient-level barriers, participants recommended health education tools, providing transportation vouchers, hosting weekend lung cancer screening clinics, and assisting with scheduling. Conclusions: A community navigator approach to lung cancer screening should address key barriers to implementation on both the patient and provider level, including knowledge, prioritization, and patient access.<\/jats:p>","DOI":"10.3390\/curroncol33090499","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:07:53Z","timestamp":1787566073000},"page":"499","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Barriers and Strategies to Support a Community Navigator-Driven Approach for Lung Cancer Screening"],"prefix":"10.3390","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3687-6990","authenticated-orcid":false,"given":"Miranda J.","family":"Reid","sequence":"first","affiliation":[{"name":"Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5615-723X","authenticated-orcid":false,"given":"Jennifer H.","family":"LeLaurin","sequence":"additional","affiliation":[{"name":"Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8774-5682","authenticated-orcid":false,"given":"Saba","family":"Ali","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4291-5727","authenticated-orcid":false,"given":"Caroline","family":"Sorial","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carma L.","family":"Bylund","sequence":"additional","affiliation":[{"name":"Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL 32611, USA"},{"name":"University of Florida Health Cancer Institute, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer N.","family":"Woodard","sequence":"additional","affiliation":[{"name":"University of Florida Health Cancer Institute, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2981-8060","authenticated-orcid":false,"given":"Easton N.","family":"Wollney","sequence":"additional","affiliation":[{"name":"Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL 32611, USA"},{"name":"University of Florida Health Cancer Institute, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7791-0753","authenticated-orcid":false,"given":"Dianne L.","family":"Goede","sequence":"additional","affiliation":[{"name":"General Internal Medicine, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Hyun","family":"Lee","sequence":"additional","affiliation":[{"name":"Biostatistics, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1261-239X","authenticated-orcid":false,"given":"Danielle S.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Community Health and Family Medicine, University of Florida, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6448-6033","authenticated-orcid":false,"given":"Lisa","family":"Carter-Bawa","sequence":"additional","affiliation":[{"name":"Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ 07110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8139-2418","authenticated-orcid":false,"given":"Ramzi G.","family":"Salloum","sequence":"additional","affiliation":[{"name":"Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL 32611, USA"},{"name":"University of Florida Health Cancer Institute, Gainesville, FL 32611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"ref_1","unstructured":"National Cancer Institute (2025). 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