Mayuko Ito Fukunaga

University of Massachusetts Medical School | UMMS · Department of Medicine

Rationale: Shared decision-making (SDM) for lung cancer screening (LCS) is recommended in guidelines and required by Medicare, yet it is seldom achieved in practice. The best approach for implementing SDM for LCS remains unknown, and the 2021 U.S. Preventive Services Task Force calls for implementation research to increase uptake of SDM for LCS. Ob...

Introduction We used a longitudinal cohort of U.S. adults who were current or former smokers to explore how three participant-reported factors — general stress, COVID-19 distress, and perceived risk of complications from COVID-19 related to smoking — were associated with changes in smoking status. Methods Smoking status was assessed at three time...

BACKGROUND Patient-centered communication (PCC) plays a vital role in effective cancer management and care. Patient portals are increasingly available to patients and hold potential as a valuable tool to facilitate PCC. However, whether the use of patient portals may improve perceived PCC or which mechanisms might mediate this relationship has not...

Background: Patient-centered communication (PCC) plays a vital role in effective cancer management and care. Patient portals are increasingly available to patients and hold potential as a valuable tool to facilitate PCC. However, whether more frequent use of patient portals is associated with increased perceived PCC and which mechanisms might medi...

Objective To understand the impact of sharing clinic notes on communication and self-management among patients with COPD and to develop recommendations for writing patient-centered notes. Methods Thirty patients with COPD participated in ‘think-aloud’ interviews in which they reviewed their COPD-specific clinic note. Interviews were coded using co...

The United States Preventive Services Task Force (USPSTF) recently updated its recommendation statement regarding lung cancer screening (LCS) using low-dose computed tomography (LDCT).¹ This update was based on a systematic evidence synthesis,² including review of more than 220 publications, and informed by extensive decision analysis modeling by t...

The Centers for Medicare and Medicaid Services has mandated in-person shared decision-making (SDM) counseling with the use of one or more decision aids (DAs) prior to lung cancer screening. We developed a single-page, paper-based, encounter DA (EDA) to be used within a clinician-patient encounter for lung cancer screening and conducted a pre-post p...

Background: Shared decision-making (SDM) counseling for lung cancer screening is recommended by multiple professional societies and mandated by the Center for Medicare and Medicaid Services since lung cancer screening has both benefits and risks. However, uptake of SDM counseling as well as lung cancer screening itself remain low. We sought to deve...

BACKGROUND: Patient reminders for influenza vaccination, delivered via an electronic health record patient portal and interactive voice response calls, offer an innovative approach to engaging patients and improving patient care. OBJECTIVE: The goal of this study was to test the effectiveness of portal and interactive voice response outreach in imp...

Background Decisions about lung cancer screening are inherently complex and create a need for methods to convey the risks and benefits of screening to patients. Research Question What kind of decision aids or tools are available to support shared-decision making for lung cancer screening? What is the current evidence for the effectiveness, accepta...

The Centers for Medicare and Medicaid Services (CMS) has mandated shared decision making (SDM) using patient decision aids for three conditions (lung cancer screening, atrial fibrillation, and implantable defibrillators). These forward-thinking approaches are in response to a wealth of efficacy data demonstrating that decision aids can improve pati...

Background Although African Americans have the lowest rates of smoking onset and progression to daily smoking, they are less likely to achieve long-term cessation. Interventions tailored to promote use of cessation resources in African American individuals who smoke are needed. In our past work, we demonstrated the effectiveness of a technology-ass...

BACKGROUND Although African Americans have the lowest rates of smoking onset and progression to daily smoking, they are less likely to achieve long-term cessation. Interventions tailored to promote use of cessation resources in African American individuals who smoke are needed. In our past work, we demonstrated the effectiveness of a technology-ass...

BACKGROUND Patient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal and interactive voice response (IVR) calls, offer an innovative approach to engaging patients and improving patient care. OBJECTIVE To test the effectiveness of portal and IVR outreach in improving rates of influenza vaccination, tar...

Background: Patient reminders for influenza vaccination, delivered via an electronic health record patient portal and interactive voice response calls, offer an innovative approach to engaging patients and improving patient care. Objective: The goal of this study was to test the effectiveness of portal and interactive voice response outreach in...

Background. Low-dose computed tomography (LDCT) screening for lung cancer is a preference-sensitive intervention that should ideally be individualized according to patients’ likelihood of benefit and personal values. Personalized cancer risk information (PCRI) may facilitate this goal, but its effects are unknown. Objective. To evaluate the effects...

SESSION TITLE: Lung Cancer Screening & Diagnosis Posters SESSION TYPE: Original Investigation Poster PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM PURPOSE: To evaluate: 1) Feasibility and initial outcomes of a community- and pulmonary specialty-based program for lung cancer screening (LCS) using low-dose CT (LDCT). 2) Effects of...