Abstract

This Sigma-funded project aimed to compare health beliefs related to lung cancer screening (LCS) and the factors associated with these beliefs between high-risk individuals residing in China and Chinese American populations in the United States. The ultimate goal was to generate evidence to inform the development of context-specific nursing interventions that promote informed decision-making and increase participation in LCS among high-risk Chinese populations.

Description

The Sigma grant has been instrumental in advancing my long-term research program on lung cancer screening, behavioral decision-making, and nursing intervention development among high-risk populations. By supporting this cross-cultural comparative study, the grant enabled our team to generate novel evidence regarding the similarities and differences in health beliefs related to lung cancer screening between high-risk individuals residing in China and Chinese American populations in the United States. These findings have deepened our understanding of how healthcare systems, sociocultural contexts, and psychosocial factors influence screening beliefs and behaviors, providing an important theoretical and empirical foundation for future research.

The project has also established a solid platform for subsequent studies. Building on the findings, our research team has developed a series of theory-driven, nurse-led interventions integrating shared decision-making, digital patient decision aids, and patient navigation to promote informed decision-making and increase lung cancer screening participation among high-risk populations in China. Several of these studies have progressed to randomized controlled trials, extending the current work from identifying behavioral determinants to developing and evaluating evidence-based interventions that facilitate the translation of research findings into clinical practice.

In addition, the preliminary evidence generated through this Sigma-funded project has strengthened the scientific basis for subsequent grant applications and expanded opportunities for future multidisciplinary research. The project has also fostered sustainable international collaboration between Fujian Medical University and the University of Minnesota, creating opportunities for future collaborative studies, cross-cultural comparisons, and international academic exchange in cancer prevention and nursing research.

Beyond its direct scientific contributions, this project has contributed to the development of an integrated research program spanning behavioral science, implementation science, digital health, and cancer prevention. The knowledge, collaborative network, and research infrastructure established through this project will continue to support future longitudinal studies, intervention trials, and implementation research aimed at improving informed decision-making, increasing lung cancer screening uptake, and reducing disparities in cancer prevention among high-risk populations. Overall, the Sigma grant has served as a critical catalyst for developing a sustainable and internationally collaborative research program with meaningful implications for nursing practice, cancer prevention, and global health.

Notes

Supplemental file information: Unpublished manuscript. The file will not be visible in the item record for 18 months from the date of posting to allow the author to pursue traditional publication options.

Funding Acknowledgement: The author received a 2024 Patricia E. Thompson Global Research Grant.

Author Details

Feifei Huang, PhD, RN

Sigma Membership

Gamma Tau at-Large

Type

Report

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Qualitative Research

Keywords:

Lung Cancer Screening, Medical Screening, Lung Cancer, Early Detection of Cancer, Health Belief Model, Cross-Cultural Comparison; Cross-Cultural Studies, Chinese Americans, Screening Behavior, Health Behavior, Health Attitudes

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Sigma Grant Recipient Report

Acquisition

Proxy-submission

Date of Issue

2026-10-09

Full Text of Presentation

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Funder

Sigma Foundation for Nursing

Available for download on Sunday, April 09, 2028

Click on the above link to access the grant report.

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