Maine Lung Cancer Coalition: Using CHWs for the Annual Lung Cancer Screening Reminder

Study Overview
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Brief Summary
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This research study will test whether support from a Community Health Worker (CHW) to address barriers to annual LDCT screening will result in an increased number of patients who receive the annual screening as per the recommended standard of care compared to passive outreach using a reminder letter.

Detailed Description
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This research study is a randomized controlled trial comparing phone outreach by a trained Community Health Worker (CHW) following a reminder letter to the reminder letter alone for patients who are at least a month overdue to have a routine annual low dose CT scan (LDCT) screening for lung cancer. CHWs will be able to identify and address barriers to accessing screening for those patients randomized to that arm of the study. Outcomes that will be measured include scheduling and completing the LDCT as well as agreeing to a referral for tobacco treatment.

Official Title
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Maine Lung Cancer Coalition: Using CHWs for the Annual Lung Cancer Screening Reminder

Conditions
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Lung Cancer

Intervention / Treatment
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* Behavioral: Letter
* Behavioral: Community Health Worker Phone Call


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 30 or more pack years of tobacco use If no longer using tobacco, no more than 15 years since last use At least 13 months since last low dose CT scan screening Exclusion Criteria: Development of serious medical condition that would preclude treatment of lung cancer if found Death since baseline screen

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Eligible patients will be randomly assigned to one of the following two groups: 1. Control Group: o Annual reminder letter only Intervention Group: Annual reminder letter and Community Health Worker proactive outreach
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Letter<br>Patients will receive a letter reminding them that they are overdue for repeat annual screening. | Behavioral: Letter<br>* MaineGeneral Radiology will generate a reminder letter about their need for an annual low dose CT scan to the subjects in this arm.<br>|
| Experimental: Community Health Worker phone call<br>Patients will receive a phone call from community health worker, offering to help them overcome barriers to repeat annual screening and offering to help them schedule their screening. | Behavioral: Community Health Worker Phone Call<br>* Patients will receive a phone call from community health worker, offering to help them overcome barriers to repeat annual screening and offering to help them schedule their screening.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completed low dose CT scan | Percentage of patients who receive low dose CT scan within 3 months of the date on which they were initially contacted by letter | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scheduled low dose CT scan | Percentage of patients who schedule a low dose CT scan within 3 months of the date on which they were initially contacted by letter | through study completion, an average of one year | 
| Tobacco counseling | Percentage of current smokers in the CHW phone call arm who receive counseling about tobacco treatment | through study completion, an average of one year | 
| Maine Tobacco Helpline Referral | Percentage of current smokers in the CHW phone call arm who accept referral to Maine Tobacco Helpline | trhough study compeltion, an average of one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Screening