Designing an Implementation Strategy for Lung Screening and Smoking Cessation Treatment in Community Health Centers

Study Overview
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Brief Summary
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Tobacco use is the leading preventable cause of death in the US and a major driver of health disparities. Among our tools for reducing the harms of tobacco is lung cancer screening (LCS). This study will combine a review of existing qualitative and quantitative data on barriers to lung cancer screening and smoking cessation in underserved populations, a quantitative analysis of predictors of lung cancer screening and smoking cessation treatment use among Massachusetts Federally Qualified Health Centers (FQHC)s, and a stakeholder advisory group to synthesize these data and select implementation strategies that reflects the critical determinants and the strengths and resource constraints of the Federally Qualified Health Centers (FQHC) context.

Detailed Description
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Aim 1) To design an implementation strategy that targets critical components in the delivery of SCT or LCS services for patients who smoke. Aim 2) To assess the acceptability, appropriateness and feasibility of the implementation strategy among community health center staff.

Official Title
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A Systematic Approach to Designing an Implementation Strategy to Increase Lung Cancer Screening and Smoking Cessation Treatment Among Federally Qualified Community Health Center Patients Who Smoke

Conditions
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Smoking Cessation

Intervention / Treatment
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* Other: Qualitative Group Interviews
* Other: Stakeholder advisory group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: FQHC implementation team including staff in the intervention FQHCs and their lung screening partners Exclusion Criteria: FQHC staff or partners who leave the organization before end of study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Stakeholder Advisory Group<br>To co-design an implementation strategy that targets critical components in the delivery of SCT or LCS services for patients who smoke. Convene a stakeholder advisory group (CHC providers, quality improvement specialists, community engagement staff, and specialty providers) to review the results of the literature review and quantitative analysis of deidentified data in order to select a set of implementation strategies from a menu of strategies to implement. The team will meet with the stakeholder advisory group four times for 1-2 hours each. | Other: Qualitative Group Interviews<br>* One time interview, 60-90 minutes<br>Other: Stakeholder advisory group<br>* The team will meet with the stakeholder advisory group four times for 1-2 hours each<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of Intervention Measure | Feasibility of Intervention Measure | End of study, up to 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of Intervention Measure | Acceptability of Intervention Measure | End of study, up to 16 weeks | 
| Intervention appropriateness measure | Intervention appropriateness measure | End of study, up to 16 weeks |