Educating Smokers About Lung Cancer Screening Using Tobacco Quitlines

Study Overview
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Brief Summary
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This implementation study will examine the best ways to refer heavy smokers to information about lung cancer screening.

Detailed Description
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PRIMARY OBJECTIVE: I. To increase the number of smokers eligible for lung cancer screening (LCS) who receive high-quality educational materials about LCS through tobacco quitlines. OUTLINE: CALL CENTER STAFF: Participants undergo training consisting of a 60-minute educational session. CALLERS SUBSTUDY: Participants are referred to lung cancer screening educational materials. Participants also complete questionnaires at 1 week and 6 months after referral to educational materials.

Official Title
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Educating Smokers About Lung Cancer Screening Using Tobacco Quitlines

Conditions
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Lung Carcinoma

Intervention / Treatment
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* Other: Educational Intervention
* Other: Educational Intervention
* Other: Questionnaire Administration
* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: QUITLINE CALL CENTER STAFF Staff member of a quitline Aged 18 years and above CALLERS (SMOKERS WHO CONTACT THE QUITLINE ABOUT SMOKING CESSATION SERVICES) INCLUSION CRITERIA Callers 55-80 years of age Current smoker, or former smoker with a cessation history of < 15 years >= 30 pack-year smoking history English-speaking Exclusion Criteria: CALLERS (SMOKERS WHO CONTACT THE QUITLINE ABOUT SMOKING CESSATION SERVICES) EXCLUSION CRITERIA History of lung cancer by self-report

Ages Eligible for Study
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Minimum Age: 18 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: Health Services Research
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Call center staff (educational intervention)<br>Participants undergo training consisting of a 60-minute educational session. | Other: Educational Intervention<br>* Undergo training consisting of a 60-minute educational session<br>* Other names: Intervention, Educational;Other: Survey Administration<br>* Ancillary studies<br>|
| Experimental: Callers substudy (LCS educational materials, questionnaire)<br>Participants are referred to lung cancer screening educational materials. Participants also complete questionnaires at 1 week and 6 months after referral to educational materials. | Other: Educational Intervention<br>* Receive lung cancer screening educational materials<br>* Other names: Intervention, Educational;Other: Questionnaire Administration<br>* Complete questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Content from communications (email, phone, monthly calls) | Will be content analyzed using Atlas.ti qualitative software according to the adaptation framework from Stirman and colleagues. Will identify 1) who made the modification; 2) what was modified (i.e., content, context, training and evaluation); 3) for whom the modification was made (e.g., individual counselor); 4) context of the modification (e.g., format, setting, personnel, population); and 5) what was the nature of the modification (e.g., adding elements). Will also code for facilitators and barriers that are consistent with the constructs from CFIR. All textual data will be double coded and discussed by the researchers. | Up to 4 years | 
| Healthcare sector perspective | As needed, will use a process-flow analysis to identify all resources utilized at each of the step of the program. | Up to 4 years | 
| Reach | The analysis of the data from the logs and surveys will include examining the means, medians, standard deviations, and ranges overall and by state quitline for Reach | During 6 month implementation period | 
| Overall lung cancer screening rate |  | Up to 6 months | 
| Effectiveness (Caller Substudy) | Will be successful if callers who participate in the evaluation answer at least 58 percent (7/12) of the Adapted lung cancer screening (LCS)-12 Knowledge Measure questions correctly and have a PrepDM score of at least 80 (standard deviation [SD] = 17.7), which were observed in the original project. | Up to 6 months |