A Patient and Provider Intervention to Address Health Disparities in Lung Cancer Screening

Study Overview
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Brief Summary
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To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.

Official Title
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A Multilevel Intervention to Address Health Disparities in Lung Cancer Screening

Conditions
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Lung Cancer

Intervention / Treatment
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* Behavioral: Provider Prompt & Patient Outreach and Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 50-80 years old; current cigarette smoker or quit within 15 years; a 20+ pack-year smoking history; non-adherent to lung screening (>13 months); English-speaking; scheduled for an upcoming clinic appointment (4 weeks - 8 weeks); and able and willing to provide meaningful consent and complete telephone interviews Exclusion Criteria: Individuals with a history of lung cancer

Ages Eligible for Study
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Minimum Age: 50 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: Screening
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multilevel Intervention<br> | Behavioral: Provider Prompt & Patient Outreach and Education<br>* To target lack of provider-prompted discussion about lung screening, an electronic medical record (EMR) message will be sent to primary care providers prior to scheduled visits with screening-eligible patients to notify them of the patient's eligibility and to encourage discussion of the benefits and limitations of the test. To target patient-level knowledge about lung screening, an outreach specialist will educate screening-eligible patients about the benefits and limitations of the test prior to their visit.<br>|
| No Intervention: Nonequivalent Control Group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| provider-patient discussion | Discussion about lung screening with the provider ('did you have a discussion with your doctor about lung screening?') | 1-week post-visit | 
| lung cancer screening intentions | Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?') | 1-week post-visit | 
| lung cancer screening knowledge | Lung cancer screening knowledge measure | 1-week post-visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lung cancer screening referrals | Total number of lung screening orders captured via the electronic medical record | 6-months | 
| lung cancer screening completion rates | Total number of lung screening completions captured via the electronic medical record | 6-months |