Improving Utilization of Lung Cancer Screening in Underserved PA Populations

Study Overview
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Brief Summary
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This study is an interventional study intended to assess the impact of a centralized outreach intervention that includes shared decision-making about lung cancer screening (LCS) in LCS-eligible primary care patients. The study's goal is to increase LCS rates compared to usual care and thus reduce lung cancer deaths.

Detailed Description
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The research team will select primary care practices included in areas where lung cancer mortality is high. An outreach registry of primary care patients obtaining care at participating practices who meet study eligibility criteria will be created from the electronic medical record. 500 primary care patients will be randomly selected for the Outreach Contact with Decision Counseling (OCDC) Group from this outreach registry. Patients targeted for inclusion in the study will have a scheduled primary care appointment 18-23 days after initial outreach contact.

Official Title
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Improving Utilization of Lung Cancer Screening in Underserved PA Populations

Conditions
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Lung Cancer

Intervention / Treatment
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* Other: Educational Materials and Decision Counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have an upcoming office visit with a primary care physician in one of the study practices Between the ages of 50 and 77 (inclusive) History of smoking (current or former) in the electronic medical record (EMR) Exclusion Criteria: Chest CT performed in the last 10 months before study initiation according to EMR Diagnosis of lung cancer indicated in the problem list in the EMR Current cancer treatment or other qualifying diagnoses that would make outreach inappropriate (e.g., dementia, hearing disability)

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 77 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: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be randomly selected for assignment to the Outreach Contact with Decision Counseling Group or randomly selected for assignment to a Usual Care Control Group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care Control Group<br> | |
| Active Comparator: Outreach Contact with Decision Counseling Group<br> | Other: Educational Materials and Decision Counseling<br>* Participants in the active comparator arm will receive an introductory letter and lung cancer screening educational materials. A site care coordinator will contact each participant post receiving materials.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assess impact of a centralized outreach intervention that includes shared decision-making (SDM) on lung cancer screening rates compared to usual care. | Implement a centralized outreach intervention that includes shared decision-making (SDM) about lung cancer screening (LCS) (screening eligibility assessment, education, and decision support) in LCS-eligible primary care patients. The study's ultimate goal is to increase LCS rates compared to usual care and thus reduce lung cancer deaths. | 24 months | 

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