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

NCT04675476 | Recruiting

• 1 other identifier: STUDY00003277
• Study Type: interventional
• Target: 368
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Lung Cancer

Outcome Measures

Primary Outcomes (3)

• 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 Outcomes (2)

• lung cancer screening referrals

  6-months

• lung cancer screening completion rates

  6-months

Study Arms (2)

Multilevel Intervention

EXPERIMENTAL

Behavioral: Provider Prompt & Patient Outreach and Education

Nonequivalent Control Group

NO INTERVENTION

Interventions

Provider Prompt & Patient Outreach and Education BEHAVIORAL

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.

Multilevel Intervention

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• Individuals with a history of lung cancer

Sponsors & Collaborators

• Georgetown University: lead

Study Sites (1)

MedStar Health

Washington D.C., District of Columbia, 20007, United States

RECRUITING

Related Publications (2)

• Williams RM, Whealan J, Sangraula A, Taylor KL, Adams-Campbell L, Miller KE, Glassmeyer K, Yee P, Camidge K, Foley K, Luta G, Lin KW, Barnes R, DuBoyce WF. Providing Reminders and Education Prior to lung cancer screening: Feasibility and acceptability of a multilevel approach to address disparities in lung cancer screening. Transl Behav Med. 2025 Jan 16;15(1):ibaf008. doi: 10.1093/tbm/ibaf008.

  PMID: 40231692 DERIVED

• Williams RM, Whealan J, Taylor KL, Adams-Campbell L, Miller KE, Foley K, Luta G, Brandt H, Glassmeyer K, Sangraula A, Yee P, Camidge K, Blumenthal J, Modi S, Kratz H. Multilevel approaches to address disparities in lung cancer screening: a study protocol. Implement Sci Commun. 2024 Feb 16;5(1):15. doi: 10.1186/s43058-024-00553-4.

  PMID: 38365820 DERIVED

MeSH Terms

Conditions

Lung Neoplasms

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Central Study Contacts

Randi M Williams, PhD

CONTACT

(202) 687-7036; rmw27@georgetown.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 4, 2020
• First Posted: December 19, 2020
• Study Start: March 11, 2024
• Primary Completion: December 31, 2025
• Study Completion: February 28, 2026
• Last Updated: December 27, 2024

Record last verified: 2024-12

Locations

US (1)