Evaluation of a Patient 'nudge' on Engagement in Lung Cancer Screening

NCT06474611 | Completed

• 1 other identifier: IMP_LungCancerScreen
• Study Type: interventional
• Target: 894
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this quality improvement project is to conduct and evaluate the effect of sending an electronic reminder message to patients who qualify for lung cancer screening, haven't had a screening previously, and who have an upcoming scheduled appointment with their doctor.

Conditions

Lung Cancer

Outcome Measures

Primary Outcomes (3)

• The proportion completed a visit with a Primary Care provider by receipt of an electronic letter or paper letter

  The proportion completed a visit with a Primary Care provider by receipt of an electronic letter or paper letter

  12 months

• The proportion receiving an order to get a low-dose computed tomography (LDCT) lung cancer screen (LCS) scan by receipt of an electronic letter or paper letter

  The proportion receiving an order to get a low-dose computed tomography (LDCT) lung cancer screen (LCS) scan by receipt of an electronic letter or paper letter

  12 months

• The proportion completing a low-dose computed tomography (LDCT) lung cancer screen (LCS) scan by receipt of an electronic letter or paper letter

  The proportion completing a low-dose computed tomography (LDCT) lung cancer screen (LCS) scan by receipt of an electronic letter or paper letter

  12 months

Study Arms (3)

Birth year = odd

NO INTERVENTION

No intervention, care as usual

Birth year = even AND active on KP.org

EXPERIMENTAL

Has an upcoming primary care visit, qualifies for lung cancer screening based on USPSTF criteria, receives an electronic letter via KP.org informing that they qualify for LCS and reminding to talk to PCP about LCS at next visit.

Behavioral: Patient nudge

Birth year = even AND not active on KP.org

EXPERIMENTAL

Has an upcoming primary care visit, qualifies for LCS based on USPSTF criteria, receives a mailed letter informing that they qualify for LCS and reminding to talk to provider about LCS at next visit.

Behavioral: Patient nudge

Interventions

Patient nudge BEHAVIORAL

Patient receives an electronic or paper letter 'nudge' to talk to dr about LCS.

Birth year = even AND active on KP.org; Birth year = even AND not active on KP.org

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• None

Sponsors & Collaborators

• Kaiser Permanente: lead

Study Sites (1)

Kaiser Permanente

Aurora, Colorado, 80011, United States

Location

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

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

Study Officials

• Debra Ritzwoller, PhD

  Kaiser Permanente

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking involved. This is a quality improvement project where patients who have an upcoming Primary Care visit receive an electronic or paper letter notification that they qualify for lung cancer screening and that they should talk to their dr at the upcoming visit.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Investigator - Economics and Cancer Research

Study Record Dates

• First Submitted: June 20, 2024
• First Posted: June 25, 2024
• Study Start: March 26, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: February 25, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)