Educating Smokers About Lung Cancer Screening Using Tobacco Quitlines

Not Applicable

Recruiting

Interventions: Other: Educational Intervention
Other: Survey Administration
Other: Questionnaire Administration

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

Detailed Description: 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.

Recruitment & Eligibility

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

Arm && Interventions

Group	Intervention	Description
Call center staff (educational intervention)	Survey Administration	Participants undergo training consisting of a 60-minute educational session.
Call center staff (educational intervention)	Educational Intervention	Participants undergo training consisting of a 60-minute educational session.
Callers substudy (LCS educational materials, questionnaire)	Educational Intervention	Participants are referred to lung cancer screening educational materials. Participants also complete questionnaires at 1 week and 6 months after referral to educational materials.
Callers substudy (LCS educational materials, questionnaire)	Questionnaire Administration	Participants are referred to lung cancer screening educational materials. Participants also complete questionnaires at 1 week and 6 months after referral to educational materials.

Primary Outcome Measures

Name	Time	Method
Content from communications (email, phone, monthly calls)	Up to 4 years	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.
Overall lung cancer screening rate	Up to 6 months
Healthcare sector perspective	Up to 4 years	As needed, will use a process-flow analysis to identify all resources utilized at each of the step of the program.
Reach	During 6 month implementation period	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
Effectiveness (Caller Substudy)	Up to 6 months	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.

Secondary Outcome Measures

Name	Time	Method

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