Patient Navigation for Lung Screening at MGH Community Health Centers
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Lung Cancer
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 1200
- Locations
- 1
- Primary Endpoint
- Chest CT Completion
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
To develop and implement a patient navigator (PN) program for lung screening and smoking cessation in community health center primary care practices. This program will be evaluated in a randomized controlled trial of primary care patients who currently smoke.
Detailed Description
The specific aims of this study are: Specific Aim 1: To develop a patient navigator (PN) program for lung screening for patients who are current smokers, aged 55-77 years, potentially eligible for lung screening and are receiving care at community health centers (CHCs) affiliated with MGH. Specific Aim 2: To evaluate the effectiveness of the new lung screening PN program in improving screening rates and increasing use of tobacco cessation services in a randomized controlled trial. Specific Aim 3: To demonstrate that equity is maintained in rates of lung screening and in follow up of abnormal chest CT results, comparing eligible smokers from CHCs with eligible smokers from other practices within the MGH primary care network.
Investigators
Sanja Percac-Lima, MD
Assistant Professor
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •adult patients aged 55-77 years who are current cigarette smokers (according to an algorithm using electronic medical record data), and
- •receive care at one of the five Massachusetts General Hospital community health centers.
Exclusion Criteria
- •patients who have previously received a diagnosis of lung cancer,
- •have undergone a chest CT within 18 months before enrollment,
- •are subsequently identified as having died prior to the study intervention,
- •deemed by their primary care provider as not eligible for lung screening.
Outcomes
Primary Outcomes
Chest CT Completion
Time Frame: Up to 1 year
Percentage of patients assigned to the intervention and control groups who had at least one chest CT (according to billing and EMR data) during the 1-year study period.
Secondary Outcomes
- Tobacco Treatment Use(Up to 1 year)