Multilevel Interventions to Increase Adherence to Lung Cancer Screening
- Conditions
- Lung CancerLung Cancer Screening
- Interventions
- Other: Patient EducationOther: Stepped Reminders
- Registration Number
- NCT05747443
- Lead Sponsor
- Kaiser Permanente
- Brief Summary
Screening for lung cancer has the potential for a profound public health benefit. Repeat annual screening is necessary for early detection of lung cancer. The investigators will test two interventions which include patient education and reminders to improve adherence to lung cancer screening.
- Detailed Description
Screening for lung cancer has the potential for a profound public health benefit.
Successful population-based screening requires continuous monitoring to adherence repeat screening in high risk adults to achieve similar results. Repeat annual screening is necessary for early detection of lung cancer. Baseline or first LDCT scans detect prevalent lung cancer, when subsequent screening detects new nodules. However, adherence to screening is low, ranging at 28-38% from centers nationally.
The investigators developed two novel, patient-centered interventions to address patient education and offering reminders for on-time screening. To address these goals, the specific aims are to: 1) Compare effectiveness of two multilevel interventions relative to usual care in improving (a) rates of adherence to lung cancer screening, (b) patient-centered outcomes; and (c) clinic outcomes; and 2) Determine the patient-, clinician-, and system-level factors that influence changes in adherence to inform lung cancer screening programs.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 1606
- KPWA members
- Aged 50-78 years
- Have a negative screening LDCT scan
- Speak English or Spanish
- Meet US Preventive Services Task Force guidelines
- Patients who were previously diagnosed with lung cancer,
- Patients who have a positive scan,
- Patients who have an indicator for interpreter services, except for Spanish
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Patient Video only Patient Education About 3 weeks after the index LDCT, the study Medical Assistant (MA) will deliver a link to the Patient Voices Video, an educational video about lung cancer screening. Patient Video and Stepped Reminders Stepped Reminders See above. Those assigned to the Patient Video and Stepped Reminders will receive both interventions, as described above. Stepped Reminders only Stepped Reminders Prior to patient's next LDCT scan is due, MA begins Stepped Reminders intervention: MA pends LDCT orders to PCP to sign. MA sends reminders to patient when order is placed and follows up by phone if patient has not scheduled LDCT. Patient Video and Stepped Reminders Patient Education See above. Those assigned to the Patient Video and Stepped Reminders will receive both interventions, as described above.
- Primary Outcome Measures
Name Time Method Rate of repeat annual lung cancer screening 9-15 months after index LDCT Electronic health records will be searched for screening low dose CT (LDCT).
- Secondary Outcome Measures
Name Time Method Knowledge of lung cancer screening 8 weeks after index LDCT Knowledge of lung cancer screening eligibility, time to return and cost on patient reported outcomes survey.
Attitudes and beliefs 8 weeks after index LDCT The Lung Cancer Screening Health Belief Scale measures self-efficacy for lung cancer screening. The self-efficacy for lung cancer screening scale ranges from 9-36, with higher scores indicating lower self-efficacy.
Trial Locations
- Locations (1)
Kaiser Permanente
🇺🇸Seattle, Washington, United States