Multilevel Interventions to Increase Adherence to Lung Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1,837
- 试验地点
- 1
- 主要终点
- Rate of repeat annual lung cancer screening
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 78 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •KPWA members
- •Aged 50-78 years
- •Have a negative screening LDCT scan
- •Speak English or Spanish
- •Meet US Preventive Services Task Force guidelines
排除标准
- •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
研究组 & 干预措施
Patient Video only
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.
干预措施: Patient Education (Other)
Stepped Reminders only
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.
干预措施: Stepped Reminders (Other)
Patient Video and Stepped Reminders
See above. Those assigned to the Patient Video and Stepped Reminders will receive both interventions, as described above.
干预措施: Stepped Reminders (Other)
Patient Video and Stepped Reminders
See above. Those assigned to the Patient Video and Stepped Reminders will receive both interventions, as described above.
干预措施: Patient Education (Other)
Usual Care
Those assigned to the the Usual Care arm will continue to receive usual lung cancer screening care.
结局指标
主要结局
Rate of repeat annual lung cancer screening
时间窗: 9-15 months after index LDCT
Electronic health records will be searched for screening low dose CT (LDCT).
次要结局
- Knowledge of lung cancer screening(8 weeks after index LDCT)
- Attitudes and beliefs(8 weeks after index LDCT)