Multilevel Interventions to Increase Adherence to Lung Cancer Screening
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lung Cancer
- Sponsor
- Kaiser Permanente
- Enrollment
- 1606
- Locations
- 1
- Primary Endpoint
- Rate of repeat annual lung cancer screening
- Status
- Active, not recruiting
- Last Updated
- 4 months ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •KPWA members
- •Aged 50-78 years
- •Have a negative screening LDCT scan
- •Speak English or Spanish
- •Meet US Preventive Services Task Force guidelines
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Rate of repeat annual lung cancer screening
Time Frame: 9-15 months after index LDCT
Electronic health records will be searched for screening low dose CT (LDCT).
Secondary Outcomes
- Knowledge of lung cancer screening(8 weeks after index LDCT)
- Attitudes and beliefs(8 weeks after index LDCT)