A Multilevel Intervention to Address Health Disparities in Lung Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 368
- 试验地点
- 2
- 主要终点
- provider-patient discussion
研究概览
简要总结
To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.
详细描述
The proposed study will target two key levels of influence in the healthcare setting: provider and patient behavior in order to address disparities between African American and whites in lung screening awareness and utilization. Guided by NIH's Health Disparities Research Framework and building on the formative work conducted in the K99 phase, we will conduct a quasi-experimental study (pretest-posttest, with a nonequivalent control group) in partnership with four primary care clinics within the MedStar Health system in the R00 phase.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •50-80 years old;
- •current cigarette smoker or quit within 15 years;
- •a 20+ pack-year smoking history;
- •non-adherent to lung screening (>13 months);
- •English-speaking;
- •scheduled for an upcoming clinic appointment (4 weeks - 8 weeks); and
- •able and willing to provide meaningful consent and complete telephone interviews
排除标准
- •Individuals with a history of lung cancer
研究组 & 干预措施
Multilevel Intervention
干预措施: Provider Prompt & Patient Outreach and Education (Behavioral)
Nonequivalent Control Group
结局指标
主要结局
provider-patient discussion
时间窗: 1-week post-visit
Discussion about lung screening with the provider ('did you have a discussion with your doctor about lung screening?')
lung cancer screening knowledge
时间窗: 1-week post-visit
Lung cancer screening knowledge measure
lung cancer screening intentions
时间窗: 1-week post-visit
Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?')
次要结局
- lung cancer screening completion rates(6-months)
- lung cancer screening referrals(6-months)