A Multilevel Intervention to Address Health Disparities in Lung Cancer Screening
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Georgetown University
- Enrollment
- 368
- Locations
- 1
- Primary Endpoint
- provider-patient discussion
Study Overview
Brief Summary
To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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
Exclusion Criteria
- •Individuals with a history of lung cancer
Arms & Interventions
Multilevel Intervention
Intervention: Provider Prompt & Patient Outreach and Education (Behavioral)
Nonequivalent Control Group
Outcomes
Primary Outcomes
provider-patient discussion
Time Frame: 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
Time Frame: 1-week post-visit
Lung cancer screening knowledge measure
lung cancer screening intentions
Time Frame: 1-week post-visit
Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?')
Secondary Outcomes
- lung cancer screening completion rates(6-months)
- lung cancer screening referrals(6-months)