A Patient and Provider Intervention to Address Health Disparities in Lung Cancer Screening

Not Applicable

Recruiting

• Conditions: Lung Cancer
• Interventions: Behavioral: Provider Prompt & Patient Outreach and Education

• Registration Number: NCT04675476
• Lead Sponsor: Georgetown University

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 Timeline

• Study First Submitted: 2020-12-04
• Study First Submitted QC: 2020-12-14
• Study First Posted: 2020-12-19
• Study Start: 2024-03-11
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-23
• Last Update Posted: 2024-12-27
• Primary Completion: 2025-12-31
• Study Completion: 2026-02-28

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 368

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Multilevel Intervention	Provider Prompt & Patient Outreach and Education	-

Primary Outcome Measures

Name	Time	Method
provider-patient discussion	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	1-week post-visit	Lung cancer screening knowledge measure
lung cancer screening intentions	1-week post-visit	Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?')

Secondary Outcome Measures

Name	Time	Method
lung cancer screening completion rates	6-months	Total number of lung screening completions captured via the electronic medical record
lung cancer screening referrals	6-months	Total number of lung screening orders captured via the electronic medical record

Trial Locations

Locations (1)

MedStar Health; 🇺🇸 Washington, District of Columbia, United States