Maine Lung Cancer Coalition: Using CHWs for the Annual Lung Cancer Screening Reminder

Not Applicable

Completed

• Conditions: Lung Cancer
• Interventions: Behavioral: Community Health Worker Phone Call; Behavioral: Letter

• Registration Number: NCT04007458
• Lead Sponsor: Anne Conners

Brief Summary

This research study will test whether support from a Community Health Worker (CHW) to address barriers to annual LDCT screening will result in an increased number of patients who receive the annual screening as per the recommended standard of care compared to passive outreach using a reminder letter.

Detailed Description

This research study is a randomized controlled trial comparing phone outreach by a trained Community Health Worker (CHW) following a reminder letter to the reminder letter alone for patients who are at least a month overdue to have a routine annual low dose CT scan (LDCT) screening for lung cancer. CHWs will be able to identify and address barriers to accessing screening for those patients randomized to that arm of the study. Outcomes that will be measured include scheduling and completing the LDCT as well as agreeing to a referral for tobacco treatment.

Study Timeline

• Study First Submitted: 2019-07-01
• Study First Submitted QC: 2019-07-02
• Study First Posted: 2019-07-05
• Study Start: 2019-07-16
• Primary Completion: 2019-12-16
• Study Completion: 2019-12-16
• Status Verified: 2020-11
• Last Update Submitted: 2020-11-25
• Last Update Posted: 2020-11-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 396

Inclusion Criteria

• 30 or more pack years of tobacco use
• If no longer using tobacco, no more than 15 years since last use
• At least 13 months since last low dose CT scan screening

Exclusion Criteria

• Development of serious medical condition that would preclude treatment of lung cancer if found
• Death since baseline screen

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Community Health Worker phone call	Community Health Worker Phone Call	Patients will receive a phone call from community health worker, offering to help them overcome barriers to repeat annual screening and offering to help them schedule their screening.
Letter	Letter	Patients will receive a letter reminding them that they are overdue for repeat annual screening.

Primary Outcome Measures

Name	Time	Method
Completed low dose CT scan	through study completion, an average of 1 year	Percentage of patients who receive low dose CT scan within 3 months of the date on which they were initially contacted by letter

Secondary Outcome Measures

Name	Time	Method
Scheduled low dose CT scan	through study completion, an average of one year	Percentage of patients who schedule a low dose CT scan within 3 months of the date on which they were initially contacted by letter
Tobacco counseling	through study completion, an average of one year	Percentage of current smokers in the CHW phone call arm who receive counseling about tobacco treatment
Maine Tobacco Helpline Referral	trhough study compeltion, an average of one year	Percentage of current smokers in the CHW phone call arm who accept referral to Maine Tobacco Helpline

Trial Locations

Locations (1)

MaineGeneral Medical Center; 🇺🇸 Augusta, Maine, United States