Empowering Hispanic Patients' Lung Cancer Screening Uptake (Empower Latinx)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 60
- 试验地点
- 20
- 主要终点
- Number of participants with order of Low-dose CT (LDCT) for lung cancer screening (LCS)
研究概览
简要总结
The Hispanic/Latinx community (hereafter Hispanic) is the country's second-largest racial/ethnic group, accounting for 19.1% of the total population. However, they remain one of the most underserved populations with suboptimal access to healthcare and screening services due to low income, lack of health insurance, perceived discrimination, language barriers, and limited health literacy. Lung cancer is the leading cause of cancer related mortality with 1.8 million annual deaths worldwide, with Hispanic patients known to have lower survival rates compared with non-Hispanic whites. Lung cancer screening (LCS) with low dose computed tomography (LDCT) decreases this mortality rate of lung cancer by 20%. Yet many Latinx patients who are eligible for lung cancer screening are still falling through the cracks which prevents patients the ability to detect lung cancer early. This study will test and compare the effect of a multi-level intervention on ordering LDCT within 4 months after patient enrollment to those in an Enhanced Usual Care. Our proposed intervention includes:
- Primary care provider notifications of patients' LCS eligibility;
- Patients' education;
- Patients' referral to financial navigation resources;
- Patients' reminder to discuss LCS during primary care provider (PCP) visit.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- Single (Outcomes Assessor)
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
- •Aged 50- 80 years of age.
- •Be able to speak English and Spanish
- •Must have a Primary Care Provider.
- •History of 20-pack year smoking history ( based on survey self-report)
- •Current smoker or a former smoker who has quit smoking within the last 15 years (based on survey self-report)
- •Resident of California
排除标准
- •Prior history of lung cancer
- •Chest CT for any reason in the last 12 months based on self-report and UCI EMR
- •History of Alzheimer's disease or dementia
结局指标
主要结局
Number of participants with order of Low-dose CT (LDCT) for lung cancer screening (LCS)
时间窗: Within 4 months of randomization
次要结局
- Patients' perceived severity of lung cancer(Baseline and 4 months after randomization)
- Patients' self-efficacy of lung cancer screening(Baseline and 4 months after randomization)
- Patients' knowledge about lung cancer screening(Baseline and 4 months after randomization)
- Number of Participants with the documented discussion of lung cancer screening with their providers in the electronic medical record(Within 4 months of randomization)
- Patients' perceived barriers of lung cancer screening(Baseline and 4 months after randomization)
- Number of Participants who received LDCT for LCS(Within 4 months of randomization)
- Patients' perceived risk of lung cancer(Baseline and 4 months after randomization)
- Patients' perceived benefits of lung cancer screening(Baseline and 4 months after randomization)
研究者
Gelareh Sadigh
Associate Professor In Residence
University of California, Irvine