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Trial Title: Multilevel Interventions to Increase Adherence to Lung Cancer Screening

NCT ID: NCT05747443

Condition: Lung Cancer
Lung Cancer Screening

Conditions: Official terms:
Lung Neoplasms

Conditions: Keywords:
Lung Cancer
Low dose CT (LDCT)
Lung Cancer Screening
Stepped Reminders
Educational Video
User centered design
Stakeholders
Evaluation
Qualitative
Patient Partners
Adherence

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Factorial Assignment

Primary purpose: Health Services Research

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Stepped Reminders
Description: Stepped Reminders, which directly reminds providers to order the next LDCT scan and then reminds patients they are due and prompts them to schedule LDCT with Radiology.
Arm group label: Patient Video and Stepped Reminders
Arm group label: Stepped Reminders only

Intervention type: Other
Intervention name: Patient Education
Description: The Patient Voices Video is an educational video about lung cancer screening.
Arm group label: Patient Video and Stepped Reminders
Arm group label: Patient Video only

Summary: Screening for lung cancer has the potential for a profound public health benefit. Repeat annual screening is necessary for early detection of lung cancer. The investigators will test two interventions which include patient education and reminders to improve adherence to lung cancer screening.

Detailed description: Screening for lung cancer has the potential for a profound public health benefit. Successful population-based screening requires continuous monitoring to adherence repeat screening in high risk adults to achieve similar results. Repeat annual screening is necessary for early detection of lung cancer. Baseline or first LDCT scans detect prevalent lung cancer, when subsequent screening detects new nodules. However, adherence to screening is low, ranging at 28-38% from centers nationally. The investigators developed two novel, patient-centered interventions to address patient education and offering reminders for on-time screening. To address these goals, the specific aims are to: 1) Compare effectiveness of two multilevel interventions relative to usual care in improving (a) rates of adherence to lung cancer screening, (b) patient-centered outcomes; and (c) clinic outcomes; and 2) Determine the patient-, clinician-, and system-level factors that influence changes in adherence to inform lung cancer screening programs.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - KPWA members - Aged 50-78 years - Have a negative screening LDCT scan - Speak English or Spanish - Meet US Preventive Services Task Force guidelines Exclusion Criteria: - Patients who were previously diagnosed with lung cancer, - Patients who have a positive scan, - Patients who have an indicator for interpreter services, except for Spanish

Gender: All

Minimum age: 50 Years

Maximum age: 78 Years

Healthy volunteers: No

Locations:

Facility:
Name: Kaiser Permanente

Address:
City: Seattle
Zip: 98101
Country: United States

Start date: December 12, 2022

Completion date: June 30, 2026

Lead sponsor:
Agency: Kaiser Permanente
Agency class: Other

Collaborator:
Agency: Fred Hutchinson Cancer Center
Agency class: Other

Collaborator:
Agency: Hackensack Meridian Health
Agency class: Other

Source: Kaiser Permanente

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05747443

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