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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