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Trial Title: Maximizing Benefit of Lung Cancer Screening Incidental Findings of Cardiovascular, Respiratory and Breast Measures

NCT ID: NCT05900544

Condition: Coronary Disease
Emphysema or COPD
Breast Density

Conditions: Official terms:
Coronary Disease
Emphysema

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Quasi-experimental

Primary purpose: Health Services Research

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: System implementation of patient-centered incidental findings report
Description: For three lung cancer screening programs a system level implementation for a patient-centered incidental findings report
Arm group label: Implementation

Summary: The investigators will implement a patient-centered outcomes tool for participants in lung cancer screening programs that receive clinically important incidental findings relevant to heart, breast and lung health. The study objective is to evaluate participant response and clinical follow-up following implementation of a patient-centered incidental findings communication tool.

Detailed description: A computer assisted personal interview survey will be administered by study personnel to capture information about perceived risk, cues to action and self-efficacy among lung cancer screening participants. Participants eligible for recruitment will have had incidental findings from the low dose CT: moderate to severe CAC, grade 3 or 4 breast density, moderate to severe emphysema, or multiple incidental findings. The interview-administered survey will be conducted by telephone with responses entered by study personnel into a REDCap database. The REDCap questionnaire will be adapted to a given patient's IF status. The survey questions will be based on the Health Belief Model that has been used effectively in the context of secondary prevention. For each participant the survey will be conducted before and after system level implementation of a patient-centered incidental findings communication tool.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Eligible for lung cancer screening program - Presence of one of three incidental findings on low dose CT: coronary artery calcification, extensive breast density (for females), or emphysema Exclusion Criteria: - No incidental findings from lung cancer screening low dose CT

Gender: All

Minimum age: 55 Years

Maximum age: 80 Years

Healthy volunteers: Accepts Healthy Volunteers

Start date: October 2024

Completion date: March 2029

Lead sponsor:
Agency: University of Montana
Agency class: Other

Source: University of Montana

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05900544

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