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Trial Title: Evaluation of a Patient 'Nudge' on Engagement in Lung Cancer Screening

NCT ID: NCT06474611

Condition: Lung Cancer

Conditions: Official terms:
Lung Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Other

Masking: None (Open Label)

Masking description: No masking involved. This is a quality improvement project where patients who have an upcoming Primary Care visit receive an electronic or paper letter notification that they qualify for lung cancer screening and that they should talk to their dr at the upcoming visit.

Intervention:

Intervention type: Behavioral
Intervention name: Patient nudge
Description: Patient receives an electronic or paper letter 'nudge' to talk to dr about LCS.
Arm group label: Birth year = even AND active on KP.org
Arm group label: Birth year = even AND not active on KP.org

Summary: The purpose of this quality improvement project is to conduct and evaluate the effect of sending an electronic reminder message to patients who qualify for lung cancer screening, haven't had a screening previously, and who have an upcoming scheduled appointment with their doctor.

Detailed description: United States Preventive Services Task Force (USPSTF) lung cancer screening (LCS) guidelines recommend LCS for those aged 50-80 with at least 20 pack-years smoking history, who currently smoke or quit within the last 15 years. In 2023, our study team found that there are approximately 6,000 - 8,000 Kaiser Permanente Colorado (KPCO) members who are unscreened and eligible for lung cancer screening (LCS). In support of KP's Population Health priority initiative to expand lung cancer screening participation for those who are eligible, our study team was selected to move this work forward in 2024 with feasible implementation opportunities for the KPCO LCS Operational/Institute for Health Research partnership at its core. The primary objective of this project is to conduct and evaluate a randomized quality improvement pragmatic intervention of a 2-arm electronic message outreach to unscreened LCS members who are eligible for LCS and who have an upcoming scheduled Primary Care Provider (PCP) visit.

Criteria for eligibility:
Criteria:
Inclusion Criteria: Qualifies for Lung Cancer Screening based on USPSTF criteria (aged 50-80, at least 20 pack years smoking history, currently smoke or quit in the last 15 years); have an upcoming, scheduled Primary Care visit in a KP clinic in the coming 7-14 days, have not completed a low-dose CT scan. Exclusion Criteria: - None

Gender: All

Minimum age: 50 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Kaiser Permanente

Address:
City: Aurora
Zip: 80011
Country: United States

Start date: March 26, 2024

Completion date: December 2024

Lead sponsor:
Agency: Kaiser Permanente
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/NCT06474611

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