Support and Outreach to Increase Screening for Lung Cancer in Patients With a History of Smoking
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-77
SponsorRonald Myers
About this trial
This clinical trial tests how well providing education improves screening for lung cancer in patients with a history of smoking. Screenings may help doctors find lung cancer sooner when it may be easier to treat. Education and counseling may be an effective method to help providers and patients learn about lung cancer screening. Providing education and decision counseling to providers and patients may increase lung cancer screening.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systems
Practice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reports
Practice with at least 50% of practice providers (physicians and advanced care providers) consenting to participate
Have an office or telemedicine established patient visit scheduled with a primary care provider in one of the participating practices within next 14 to 25 days
Disqualifiers
Any lung computed tomography (CT) or low-dose computed tomography (LDCT) scan in the past 11 months, current procedural terminology (CPT) Codes are as follows
G0297 - LDCT screening
71250 - CT w/o contrast
71260 - CT w/ contrast
Trial design
Design model
Factorial
Treatments tested in this trial
Survey Administration
Other interventionComplete survey
Educational Activity
Other interventionUndergo online shared decision making training and distance learning
Survey Administration
Other interventionComplete survey
Electronic Health Record Review
Other interventionUndergo electronic health record review
Educational Activity
Other interventionUndergo online shared decision making training and distance learning
Counseling
Other interventionUndergo shared decision making counseling
Survey Administration
Other interventionComplete survey
Electronic Health Record Review
Other interventionUndergo electronic health record review
Treatment groups
822 Participants
are divided into 4 treatment groupsGroup A: Group A (Providers): (survey, online educational activity)Experimental treatment 2 interventions
Group B: Group B (Providers): (survey)Active comparator 1 intervention
Group C: Group A (Patients): (EHR, educational activity, counseling))Experimental treatment 3 interventions
Group D: Group B (Patients): (survey)Active comparator 2 interventions
Trial outcomes
Primary outcomes
1
Completion of initial lung cancer screening (LCS)
LCS will be assessed through an endpoint electronic medical records (EMR) search, supplemented with a question on the participant endpoint survey to capture any LCS performed outside the health system and/or not captured in the EMR.
Time frame
Within 4 months of randomizationSecondary outcomes
1
Referral for LCS
Referrals for lung cancer screenings will be found by reviewing electronic medical records.
Time frame
Up to 5 years2
Tobacco cessation services
Referrals for tobacco treatment services will be found by reviewing medical records.
Time frame
Up to 5 years3
Repeat annual lung cancer screenings within 11-16 months of original screening
Number of repeat screenings will be found by reviewing electronic medical records.
Time frame
within 11-16 months of original screening4
Diagnostic follow up after initial lung cancer screening
Number of patients that had follow up within 4 months of initial lung cancer screening will be found by reviewing electronic medical records.
Time frame
Up to 4 months of screeningSponsors and contacts
Click on the lead sponsor to view all of their trials.
Ronald Myers
Lead sponsor
Thomas Jefferson University
Sponsor institution
National Cancer Institute (NCI)
Collaborator
Source ClinicalTrials.gov