Lung Neoplasms
Conditions
Brief summary
This study evaluates the feasibility of a clinical informatics system-based approach to lung cancer screening. Patients of a large academic medical center who may qualify for lung cancer screening will be sent an electronic invitation to complete an online lung cancer screening decision aid.
Detailed description
The Center for Medicaid and Medicare Services (CMS) recently approved the use of low-dose chest CT scans for lung cancer screening in patients who meet specific criteria. However, many individuals who meet these criteria do not realize they qualify for screening. This study will determine the feasibility of using a clinical informatics approach to systematically identify potential candidates for LDCT screening, reach out to them via the patient portal, and use a web app to provide them with a personalized LDCT screening decision aid and facilitate the ordering of screening tests.
Interventions
BEHAVIORALDecision Aid Invitation
electronic invitation to complete web-based decision aid
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to 77 Years
Healthy volunteers
No
Inclusion criteria
* Has an active patient portal account * Scheduled to see a Wake Forest primary care provider within the next 4 weeks
Exclusion criteria
* Never smokers * Current or former history of lung cancer * Receipt of chest CT scan within last 12 months * Need for a language interpreter * Presence of disease predicting short life-expectancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Receipt of LDCT screening | 120 days | Number of participants who received a low-dose chest CT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visit web decision aid | 120 days | Number of participants who visited the study website |
| Complete web decision aid | 120 days | Number of participants who complete the lung cancer screening eligibility items |
| Read portal invitation | 120 days | Number of participants who read the portal invitation |
| Interest in LDCT screening | 120 days | Number of participants who indicate they are interested in receiving LDCT |
| Appointment for LDCT visit | 120 days | Number of participants who are scheduled for a lung cancer screening clinic visit or a LDCT exam |
| Eligible for LDCT | 120 days | Number of participants who are confirmed eligible for LDCT by the study website |
Outcome results
None listed