Lung Cancer
Conditions
Keywords
Screening
Brief summary
This research study will test whether support from a Community Health Worker (CHW) to address barriers to annual LDCT screening will result in an increased number of patients who receive the annual screening as per the recommended standard of care compared to passive outreach using a reminder letter.
Detailed description
This research study is a randomized controlled trial comparing phone outreach by a trained Community Health Worker (CHW) following a reminder letter to the reminder letter alone for patients who are at least a month overdue to have a routine annual low dose CT scan (LDCT) screening for lung cancer. CHWs will be able to identify and address barriers to accessing screening for those patients randomized to that arm of the study. Outcomes that will be measured include scheduling and completing the LDCT as well as agreeing to a referral for tobacco treatment.
Interventions
BEHAVIORALLetter
MaineGeneral Radiology will generate a reminder letter about their need for an annual low dose CT scan to the subjects in this arm.
BEHAVIORALCommunity Health Worker Phone Call
Patients will receive a phone call from community health worker, offering to help them overcome barriers to repeat annual screening and offering to help them schedule their screening.
Sponsors
Anne Conners
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcomes assessor will be blind to which intervention the subjects have received.
Intervention model description
Eligible patients will be randomly assigned to one of the following two groups: 1\. Control Group: o Annual reminder letter only 1. Intervention Group: 2. Annual reminder letter and Community Health Worker proactive outreach
Eligibility
Sex/Gender
ALL
Age
55 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* 30 or more pack years of tobacco use * If no longer using tobacco, no more than 15 years since last use * At least 13 months since last low dose CT scan screening
Exclusion criteria
* Development of serious medical condition that would preclude treatment of lung cancer if found * Death since baseline screen
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completed low dose CT scan | through study completion, an average of 1 year | Percentage of patients who receive low dose CT scan within 3 months of the date on which they were initially contacted by letter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Scheduled low dose CT scan | through study completion, an average of one year | Percentage of patients who schedule a low dose CT scan within 3 months of the date on which they were initially contacted by letter |
| Tobacco counseling | through study completion, an average of one year | Percentage of current smokers in the CHW phone call arm who receive counseling about tobacco treatment |
| Maine Tobacco Helpline Referral | trhough study compeltion, an average of one year | Percentage of current smokers in the CHW phone call arm who accept referral to Maine Tobacco Helpline |
Countries
United States
Outcome results
None listed