Lung Cancer
Conditions
Brief summary
To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.
Detailed description
The proposed study will target two key levels of influence in the healthcare setting: provider and patient behavior in order to address disparities between African American and whites in lung screening awareness and utilization. Guided by NIH's Health Disparities Research Framework and building on the formative work conducted in the K99 phase, we will conduct a quasi-experimental study (pretest-posttest, with a nonequivalent control group) in partnership with four primary care clinics within the MedStar Health system in the R00 phase.
Interventions
BEHAVIORALProvider Prompt & Patient Outreach and Education
To target lack of provider-prompted discussion about lung screening, an electronic medical record (EMR) message will be sent to primary care providers prior to scheduled visits with screening-eligible patients to notify them of the patient's eligibility and to encourage discussion of the benefits and limitations of the test. To target patient-level knowledge about lung screening, an outreach specialist will educate screening-eligible patients about the benefits and limitations of the test prior to their visit.
Sponsors
Georgetown University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* 50-80 years old; * current cigarette smoker or quit within 15 years; * a 20+ pack-year smoking history; * non-adherent to lung screening (\>13 months); * English-speaking; * scheduled for an upcoming clinic appointment (4 weeks - 8 weeks); and * able and willing to provide meaningful consent and complete telephone interviews
Exclusion criteria
* Individuals with a history of lung cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| provider-patient discussion | 1-week post-visit | Discussion about lung screening with the provider ('did you have a discussion with your doctor about lung screening?') |
| lung cancer screening intentions | 1-week post-visit | Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?') |
| lung cancer screening knowledge | 1-week post-visit | Lung cancer screening knowledge measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| lung cancer screening referrals | 6-months | Total number of lung screening orders captured via the electronic medical record |
| lung cancer screening completion rates | 6-months | Total number of lung screening completions captured via the electronic medical record |
Countries
United States
Contacts
Primary ContactRandi M Williams, PhD
Outcome results
None listed