Lung Cancer
Conditions
Keywords
lung cancer screening, provider education, health disparities
Brief summary
We are conducting a randomized trial to compare the Health Disparities module to an existing provider module on lung cancer screening to evaluate the impact on primary care providers' knowledge, attitudes, and lung cancer screening referrals of African American and White patients.
Detailed description
We are conducting a randomized trial of two online, provider-facing education modules regarding lung cancer screening and smoking cessation. We will accrue 70 MedStar primary care providers (PCP). The baseline survey will incorporate items regarding lung cancer screening knowledge, providers' attitudes towards lung cancer screening, lung cancer screening ordering practices and provider characteristics. At the end of the baseline survey, PCPs will be randomly assigned to the LuCa + Health Disparities or LuCa only. PCPs will be asked to complete the intervention and the post-test within 1 week of randomization. The post test will cover knowledge of lung cancer screening, attitudes and opinions toward LCS. To assess PCP lung cancer screening ordering practices, we will review the MedConnect Electronic Health Record (EHR) to compare the two study groups post-randomization on the number of orders made for LCS.
Interventions
BEHAVIORALLuCa + Health Disparity module
The Health Disparity course will review disparities in the burden of lung cancer across racial/ethnic groups, discuss differences in smoking patterns and use of evidence-based smoking cessation, and describe emerging disparities in lung cancer screening. The course will also offer resources for providers to address common barriers to screening among underserved/underrepresented groups, including insurance information, transportation options, procedure time, and patient navigation assistance. Lesson 1 of the LuCa online course addresses lung cancer screening and shared decision making.
Sponsors
National Cancer Institute (NCI)
Georgetown University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
SINGLE (Investigator)
Masking description
The research investigators will be blinded from the study arm of the participants.
Intervention model description
Arm 1- LuCa + Health Disparity module: Providers enrolled in the LuCa+ arm will complete lesson 1 of the LuCa training and complete the Health Disparity module. Arm 2- LuCa module: Providers enrolled in the LuCa arm will complete session 1 of the LuCa training.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* MedStar provider (attending or resident physician, physician's assistant, or nurse practitioner) * English speaking * ability to provide meaningful consent * ability to provide last two digits of NPI.
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of providers with improved mean lung cancer screening knowledge score | 1 week | Knowledge about lung cancer screening |
| Number of providers with improved mean attitudes score | 1 week | Attitudes about lung cancer screening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of lung cancer screening referrals | 2 months post-randomization | Lung cancer screening referrals from the electronic health record |
Countries
United States
Outcome results
None listed