Lung Cancer
Conditions
Brief summary
The long-term goal of this program of research is to increase the reach of Lung Cancer Screening (LCS) among low-resource healthcare settings and populations. The proposed project, LUNG-IS, is a mixed-methods, pre-post quasi-experimental design conducted in three Utah safety-net healthcare system clinics. LUNG-IS employs a comprehensive conceptual model with theories, models, and frameworks of implementation and behavioral science, uses rigorous mixed-methods to evaluate factors that influence implementation of LCS, and uses patient navigation to facilitate clinic-community linkages. LUNG-IS leverages existing pathways to care and Centralized Hub infrastructure that enables eligibility assessment, LCS Shared Decision Making (SDM) with clinical decision support, screening referral, and screening logistics assistance to help overcome barriers to LCS completion. The Centralized Hub model uses ubiquitous technologies (i.e., text messaging/telehealth) to enable patients to be assessed for LCS eligibility, engage in SDM if eligible, and be referred for LCS. For patients who decide to complete LCS, they will be provided patient navigation via Community Health Workers designed to address logistical barriers, hesitancy, and financial constraints around completing LCS.
Interventions
BEHAVIORALText Messages (TM+)
Basic text messages sent directly to the patient's cell phone.
BEHAVIORALChat bot (CA)
Chat bot to answer frequently asked LCS questions.
BEHAVIORALVideo
Educational video about LCS.
BEHAVIORALReactive Patient Navigation (RPN)
Reactive patient navigation to help get to the LCS appointment.
BEHAVIORALProactive Patient Navigation (PPN)
Proactive patient navigation to help get to the LCS appointment.
Sponsors
University of Utah
Centers for Disease Control and Prevention
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Current or former, male and female, smokers. * Age 50-80. * Primary language English or Spanish. * Have a phone that can send/receive text messages.
Exclusion criteria
* Patients who have never smoked. * Patients who are under the age of 50 or above the age of 80. * Primary language other than English or Spanish. * Do not have access to a phone that can send/receive text messages.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Impact of Implementation Strategies on Lung Cancer Screening (LCS) eligibility screening | up to 15 weeks after study enrollment | Evaluate the impact of implementation strategies on Lung Cancer Screening (LCS) eligibility screening. This outcome measure will report the proportion of participants who complete LCS eligibility screening. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of Implementation Strategies on LCS Shared Decision Making (SDM) completion | up to 7 weeks after completion of LCS eligibility screen | Evaluate the impact of implementation strategies on Shared Decision Making (SDM) completion. This outcome measure will report the proportion of patients who complete SDM. |
| Impact of Implementation Strategies on LCS Completion | up to 6 months after placement of LCS referral | Evaluate the impact of implementation strategies on LCS completion. This outcome measure will report the proportion of participants who complete LCS. |
Countries
United States
Contacts
CONTACTIndy Li, MS
PRINCIPAL_INVESTIGATORChelsey Schlechter, MPH, PhD
Huntsman Cancer Institute/ University of Utah
Outcome results
None listed