Maine Lung Cancer Coalition: Using CHWs for the Annual Lung Cancer Screening Reminder

Anne Conners396 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

396

Conditions

Lung Cancer

Interventions

LetterBEHAVIORAL

MaineGeneral Radiology will generate a reminder letter about their need for an annual low dose CT scan to the subjects in this arm.

Community Health Worker Phone CallBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 55 YearsMax age: 80 Years

Medical Language ↔ Plain English

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

Locations (1)

MaineGeneral Medical Center

Augusta, Maine, United States

Outcomes

Primary Outcomes

Completed low dose CT scan

Percentage of patients who receive low dose CT scan within 3 months of the date on which they were initially contacted by letter

Time frame: through study completion, an average of 1 year

Secondary Outcomes

Scheduled low dose CT scan

Percentage of patients who schedule a low dose CT scan within 3 months of the date on which they were initially contacted by letter

Time frame: through study completion, an average of one year

Tobacco counseling

Percentage of current smokers in the CHW phone call arm who receive counseling about tobacco treatment

Time frame: through study completion, an average of one year

Maine Tobacco Helpline Referral

Percentage of current smokers in the CHW phone call arm who accept referral to Maine Tobacco Helpline

Time frame: trhough study compeltion, an average of one year

Data from ClinicalTrials.gov

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