This implementation study will examine the best ways to refer heavy smokers to information about lung cancer screening.
PRIMARY OBJECTIVE: I. To increase the number of smokers eligible for lung cancer screening (LCS) who receive high-quality educational materials about LCS through tobacco quitlines. OUTLINE: CALL CENTER STAFF: Participants undergo training consisting of a 60-minute educational session. CALLERS SUBSTUDY: Participants are referred to lung cancer screening educational materials. Participants also complete questionnaires at 1 week and 6 months after referral to educational materials.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
800
Undergo training consisting of a 60-minute educational session
Receive lung cancer screening educational materials
Complete questionnaire
M D Anderson Cancer Center
Houston, Texas, United States
RECRUITINGContent from communications (email, phone, monthly calls)
Will be content analyzed using Atlas.ti qualitative software according to the adaptation framework from Stirman and colleagues. Will identify 1) who made the modification; 2) what was modified (i.e., content, context, training and evaluation); 3) for whom the modification was made (e.g., individual counselor); 4) context of the modification (e.g., format, setting, personnel, population); and 5) what was the nature of the modification (e.g., adding elements). Will also code for facilitators and barriers that are consistent with the constructs from CFIR. All textual data will be double coded and discussed by the researchers.
Time frame: Up to 4 years
Healthcare sector perspective
As needed, will use a process-flow analysis to identify all resources utilized at each of the step of the program.
Time frame: Up to 4 years
Reach
The analysis of the data from the logs and surveys will include examining the means, medians, standard deviations, and ranges overall and by state quitline for Reach
Time frame: During 6 month implementation period
Overall lung cancer screening rate
Time frame: Up to 6 months
Effectiveness (Caller Substudy)
Will be successful if callers who participate in the evaluation answer at least 58 percent (7/12) of the Adapted lung cancer screening (LCS)-12 Knowledge Measure questions correctly and have a PrepDM score of at least 80 (standard deviation \[SD\] = 17.7), which were observed in the original project.
Time frame: Up to 6 months
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Ancillary studies