A Patient and Provider Intervention to Address Health Disparities in Lung Cancer Screening

Georgetown University368 enrolled

Overview

To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

368

Conditions

Lung Cancer

Interventions

Provider Prompt & Patient Outreach and EducationBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 50 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

MedStar Health

Washington D.C., District of Columbia, United States

RECRUITING

Outcomes

Primary Outcomes

provider-patient discussion

Discussion about lung screening with the provider ('did you have a discussion with your doctor about lung screening?')

Time frame: 1-week post-visit

lung cancer screening intentions

Screening intentions ('how likely is it that you will undergo lung screening in the next 6-months?')

Time frame: 1-week post-visit

lung cancer screening knowledge

Lung cancer screening knowledge measure

Time frame: 1-week post-visit

Secondary Outcomes

lung cancer screening referrals

Total number of lung screening orders captured via the electronic medical record

Time frame: 6-months

lung cancer screening completion rates

Total number of lung screening completions captured via the electronic medical record

Time frame: 6-months

Central Contacts

Randi M Williams, PhD

CONTACT

(202) 687-7036 rmw27@georgetown.edu

Data from ClinicalTrials.gov

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