Multilevel Interventions to Increase Adherence to Lung Cancer Screening

N/AActive Not RecruitingNCT05747443

Kaiser Permanente1,837 enrolled

Overview

Screening for lung cancer has the potential for a profound public health benefit. Repeat annual screening is necessary for early detection of lung cancer. The investigators will test two interventions which include patient education and reminders to improve adherence to lung cancer screening.

Screening for lung cancer has the potential for a profound public health benefit. Successful population-based screening requires continuous monitoring to adherence repeat screening in high risk adults to achieve similar results. Repeat annual screening is necessary for early detection of lung cancer. Baseline or first LDCT scans detect prevalent lung cancer, when subsequent screening detects new nodules. However, adherence to screening is low, ranging at 28-38% from centers nationally. The investigators developed two novel, patient-centered interventions to address patient education and offering reminders for on-time screening. To address these goals, the specific aims are to: 1) Compare effectiveness of two multilevel interventions relative to usual care in improving (a) rates of adherence to lung cancer screening, (b) patient-centered outcomes; and (c) clinic outcomes; and 2) Determine the patient-, clinician-, and system-level factors that influence changes in adherence to inform lung cancer screening programs.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

1,837

Conditions

Lung Cancer Lung Cancer Screening

Interventions

Stepped RemindersOTHER

Stepped Reminders, which directly reminds providers to order the next LDCT scan and then reminds patients they are due and prompts them to schedule LDCT with Radiology.

Patient EducationOTHER

The Patient Voices Video is an educational video about lung cancer screening.

Eligibility

Sex: ALLMin age: 50 YearsMax age: 78 Years

Medical Language ↔ Plain English

Inclusion Criteria: * KPWA members * Aged 50-78 years * Have a negative screening LDCT scan * Speak English or Spanish * Meet US Preventive Services Task Force guidelines Exclusion Criteria: * Patients who were previously diagnosed with lung cancer, * Patients who have a positive scan, * Patients who have an indicator for interpreter services, except for Spanish

Locations (1)

Kaiser Permanente

Seattle, Washington, United States

Outcomes

Primary Outcomes

Rate of repeat annual lung cancer screening

Electronic health records will be searched for screening low dose CT (LDCT).

Time frame: 9-15 months after index LDCT

Secondary Outcomes

Knowledge of lung cancer screening

Knowledge of lung cancer screening eligibility, time to return and cost on patient reported outcomes survey.

Time frame: 8 weeks after index LDCT

Attitudes and beliefs

The Lung Cancer Screening Health Belief Scale measures self-efficacy for lung cancer screening. The self-efficacy for lung cancer screening scale ranges from 9-36, with higher scores indicating lower self-efficacy.

Time frame: 8 weeks after index LDCT

Data from ClinicalTrials.gov

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