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

Purpose

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

Condition

Lung Cancer

Eligibility

Eligible Ages: Between 50 Years and 80 Years
Eligible Genders: All
Accepts Healthy Volunteers: Yes

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

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Screening
Masking: None (Open Label)

Arm Groups

Arm	Description	Assigned Intervention
Experimental Multilevel Intervention		Behavioral: Provider Prompt & Patient Outreach and Education 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.
No Intervention Nonequivalent Control Group

Recruiting Locations

MedStar Health
Washington, District of Columbia 20007

Contact:
Andrew Canning

More Details

Status: Recruiting
Sponsor: Georgetown University

Study Contact

Randi M Williams, PhD
(202) 687-7036
rmw27@georgetown.edu

Detailed Description

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.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.