Increasing Lung Cancer Screening Among Emergency Department Patients - LCS R01
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Basic Referral, Facilitated Referral, Text Messaging.
- Who it may be relevant to
- Registry conditions: Smoking History, Current Smoker, Lung Cancer Screening. Basic parameters: 50 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Increasing Lung Cancer Screening Uptake Among Emergency Department Patients - LCS R01
Overview
This randomized clinical trial evaluates the effectiveness of text messaging and facilitated referral strategies to increase lung cancer screening uptake among emergency department patients who meet lung cancer screening eligibility criteria.
Detailed description
This randomized clinical trial will evaluate strategies to improve lung cancer screening uptake among emergency department patients who meet lung cancer screening eligibility criteria based on age and smoking history. Participants will be randomized using a 2 by 2 factorial design into one of four groups: basic referral, basic referral plus text messaging, facilitated referral, or facilitated referral plus text messaging.
The basic referral strategy includes verbal referral to the lung cancer screening program and primary care provider, if applicable, along with written contact information for the lung cancer screening program navigator. The facilitated referral strategy includes submission of a lung cancer screening requisition to the lung cancer screening program on behalf of the participant during the emergency department visit.
The text messaging intervention includes a series of theory informed messages designed to increase intention and motivation to complete lung cancer screening. Lung cancer screening uptake will be assessed at 120 days after enrollment using participant follow up and electronic health record review.
Interventions
- Behavioral Basic Referral
Participants are verbally referred to the lung cancer screening program and their primary care provider if applicable. Written materials with contact information for the lung cancer screening program navigator are provided. - Behavioral Facilitated Referral
A lung cancer screening requisition form is submitted to the lung cancer screening program on behalf of the participant during the emergency department visit. The screening program will contact the participant to discuss screening and schedule a low dose CT scan if appropriate. - Behavioral Text Messaging
Participants receive a series of up to 9 theory informed text messages designed to increase awareness, motivation, and completion of lung cancer screening.
Primary outcome measures
- Proportion of Participants Who Complete Lung Cancer Screening Within 120 Days After Enrollment [Time frame: Up to 120 Days After Enrollment]
Secondary outcome measures (5)
- Proportion of Participants Who Participate in Shared Decision Making for Lung Cancer Screening Within 120 Days After Enrollment [Time frame: Up to 120 Days After Enrollment]
- Frequency of Reported Barriers to Lung Cancer Screening at 120 Days [Time frame: 120 Days After Enrollment]
- Acceptability of Emergency Department Based Lung Cancer Screening Interventions at 120 Days [Time frame: Up to 120 Days After Enrollment]
- Appropriateness of Emergency Department Based Lung Cancer Screening Interventions at 120 Days [Time frame: 120 Days After Enrollment]
- Frequency of Reported Facilitators to Lung Cancer Screening at 120 Days [Time frame: 120 Days After Enrollment]
Eligibility criteria
Inclusion criteria
- Age 50 - 80
- ≥ 20 pack-year smoking history
- current smoker or quit within 15 years
- English/Spanish speaking
- Registered in the Emergency Department as a patient
Exclusion criteria
- Non-English/Spanish
- Inability to provide consent (e.g. high clinical acuity, cognitive deficit)
- Lack of text-capable mobile phone and/or inability to use text function
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Factorial
- Masking
- Open label
- Primary purpose
- Screening
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07566221 · FP00007604