Population Health Management -Increase Lung Cancer Screening in Community Health Centers (LungSMART)
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: Text Messages (TM+), Chatbot (CA), Video (VID), Reactive Patient Navigation (RPN).
- Who it may be relevant to
- Registry conditions: Lung Cancer. 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
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - LungSMART UH3 Clinical Trial
Overview
The long-term goal of Lung Sequential Multiple Assignment Randomized Trial (LungSMART) Utah is to increase the reach of Low-Dose Computed Tomography (LDCT) screening for lung cancer (hereafter referred to as Lung Cancer Screening or LCS) at scale in low-resource healthcare settings.
Detailed description
LungSMART is a Sequential Multiple Assignment Randomized Trial (SMART) conducted in Utah Community Health Centers (CHCs). The SMART design is structured in two sequential stages: Stage 1 aims to increase uptake of Lung Cancer Screening (LCS) eligibility assessment, while Stage 2 aims to increase LCS completion.
In Stage 1, the Eligibility Assessment Stage, LungSMART Utah uses Azara, a population health management software, to identify potentially eligible patients from participating CHCs. Patients who are enrolled in the study will be randomized to digital health interventions and connected with a centralized hub (Hub) for eligibility assessment and shared decision making (SDM) with a qualified registered nurse (RN).
In Stage 2, the LCS Completion Stage, participants referred for LCS receive access to a Chatbot and are randomized to receive reactive (patient needs to request navigation) vs proactive (navigator proactively calls the patient) patient navigation (PN) delivered via telehealth by a community health worker (CHW) at the Hub to address logistical barriers and hesitancy in completing LCS.
Interventions
- Behavioral Text Messages (TM+)
A message informs the participants that a Registered Nurse (RN) from the Hub will call them about shared decision making (SDM) and LCS. - Behavioral Chatbot (CA)
Access to a chatbot for frequently asked questions about LCS - Behavioral Video (VID)
An educational video about LCS - Behavioral Reactive Patient Navigation (RPN)
RPN to help complete the LCS appointment. RPN requires the participant to initiate the PN request - Behavioral Proactive Patient Navigation (PPN)
Proactive patient navigation to help complete the LCS appointment. PPN does not require the participant to initiate the PN request and instead is a proactive call to the participant.
Primary outcome measures
- Stage 1: Completion of eligibility assessment [Time frame: up to 18 weeks]
- Stage 2: Completion of LCS [Time frame: up to 30 weeks]
Secondary outcome measures (7)
- Cost-effectiveness: Incremental Cost [Time frame: up to 30 weeks]
- Cost-effectiveness: Incremental Effectiveness [Time frame: up to 30 weeks]
- Proportion of patients who engage with interventions [Time frame: up to 18 weeks]
- Proportion of patients who reply opting out of receiving interventions [Time frame: up to 30 weeks]
- Proportion of patients who complete SDM [Time frame: up to 18 weeks]
- Proportion of patients who request to speak with a patient navigator [Time frame: up to 30 weeks]
- Proportion of patients who speak with a patient navigator [Time frame: up to 30 weeks]
Eligibility criteria
Inclusion criteria
- Is currently a patient at participating CHCs
- Speak English or Spanish
- Current or former tobacco smoker
- Male or Female
- Age 50-80
- Electronic health records indicate they have not opted out of receiving text contact from the clinic
- Has a phone that can receive text messages
Exclusion criteria
- Persons with lung cancer or who have previously participated in a Shared Decision Making discussion with a health provider regarding lung cancer or have completed LCS.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
United States · 1 center
- Huntsman Cancer Institute/University of Utah — Salt Lake City
Identifiers
NCT: NCT07599943 · HCI190012 · 1UG3CA287109-01