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

Официальное название

A Multilevel Intervention to Address Health Disparities in Lung Cancer Screening

Обзор

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

Подробное описание

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.

Вмешательства

• Поведенческое 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

Первичные конечные точки

• provider-patient discussion [Срок оценки: 1-week post-visit]
• lung cancer screening intentions [Срок оценки: 1-week post-visit]
• lung cancer screening knowledge [Срок оценки: 1-week post-visit]

Вторичные конечные точки (2)

• lung cancer screening referrals [Срок оценки: 6-months]
• lung cancer screening completion rates [Срок оценки: 6-months]

Критерии участия

Критерии включения

• 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

Критерии исключения

• Individuals with a history of lung cancer

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Скрининг

Центры проведения

США · 1 центр

• MedStar Health — Washington D.C.

Публикации

• Williams RM, Whealan J, Sangraula A, Taylor KL, Adams-Campbell L, Miller KE, Glassmeyer K, Yee P, Camidge K, Foley K, Luta G, Lin KW, Barnes R, DuBoyce WF. Providing Reminders and Education Prior to lung cancer screening: Feasibility and acceptability of a multilevel approach to address disparities in lung cancer screening. Transl Behav Med. 2025 Jan 16;15(1):ibaf008. doi: 10.1093/tbm/ibaf008. PMID 40231692
• Williams RM, Whealan J, Taylor KL, Adams-Campbell L, Miller KE, Foley K, Luta G, Brandt H, Glassmeyer K, Sangraula A, Yee P, Camidge K, Blumenthal J, Modi S, Kratz H. Multilevel approaches to address disparities in lung cancer screening: a study protocol. Implement Sci Commun. 2024 Feb 16;5(1):15. doi: 10.1186/s43058-024-00553-4. PMID 38365820

Идентификаторы

NCT: NCT04675476 · STUDY00003277

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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