Empowering Patients' Lung Cancer Screening Uptake (Empower LCS/Call+)

Description

Lung cancer screening (LCS) with low-dose computed tomography (LDCT) can reduce the risk of dying from lung cancer, but many people who are eligible for screening do not receive it. The purpose of the Empower LCS/Call+ study is to evaluate new strategies to improve lung cancer screening among adults who are eligible for screening based on current U.S. Preventive Services Task Force (USPSTF) guidelines. This pilot randomized controlled trial will enroll approximately 80 participants from UC Irvine Health and Emory Healthcare. Participants will be randomly assigned to receive either enhanced usual care or the Empower LCS/Call+ intervention. The intervention includes educational materials, reminders for patients and primary care providers, and information about financial and community resources when appropriate. Participants who do not complete lung cancer screening after the initial intervention may receive additional telephone-based navigation through the Call+ program to help identify and address barriers to screening and help with scheduling. Participants will complete a baseline survey and follow-up surveys at 4 and 8 months, and researchers will review electronic health record information to determine whether lung cancer screening was discussed, ordered, and completed. Some participants will also be invited to complete a one-time interview about their experiences with the study. The results of this study will help determine the feasibility, acceptability, and preliminary effectiveness of the Empower LCS/Call+ intervention and will inform future efforts to improve equitable access to lung cancer screening.

Interventions

• Empower LCS (Behavioral)
  Empower LCS consists of (1) a lung cancer screening decision aid, (2) primary care provider notification of patients' eligibility for lung cancer screening, (3) patient text reminders to discuss lung cancer screening with their primary care provider, and (4) tailored support materials including financial education and national/local resources for patients who screen positive for health-related social needs.
• Call+ Telephone Navigation (Behavioral)
  Participants who do not complete lung cancer screening by approximately 4 months after randomization will receive the Call+, a telephone-based navigation intervention delivered by a lay navigator to identify and address barriers to screening, facilitate scheduling, and connect participants with available resources.
• Usual Care (Other)
  Usual care
• Education (Other)
  One-page educational material about benefits and risks of lung cancer screening

Eligibility criteria

Conditions

Locations

• UCI Health Family Health Center - Anaheim — Anaheim, California, United States
• UCI Health - Costa Mesa — Costa Mesa, California, United States
• CHAO Family Comprehensive Cancer Center- Irvine — Irvine, California, United States
• UCI Health Gottschalk Medical Plaza — Irvine, California, United States
• UCI Health - Laguna Hills — Laguna Hills, California, United States
• UCI Health - Newport Beach MacArthur — Newport Beach, California, United States
• Primary Care & Internal Medicine Services — Orange, California, United States
• UCI Chao Family Comprehensive Cancer Center — Orange, California, United States
• UCI Health SeniorHealth Center -Pavillion 4 — Orange, California, United States
• UCI Medical Center, Pavilion 3 — Orange, California, United States
• UCI Health Family Health Center - Santa Ana — Santa Ana, California, United States
• UCI Health - Tustin — Tustin, California, United States
• UCI Health - Yorba Linda — Yorba Linda, California, United States
• Emory at Avalon - Primary Care — Alpharetta, Georgia, United States
• Emory Clinic at Old Fourth Ward — Atlanta, Georgia, United States
• Emory Clinic at Midtown — Atlanta, Georgia, United States
• Emory at Peachtree Hills - Primary Care — Atlanta, Georgia, United States
• Emory Clinic at 1365 Clifton Road - Primary Care — Atlanta, Georgia, United States
• Emory Clinic at 1525 Clifton Road - Primary Care — Atlanta, Georgia, United States
• Emory at Toco Hills - Primary Care — Atlanta, Georgia, United States
• Emory Gastroenterology — Atlanta, Georgia, United States
• Emory at Northlake - Primary Care — Atlanta, Georgia, United States
• Emory at Buford - Primary Care — Buford, Georgia, United States
• Emory at Decatur - Primary Care (Irvin Court) — Decatur, Georgia, United States
• Emory at Decatur - Primary Care (Scott Boulevard) — Decatur, Georgia, United States
• Emory Clinic Downtown Decatur — Decatur, Georgia, United States
• Emory at Decatur - Primary Care — Decatur, Georgia, United States
• Emory at Oak Grove - Primary Care — Decatur, Georgia, United States
• Emory Clinic at Decatur - Primary Care — Decatur, Georgia, United States
• Emory at Flat Shoals - Primary Care — Decatur, Georgia, United States
• Emory at Duluth — Duluth, Georgia, United States
• Emory at Sugarloaf - Primary Care — Duluth, Georgia, United States
• Emory at Dunwoody — Dunwoody, Georgia, United States
• Emory Clinic at Saint Joseph's — Dunwoody, Georgia, United States
• Emory at Findley Road — Johns Creek, Georgia, United States
• Emory at Spivey Station - Primary Care — Jonesboro, Georgia, United States
• Emory at LaGrange - Smith Street - Primary Care — La Grange, Georgia, United States
• Emory at LaGrange - Davis Road — La Grange, Georgia, United States
• Emory at Beaver Ruin - Primary Care — Lilburn, Georgia, United States
• Emory at Mountain Park - Primary Care — Lilburn, Georgia, United States
• Emory at Hillandale Family Medicine — Lithonia, Georgia, United States
• Emory at Miller Grove - Primary Care — Lithonia, Georgia, United States
• Emory Clinic at Lithonia - Primary Care — Lithonia, Georgia, United States
• Emory at East Cobb - Primary Care — Marietta, Georgia, United States
• Emory at Peachtree City - Primary Care — Peachtree City, Georgia, United States
• Emory at Sharpsburg — Sharpsburg, Georgia, United States
• Emory at Belmont - Primary Care — Smyrna, Georgia, United States
• Emory at Snellville - Primary Care (Lenora Church Road) — Snellville, Georgia, United States
• Emory at Snellville - Primary Care (Oak Road) — Snellville, Georgia, United States
• Emory at Snellville Primary Care (Presidential Circle) — Snellville, Georgia, United States
• Emory at Centerville - Primary Care — Snellville, Georgia, United States
• Emory at Eagles Landing Primary Care — Stockbridge, Georgia, United States
• Emory at Stone Mountain - Primary Care — Stone Mountain, Georgia, United States
• Emory at Rockbridge Primary Care & Nephrology — Stone Mountain, Georgia, United States
• Emory at Tucker - Primary Care (1459 Montreal Road) — Tucker, Georgia, United States
• Pavilion Family Medicine Center — Warner Robins, Georgia, United States
• Emory at West Point — West Point, Georgia, United States