NCT02765412

PrOVE QUERI Project #1

Implementing Guidelines for Shared Decision Making in Lung Cancer Screening (QUE 15-286)

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 17,033 (actual)
• Sponsor: VA Office of Research and Development · Federal
• Sex: All
• Age: 55 Years – 80 Years
• Healthy volunteers: Accepted

Summary

The overall goal of this project is to test two strategies for implementing a shared decision making tool to be used by providers while talking to patients about lung cancer screening. Eight participating sites will be randomized to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will survey patients to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

Detailed description

The overall goal of this quality improvement project is to test two strategies for implementing shared decision making, which incorporates the Decision Precision lung cancer screening tool. The investigators will use multi-site, cluster-based randomization to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will have a human subjects research component to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

Conditions

• Prevention and Control

Interventions

Type	Name	Description
OTHER	Webinar, Promotion, and Tool Access	All sites will receive a professionally developed, 15-minute webinar that describes the tool's development (e.g., how the algorithm was designed) and a tutorial on how to use the web-site. The investigators will promote the webinar and using the tool through key local leaders. A web-link to use the tool will be placed within the lung cancer screening clinical reminder.
OTHER	LEAP	Sites randomized to intensive implementation will be offered participation in the LEAP program. LEAP (Learn. Engage. Act. Program) is a multi-week, online learning collaborative using systems redesign techniques to help sites identify and overcome barriers to implementation of shared decision making (use of the Decision Precision tool).
OTHER	Audit and Feedback	Providers at all sites will have access to this system. It will provide feedback on the screening and shared decision making process (e.g., number of provider's eligible patients screened for lung cancer, use of the tool, patient knowledge and satisfaction from patient surveys).
OTHER	Academic Detailing	All sites will be offered an academic detailing approach to implementation of Lung Decision Precision. A trained detailer will travel to all sites who agree to a visit. The detailer will meet with individual primary care providers whenever possible, and groups of providers as necessary. He will present evidence for a risk-based approach to screening and how to use the tool with patients to make tailored screening recommendations.

Timeline

• Start date: 2016-11-15
• Primary completion: 2020-03-10
• Completion: 2020-05-31
• First posted: 2016-05-06
• Last updated: 2024-12-31
• Results posted: 2024-12-31

Locations

8 sites across 1 country: United States