NCT05747443

Multilevel Interventions to Increase Adherence to Lung Cancer Screening

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,837 (actual)
• Sponsor: Kaiser Permanente · Academic / Other
• Sex: All
• Age: 50 Years – 78 Years
• Healthy volunteers: Not accepted

Summary

Screening for lung cancer has the potential for a profound public health benefit. Repeat annual screening is necessary for early detection of lung cancer. The investigators will test two interventions which include patient education and reminders to improve adherence to lung cancer screening.

Detailed description

Screening for lung cancer has the potential for a profound public health benefit. Successful population-based screening requires continuous monitoring to adherence repeat screening in high risk adults to achieve similar results. Repeat annual screening is necessary for early detection of lung cancer. Baseline or first LDCT scans detect prevalent lung cancer, when subsequent screening detects new nodules. However, adherence to screening is low, ranging at 28-38% from centers nationally. The investigators developed two novel, patient-centered interventions to address patient education and offering reminders for on-time screening. To address these goals, the specific aims are to: 1) Compare effectiveness of two multilevel interventions relative to usual care in improving (a) rates of adherence to lung cancer screening, (b) patient-centered outcomes; and (c) clinic outcomes; and 2) Determine the patient-, clinician-, and system-level factors that influence changes in adherence to inform lung cancer screening programs.

Conditions

• Lung Cancer
• Lung Cancer Screening

Interventions

Type	Name	Description
OTHER	Stepped Reminders	Stepped Reminders, which directly reminds providers to order the next LDCT scan and then reminds patients they are due and prompts them to schedule LDCT with Radiology.
OTHER	Patient Education	The Patient Voices Video is an educational video about lung cancer screening.

Timeline

• Start date: 2022-12-12
• Primary completion: 2025-07-05
• Completion: 2026-06-30
• First posted: 2023-02-28
• Last updated: 2025-12-24

Locations

1 site across 1 country: United States