NCT06324110

Evaluating the Impact of Centralized Interventions on Lung Cancer Screening Adherence in Community Settings, ACCELL Trial

Evaluating Centralizing Interventions to Address Low Adherence to Lung Cancer Screening Follow-Up in Decentralized Settings (The ACCELL Interventional Trial)

• Status: Enrolling By Invitation
• Phase: N/A
• Study type: Interventional
• Enrollment: 6,772 (estimated)
• Sponsor: Fred Hutchinson Cancer Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This clinical trial tests the impact of lung cancer screening care coordination interventions implemented at the system-level on lung cancer screening adherence in community settings. Lung cancer remains the leading cause of cancer death in the United States. Although lung cancer screening (LCS) with yearly low-dose chest computed tomography has the potential to decrease lung deaths, the use of this screening technique remains low. In addition, studies have shown that adherence to lung cancer screening in clinical settings is far lower that those found in clinical trials. Improved care coordination services that include comprehensive, system-wide tracking of screening outcomes for all LCS participants, results reporting with direct-to-patient information, direct patient and physician communication, and active reviews of non-adherent patients and stepped support interventions may increase patient adherence to LCS. Coordination services at the system-level may decrease barriers and improve adherence to lung cancer screening in community settings.

Detailed description

OUTLINE: Patients receive lung cancer screening follow-up care coordination services, delivered by a lung cancer screening care coordinator at their care site.

Conditions

• Lung Carcinoma

Interventions

Type	Name	Description
OTHER	Electronic Health Record Review	Ancillary studies
OTHER	Interview	Ancillary studies
BEHAVIORAL	Patient Navigation	Receive lung cancer screening care coordination services

Timeline

• Start date: 2025-03-01
• Primary completion: 2027-09-30
• Completion: 2027-09-30
• First posted: 2024-03-21
• Last updated: 2025-11-20

Locations

1 site across 1 country: United States