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Purpose

The long-term goal of this program of research is to increase the reach of Lung Cancer Screening (LCS) among low-resource healthcare settings and populations. The proposed project, LUNG-IS, is a mixed-methods, pre-post quasi-experimental design conducted in three Utah safety-net healthcare system clinics. LUNG-IS employs a comprehensive conceptual model with theories, models, and frameworks of implementation and behavioral science, uses rigorous mixed-methods to evaluate factors that influence implementation of LCS, and uses patient navigation to facilitate clinic-community linkages. LUNG-IS leverages existing pathways to care and Centralized Hub infrastructure that enables eligibility assessment, LCS Shared Decision Making (SDM) with clinical decision support, screening referral, and screening logistics assistance to help overcome barriers to LCS completion. The Centralized Hub model uses ubiquitous technologies (i.e., text messaging/telehealth) to enable patients to be assessed for LCS eligibility, engage in SDM if eligible, and be referred for LCS. For patients who decide to complete LCS, they will be provided patient navigation via Community Health Workers designed to address logistical barriers, hesitancy, and financial constraints around completing LCS.

Condition

Eligibility

Eligible Ages
Between 50 Years and 80 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Current or former, male and female, smokers. - Age 50-80. - Primary language English or Spanish. - Have a phone that can send/receive text messages.

Exclusion Criteria

  • Patients who have never smoked. - Patients who are under the age of 50 or above the age of 80. - Primary language other than English or Spanish. - Do not have access to a phone that can send/receive text messages.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Single Group Assignment
Primary Purpose
Prevention
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Other
Stage 1: TM+ 		Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
Other
Stage 1: TM+, CA 		Basic text messages sent directly to the patient's cell phone. Also includes the option for chat bot to answer frequently asked LCS questions.
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Chat bot (CA)
    Chat bot to answer frequently asked LCS questions.
Other
Stage 1: TM+, Video 		Basic text messages sent directly to the patient's cell phone. Also includes the option for an educational video about LCS.
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Video
    Educational video about LCS.
Other
Stage 1: TM+, CA, Video 		Basic text messages sent directly to the patient's cell phone. Also includes the option for chat bot to answer frequently asked LCS questions and option for educational video about LCS. Patients who complete SDM and are referred to LCS will also be assigned to one of the following conditions. Descriptions of these conditions are as follows:
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Chat bot (CA)
    Chat bot to answer frequently asked LCS questions.
  • Behavioral: Video
    Educational video about LCS.
Other
Stage 2: TM+, RPN 		Patients who complete SDM and are referred to LCS may be assigned to this condition Patients will receive basic text messages and reactive patient navigation to help get to the LCS appointment.
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Reactive Patient Navigation (RPN)
    Reactive patient navigation to help get to the LCS appointment.
Other
Stage 2:TM+, PPN 		Patients who complete SDM and are referred to LCS may be assigned to this condition Patients will receive basic text messages and proactive patient navigation to help get to the LCS appointment. Patients who need transportation financial assistance will receive transportation vouchers to help get them to and from their LCS appointment.
  • Behavioral: Text Messages (TM+)
    Basic text messages sent directly to the patient's cell phone.
  • Behavioral: Proactive Patient Navigation (PPN)
    Proactive patient navigation to help get to the LCS appointment.

Recruiting Locations

Huntsman Cancer Institute/ University of Utah
Salt Lake City, Utah 84112
Contact:
Indy Li, MS
801-213-5697
indy.li@hci.utah.edu

More Details

Status
Recruiting
Sponsor
University of Utah

Study Contact

Indy Li, MS
801-213-5697
indy.li@hci.utah.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.