Increasing Lung Cancer Screening for Smokers

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness of educational interventions aimed at increasing lung cancer screening among patients with a history of smoking. It involves randomizing healthcare providers and patients into different groups to assess the impact of education and shared decision-making on screening rates. The study also aims to identify factors that may facilitate or hinder the implementation of these interventions. By enhancing provider and patient knowledge about lung cancer screening, the trial seeks to improve early detection and treatment outcomes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* PRACTICE LEVEL:
* Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systems
* Practice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reports
* Practice with at least 50% of practice providers (physicians and advanced care providers) consenting to participate
* PATIENT LEVEL:
* Have an office or telemedicine established patient visit scheduled with a primary care provider in one of the participating practices within next 14 to 25 days
* 50 to 77 years of age
* Have at least a 20-pack-year smoking history (based on self-report at baseline eligibility assessment)
* Currently smoke or have quit smoking within the past 15 years (based on self-report at baseline eligibility assessment)
* Able to communicate in English or Spanish (determined at baseline eligibility assessment)

Exclusion Criteria:

* PATIENT OUTREACH:
* Any lung computed tomography (CT) or low-dose computed tomography (LDCT) scan in the past 11 months, current procedural terminology (CPT) Codes are as follows

  * G0297 - LDCT screening
  * 71250 - CT w/o contrast
  * 71260 - CT w/ contrast
  * 71270 - CT with and w/o contrast
  * 71275 - CT angiography chest
  * 78815 - Positron emission tomography computed tomography (PET CT) skull base to mid-thigh
  * 78816 - PET CT whole body
* Prior history of lung cancer (The patient's problem list includes a problem with an international classification of diseases (ICD10) code of "Z85.118" or one beginning with "C34.", or by self-report at baseline eligibility assessment)
* Recent hospitalization (Admission date within the last 60 days listed in electronic health record (EHR), or by self-report at baseline eligibility assessment)
* Dementia (diagnosis codes F03.90 or F03.91) in EHR

Where it's running

• Sidney Kimmel Cancer Center at Thomas Jefferson University
  Philadelphia, Pennsylvania, United States Recruiting

Study contacts

• Study coordinator: Ronald Myers, PhD
• Email: ronald.myers@jefferson.edu
• Phone: 215-503-4085

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.