Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - LungSMART UH3 Clinical Trial
University of Utah
Summary
The long-term goal of Lung Sequential Multiple Assignment Randomized Trial (LungSMART) Utah is to increase the reach of Low-Dose Computed Tomography (LDCT) screening for lung cancer (hereafter referred to as Lung Cancer Screening or LCS) at scale in low-resource healthcare settings.
Description
LungSMART is a Sequential Multiple Assignment Randomized Trial (SMART) conducted in Utah Community Health Centers (CHCs). The SMART design is structured in two sequential stages: Stage 1 aims to increase uptake of Lung Cancer Screening (LCS) eligibility assessment, while Stage 2 aims to increase LCS completion. In Stage 1, the Eligibility Assessment Stage, LungSMART Utah uses Azara, a population health management software, to identify potentially eligible patients from participating CHCs. Patients who are enrolled in the study will be randomized to digital health interventions and connected w…
Eligibility
- Age range
- 50–80 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Is currently a patient at participating CHCs * Speak English or Spanish * Current or former tobacco smoker * Male or Female * Age 50-80 * Electronic health records indicate they have not opted out of receiving text contact from the clinic * Has a phone that can receive text messages Exclusion Criteria: * Persons with lung cancer or who have previously participated in a Shared Decision Making discussion with a health provider regarding lung cancer or have completed LCS.
Interventions
- BehavioralText Messages (TM+)
A message informs the participants that a Registered Nurse (RN) from the Hub will call them about shared decision making (SDM) and LCS.
- BehavioralChatbot (CA)
Access to a chatbot for frequently asked questions about LCS
- BehavioralVideo (VID)
An educational video about LCS
- BehavioralReactive Patient Navigation (RPN)
RPN to help complete the LCS appointment. RPN requires the participant to initiate the PN request
- BehavioralProactive Patient Navigation (PPN)
Proactive patient navigation to help complete the LCS appointment. PPN does not require the participant to initiate the PN request and instead is a proactive call to the participant.
Location
- Huntsman Cancer Institute/University of UtahSalt Lake City, Utah