Maine Lung Cancer Coalition: Using CHWs for the Annual Lung Cancer Screening Reminder

Anne Conners

Status: Completed

Conditions: Lung Cancer

Treatments: Behavioral: Letter; Behavioral: Community Health Worker Phone Call

Study type: Interventional

Funder types: Other

Identifiers

NCT04007458

1419555

Details and patient eligibility

About

This research study will test whether support from a Community Health Worker (CHW) to address barriers to annual LDCT screening will result in an increased number of patients who receive the annual screening as per the recommended standard of care compared to passive outreach using a reminder letter.

Full description

This research study is a randomized controlled trial comparing phone outreach by a trained Community Health Worker (CHW) following a reminder letter to the reminder letter alone for patients who are at least a month overdue to have a routine annual low dose CT scan (LDCT) screening for lung cancer. CHWs will be able to identify and address barriers to accessing screening for those patients randomized to that arm of the study. Outcomes that will be measured include scheduling and completing the LDCT as well as agreeing to a referral for tobacco treatment.

Enrollment: 396 patients

Sex: All

Ages: 55 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 30 or more pack years of tobacco use
• If no longer using tobacco, no more than 15 years since last use
• At least 13 months since last low dose CT scan screening

Exclusion criteria

• Development of serious medical condition that would preclude treatment of lung cancer if found
• Death since baseline screen

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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396 participants in 2 patient groups

Letter

Active Comparator group

Description:

Patients will receive a letter reminding them that they are overdue for repeat annual screening.

Treatment:

Behavioral: Letter

Community Health Worker phone call

Experimental group

Description:

Patients will receive a phone call from community health worker, offering to help them overcome barriers to repeat annual screening and offering to help them schedule their screening.

Treatment:

Behavioral: Community Health Worker Phone Call