PrOVE QUERI Project #1

VA Office of Research and Development

Status

Completed

Conditions

Prevention and Control

Treatments

Other: Academic Detailing

Other: Webinar, Promotion, and Tool Access

Other: LEAP

Other: Audit and Feedback

Study type

Observational

Funder types

Other U.S. Federal agency

Identifiers

NCT02765412

QUX 16-003

QUE 15-286 (Other Grant/Funding Number)

Details and patient eligibility

About

The overall goal of this project is to test two strategies for implementing a shared decision making tool to be used by providers while talking to patients about lung cancer screening. Eight participating sites will be randomized to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will survey patients to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

Full description

The overall goal of this quality improvement project is to test two strategies for implementing shared decision making, which incorporates the Decision Precision lung cancer screening tool. The investigators will use multi-site, cluster-based randomization to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will have a human subjects research component to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

Enrollment

74,022 patients

Sex

All

Ages

55 to 80 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patients at participating sites without documented exclusions for lung cancer screening who have had initial lung cancer screening clinical reminders resolved during the recruitment period

Exclusion criteria

Exclusions for initial lung cancer screening clinical reminders:

history of lung, pancreatic, liver or esophageal cancer
a health factor on file indicating they have a life expectancy of less than 6 months or who already had a chest CT in the past 12 months