RecruitingNot ApplicableNCT05491213

TELESCOPE- TELEhealth Shared Decision-making COaching

TELEhealth Shared Decision-making COaching for Lung Cancer Screening in Primary carE (TELESCOPE)

Sponsor

Rutgers, The State University of New Jersey

Enrollment

594 participants

Start Date

Feb 14, 2023

Study Type

INTERVENTIONAL

Conditions

Lung Neoplasms

Summary

Hypothesis 1a: The investigators anticipate that navigator decision coaching, compared to enhanced usual care (EUC) will result in higher quality SDM for lung cancer screening (LCS )(primary outcome), greater knowledge of lung cancer screening benefits and harms, and lower decisional conflict. Hypothesis 1b: Compared to enhanced usual care (EUC), we expect that TELESCOPE will result in more screening discussions, increased initial for lung cancer screening (LCS) with low-dose CT scan (LDCT) uptake among interested participants, increased adherence to repeat LCS and diagnostic testing, and increased smoking cessation referrals for current smokers. Hypothesis 2: The investigators expect that a "booster" coaching session will increase adherence to repeat lung cancer screening (LCS).

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a telehealth coaching program to help doctors and patients make better shared decisions about lung cancer screening. Lung cancer screening uses low-dose CT scans and is recommended for longtime smokers. The program aims to increase the number of eligible patients who are offered and understand their options for screening. **You may be eligible if...** - You are a patient aged 50 to 77 - You are a current smoker or quit within the past 15 years - You have smoked for at least 20 pack-years (e.g., a pack a day for 20 years) - You have a scheduled non-urgent medical visit at a participating clinic **You may NOT be eligible if...** - You do not speak English - You have a history of lung cancer - You have already been screened for lung cancer recently Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALTELESCOPE, Remote Decision Coaching with Navigation Intervention

The TELESCOPE intervention involves three complementary components: 1) decision aid and coaching for LCS, 2) referral of current smokers to evidence-based smoking cessation services, and 3) for participants interested in screening, navigation to complete LCS and diagnostic testing and oncology care as needed