RecruitingNot ApplicableNCT06638554

Integrating Telehealth to Advance Lung Cancer Screening

Sponsor

Abramson Cancer Center at Penn Medicine

Enrollment

6,000 participants

Start Date

Jul 9, 2024

Study Type

INTERVENTIONAL

Conditions

Early Detection of Cancer Telemedicine Decision Making

Summary

The goal of this pragmatic trial is to learn if telehealth strategies can increase shared decision-making (SDM) for lung cancer screening (LCS). It will also learn about the equity of these strategies by conducting non-inferiority analysis by race and sex. The main questions it aims to answer are: 1. Does patient outreach using synchronous and asynchronous telehealth strategies increase completion of SDM visits for LCS? 2. Is the effectiveness of these telehealth strategies similar by race and sex? The study uses a Sequential Multiple Assignment Randomized Trial (SMART) design and includes two stages of interventions. The first stage of intervention includes direct patient outreach with an invitation to schedule either a 1) telehealth SDM visit or 2) telehealth or in-person SDM visit. Participants that do not respond to the first stage interventions receive a text message reminder encouraging SDM visit completion with or without digital care coordination.

Eligibility

Min Age: 50 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying whether integrating telehealth into lung cancer screening — using video visits and phone calls instead of requiring in-person appointments — increases the number of eligible smokers and ex-smokers who actually get screened. You may be eligible if: you are between 50 and 80 years old; you have a significant smoking history (20 or more pack-years) either documented in your health record or self-reported; you currently smoke or are a former smoker; you have no history of lung cancer; you have not had lung cancer screening in the past 2 years; and you have had at least one primary care visit at Penn Medicine in the past 3 years. You may NOT be eligible if: you do not meet any of the above criteria. 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.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALActive Choice

The participant will be send a letter inviting them to complete a SDM visit either in-person or via telehealth.

BEHAVIORALTelehealth Only

The participant will be send a letter inviting them to complete a SDM visit via telehealth only.

BEHAVIORALLow Touch Strategy

Patient will be sent asynchronous text messaging reminders encouraging SDM for LCS using framed messaging.

BEHAVIORALHigh Touch Strategy

Patient will be sent asynchronous text messaging reminders encouraging SDM for LCS using framed messaging in combination with synchronous telephone-based digital care coordination.