Educating Smokers About Lung Cancer Screening Using Tobacco Quitlines

Primary outcomes

1. Content from communications (email, phone, monthly calls)

   Time frame: Up to 4 years

   Will be content analyzed using Atlas.ti qualitative software according to the adaptation framework from Stirman and colleagues. Will identify 1) who made the modification; 2) what was modified (i.e., content, context, training and evaluation); 3) for whom the modification was made (e.g., individual counselor); 4) context of the modification (e.g., format, setting, personnel, population); and 5) what was the nature of the modification (e.g., adding elements). Will also code for facilitators and barriers that are consistent with the constructs from CFIR. All textual data will be double coded and discussed by the researchers.

2. Healthcare sector perspective

   Time frame: Up to 4 years

   As needed, will use a process-flow analysis to identify all resources utilized at each of the step of the program.

3. Reach

   Time frame: During 6 month implementation period

   The analysis of the data from the logs and surveys will include examining the means, medians, standard deviations, and ranges overall and by state quitline for Reach

4. Overall lung cancer screening rate

   Time frame: Up to 6 months

5. Effectiveness (Caller Substudy)

   Time frame: Up to 6 months

   Will be successful if callers who participate in the evaluation answer at least 58 percent (7/12) of the Adapted lung cancer screening (LCS)-12 Knowledge Measure questions correctly and have a PrepDM score of at least 80 (standard deviation [SD] = 17.7), which were observed in the original project.