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Completed

NCT Number: NCT04940221

Testing Informed Decision Making in Lung Cancer Screening

Lung cancer screening rates are very low despite the fact that lung cancer screening could save many lives. People need to understand the risks and benefits to screening as well as their own beliefs about screening. This study builds an intervention in real world primary care that will help people make the right decision for them as well as help people to quit smoking. Interventions like this are needed to improve the screening rate and reduce death from lung cancer, which is the leading cancer killer.

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Key information

Conditions

Lung Cancer Lung Diseases Lung Neoplasms Neoplasms Neoplasms by Site Respiratory Tract Diseases Respiratory Tract Neoplasms Thoracic Neoplasms

Age range

55 year–78 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Christiana Care Health System

Newark, Delaware, 19718, United States

About this study

Lung cancer screening rates in the United States are very low- just 3.3% in 2010 and 3.9% in 2015. There is a critical need to develop and implement effective strategies to engage high-risk patients in a coordinated program of lung cancer screening, which includes shared-decision making. The investigators proposed to modify and expand a shared decision- counseling intervention previously developed in one primary care practice. The investigators measured lung cancer screening in our intervention group compared to a propensity-matched usual care cohort. The investigators compared patients recruited to patients who are not in order to identify potential sources of disparity in future work and the investigators developed a more intense smoking cessation component. Model interventions for shared-decision making in clinical practice are needed across a wide range of diseases and decisions.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Current or former smoker
  • Greater than or equal to 30 pack years smoking

Exclusion criteria

  • Prior CT in last year
  • Quit smoking greater than 15 years ago
  • Current diagnosis of lung cancer

Treatment and study plan

Shared Decision Making

Behavioral

Telephone delivered non-persuasive shared decision-making for lung cancer screening.

Primary outcomes

  1. Number of Patients Who Received a Low Dose CT Scan of the Chest

    Time frame: 1 year

    Percentage of individuals who have evidence of a low-dose CT scan of the chest in their electronic medical record at 1 year post intervention, as ascertained by chart audit by research assistance.

Sponsors and collaborators

Lead sponsor

Christiana Care Health Services

Other

Collaborators

  • National Institute of General Medical Sciences (NIGMS)
  • Thomas Jefferson University
  • University of Delaware

Registry information

Acronym: TIDiL

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Jun 25, 2021
Registry last updated
Sep 18, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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