Inpatient Smokers and LDCT Screening Part 2

Completed · Not applicable

Conditions studied: Lung Cancer Screening, Smoking Cessation

In brief

Lung cancer suffers from large racial and socioeconomic disparities. Yet those at the highest risk of lung cancer death - current smokers, blacks, and individuals with low socioeconomic status (SES) and negative social determinants of health (SDH) - are less likely to receive preventive health services, including the two most effective interventions to reduce lung cancer mortality: tobacco dependence treatment and lung cancer screening (LCS) with low-dose computed tomography (LDCT). At Boston Medical Center (BMC) these preventive services are grossly underutilized, in part due to barriers our patients face in accessing these outpatient programs. Innovative approaches are needed to guide high-risk smokers to post-discharge early lung cancer detection services. The overarching goal of this study is to reduce disparities in lung cancer morbidity and mortality by using hospitalization at an urban safety net hospital as an opportunity to connect high-risk smokers to both LDCT lung cancer screening and tobacco dependence treatment. In addition to inpatient shared decision making \[SDM\] by an NP using a decision aid, screen-eligible smokers will also be connected with a community health worker (CHW) to facilitate access to outpatient smoking cessation counseling and LCS (CHW navigation).

Key facts

Study ID

NCT03793894

Run by

Boston University

People needed

21

Starts

2019-02-12

Expected to finish

2020-06-04

Last updated by the study team

2020-07-07

Who can join

Age: 55 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Hospitalized smoker at BMC
• Meeting LDCT screening eligibility criteria: (age 55-80 years; ≥30-pack years smoking)
• Current smoker (> 1 cigarette per day)
• Able to speak, read, and understand English
• Able and willing to comply with all study protocols and procedures
• Having a PCP in the BMC network or one of the affiliated health centers

You may not qualify if…

• Inability to tolerate surgical resection of a lung cancer, as defined by home oxygen therapy (an indicator of severe lung cancer or heart disease)
• Active cancer (receiving treatment/new diagnosis) in prior 3 months or advanced stage cancer
• Signs and symptoms of lung cancer or prior diagnosis of lung cancer
• Already had chest CT (LDCT screening or other chest CT) in the past year
• Pregnant

Where it is running

• Boston Medical Center — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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