Increasing Adherence to Lung Cancer Screening
Completed · Not applicable
Conditions studied: Lung Cancer, Adherence, Patient
In brief
Investigators are conducting a pragmatic randomized trial testing the effectiveness of patient and clinician nudge strategies on adherence to lung cancer screening (LCS) \& diagnostic follow-up across eligible primary care clinicians \& patients. Following the trial, a subsample of patients \& clinicians will be invited to one-time semi-structured interview \& survey to identify individual \& system-level factors that may restrict or enhance the impact of strategies.
Key facts
- Study ID
- NCT05832008
- Run by
- Abramson Cancer Center at Penn Medicine
- People needed
- 825
- Starts
- 2023-10-18
- Expected to finish
- 2026-02-28
- Last updated by the study team
- 2026-07-22
Who can join
Age: 50 and older, up to 80. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Clinicians will be eligible if they:
- are practicing primary care or specialty care physicians at a recruiting site within the University of Pennsylvania Health System;
- care for patients who completed LCS via LDCT in 2019-2023; and
- do not opt-out of study participation.
- Patients will be eligible if they:
- are eligible for LCS based on 2021 US Preventive Services Task Force (USPSTF) population guidelines (aged 50-80; smoking history of 20-pack years; smoked within the last 15 years)
- completed LCS via LDCT in 2019-2023;
- have not been diagnosed with lung cancer;
- meet criteria for non-adherence;
- remain eligible for LCS during the trial enrollment period; and
- receive LCS care from a clinician that has not opted-out of study participation
You may not qualify if…
- Patients will be excluded if they:
- a) have a highly suspicious baseline LDCT (Lung-RADS 4B/X) given the presence of existing clinical pathways to ensure adherence in this group
Where it is running
- University of Pennsylvania — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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