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Empowering Patients' Lung Cancer Screening Uptake (Empower LCS/Call+)

Sponsored by University of California, Irvine

About this study

Lung cancer screening (LCS) with low-dose computed tomography (LDCT) can reduce the risk of dying from lung cancer, but many people who are eligible for screening do not receive it. The purpose of the Empower LCS/Call+ study is to evaluate new strategies to improve lung cancer screening among adults who are eligible for screening based on current U.S. Preventive Services Task Force (USPSTF) guidelines. This pilot randomized controlled trial will enroll approximately 80 participants from UC Irvine Health and Emory Healthcare. Participants will be randomly assigned to receive either enhanced usual care or the Empower LCS/Call+ intervention. The intervention includes educational materials, reminders for patients and primary care providers, and information about financial and community resources when appropriate. Participants who do not complete lung cancer screening after the initial intervention may receive additional telephone-based navigation through the Call+ program to help identify and address barriers to screening and help with scheduling. Participants will complete a baseline survey and follow-up surveys at 4 and 8 months, and researchers will review electronic health record information to determine whether lung cancer screening was discussed, ordered, and completed. Some participants will also be invited to complete a one-time interview about their experiences with the study. The results of this study will help determine the feasibility, acceptability, and preliminary effectiveness of the Empower LCS/Call+ intervention and will inform future efforts to improve equitable access to lung cancer screening.

Lung cancer is the leading cause of cancer-related death in the United States. Although annual lung cancer screening with LDCT is recommended for adults at high risk and has been shown to reduce lung cancer mortality, screening uptake remains low. Barriers to screening exist at the patient, provider, and health system levels, including limited awareness of screening eligibility, incomplete documentation of smoking history in the electronic health record, logistical challenges, financial concerns, and psychosocial barriers such as fear, stigma, and mistrust. The Empower LCS is a multilevel intervention designed to improve lung cancer screening uptake by combining patient education, provider notification, patient reminders, and information on financial and community resources. The intervent…

Where this study is enrolling (57)

  • CHAO Family Comprehensive Cancer Center- Irvine

    Irvine, California

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  • Primary Care & Internal Medicine Services

    Orange, California

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  • UCI Chao Family Comprehensive Cancer Center

    Orange, California

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  • UCI Health - Costa Mesa

    Costa Mesa, California

    I'm interested

  • UCI Health Family Health Center - Anaheim

    Anaheim, California

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Who can participate

Inclusion criteria

  • ✓1. Must meet current USPSTF eligibility criteria for lung cancer screening (Current criteria: age 50-80 years old with a 20 pack-year smoking history, who currently smoke or have quit within the last 15 years)
  • ✓2. Must have an electronic health record-assigned primary care provider within University of California Irvine Health or Emory Healthcare
  • ✓3. Must have recent engagement with respective health system (i.e., office or emergency department (ED) visit, hospitalization with discharged home in the last 12 months, or a scheduled office visit in the next 3 months).
  • ✓4. Must speak English or Spanish
  • ✓5. Able and willing to provide informed consent

Exclusion criteria

  • ✕1. Meet the eligibility upper age limit during initial 4-month participation.
  • ✕2. Have a prior history of lung cancer.
  • ✕3. Have a new diagnosis of other cancers in the 12 months
  • ✕4. Have a chest CT or LDCT in the last 12 months
  • ✕5. Have ICD-10 code of Alzheimer's disease in EHR

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.