Educational Support for Lung Cancer Screening

Overseen By Ronald Myers, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Ronald Myers

Disqualifiers: Lung cancer, Recent hospitalization, Dementia, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

822 Participants Needed

Trial Summary

What is the purpose of this trial?

This clinical trial tests how well providing education improves screening for lung cancer in patients with a history of smoking. Screenings may help doctors find lung cancer sooner when it may be easier to treat. Education and counseling may be an effective method to help providers and patients learn about lung cancer screening. Providing education and decision counseling to providers and patients may increase lung cancer screening.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on education and counseling for lung cancer screening.

What data supports the effectiveness of the treatment Educational Support for Lung Cancer Screening?

Research shows that educating cancer patients helps them manage treatment side effects better, reduces stress and anxiety, and improves cooperation with treatment plans. Additionally, wellness education has been found to positively influence behavior and psychological status in lung cancer patients. ^{1 2 3 4 5}

Is educational support for lung cancer screening safe for humans?

Educational support, such as wellness education and therapeutic education, is generally safe for humans. It helps patients understand and manage treatment side effects, though a lack of information can sometimes lead to adverse events. ^{1 5 6 7 8}

How does the educational support treatment for lung cancer screening differ from other treatments?

The educational support treatment for lung cancer screening is unique because it focuses on providing patients with knowledge and skills to manage their condition, rather than directly treating the cancer itself. This approach helps patients understand their disease, cope with stress, and improve their cooperation with medical regimens, which can lead to better overall outcomes. ^{1 2 5 9 10}

Eligibility Criteria

This trial is for adults aged 50-77 who currently smoke or quit within the last 15 years, with a significant smoking history. They must be able to communicate in English or Spanish and have an upcoming primary care visit. Excluded are those recently hospitalized, with dementia, prior lung cancer, or recent CT scans.

Inclusion Criteria

Practice Level: Practice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reports

Practice Level: Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systems

Practice Level: Practice with at least 50% of practice providers (physicians and advanced care providers) consenting to participate

Exclusion Criteria

Patient Outreach: Prior history of lung cancer

I was hospitalized within the last 60 days.

Patient Outreach: Dementia diagnosis codes F03.90 or F03.91 in EHR

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Providers and patients undergo educational activities and counseling to improve lung cancer screening

4 months

Multiple sessions (online and in-person)

Follow-up

Participants are monitored for repeat annual lung cancer screenings and diagnostic follow-up

11-16 months

Long-term Follow-up

Participants are monitored for tobacco cessation services and lung cancer screening referrals

Up to 5 years

Treatment Details

Interventions

• Counseling
• Education

Trial Overview The study evaluates if education and counseling can increase lung cancer screening rates among smokers or recent quitters. It involves survey administration, electronic health record review, and educational activities aimed at both healthcare providers and patients.

Participant Groups

Group I: Group A (Providers): (survey, online educational activity) Experimental Treatment 2 Interventions

Participants complete survey on study. Participants undergo online educational activity on study. Participants undergo distance learning on study.

Group II: Group A (Patients): (EHR, educational activity, counseling)) Experimental Treatment 3 Interventions

Patients undergo EHR review on study. Patients undergo educational activity on study. Patients also undergo SDM counseling once on study.

Group III: Group B (Patients): (survey) Active Control 2 Interventions

Patients undergo EHR review on study and complete telephone survey throughout the trial.

Group IV: Group B (Providers): (survey) Active Control 1 Intervention

Participants complete survey at baseline and end of study survey.

Who Is Running the Clinical Trial?

Ronald Myers

Lead Sponsor

Trials

1

Recruited

820+

Thomas Jefferson University

Lead Sponsor

Trials

475

Recruited

189,000+

National Cancer Institute (NCI)

Collaborator

Trials

14,080

Recruited

41,180,000+

Findings from Research

Patients with lung cancer who received education about treatment and rehabilitation during chemotherapy had significantly lower rates of severe treatment side effects (14.52% vs. 37.27%) compared to those who did not receive this information.

The intervention group also showed better outcomes in terms of daily protein intake (54.84% vs. 70.00% low intake), lower prevalence of depression (51.61% vs. 70.91%), and improved performance status (75.81% vs. 55.45%).

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Relationships between patient knowledge and the severity of side effects, daily nutrient intake, psychological status, and performance status in lung cancer patients. Tian, J., Jia, LN., Cheng, ZC.[2018]

Cancer patient education should go beyond just providing information; it must also include teaching coping skills and new strategies to manage the disease, which can lead to better treatment adherence and reduced anxiety.

Focusing on the different phases of cancer care can help identify essential educational content, and ongoing research is crucial for developing effective teaching methods and evaluating their impact on patient outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Information and education across the phases of cancer care. Adams, M.[2019]

Cancer patient education programs are crucial, especially for those undergoing active treatment, as they help manage treatment side effects and improve coping strategies.

Future improvements in these programs should focus on using appropriate measurement tools, ensuring adequate sample sizes, and incorporating psychological techniques to enhance patient support and potentially reduce healthcare costs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cancer patient education: reality and potential. Rimer, B., Keintz, MK., Glassman, B.[2019]

Individualized diet therapy is crucial for cancer patients, emphasizing the need for tailored dietary plans based on individual assessments and periodic reassessments.

Education for cancer patients should include information on side effects and various preventive and therapeutic measures, recognizing that what works for one patient may not work for another, thus providing multiple alternatives for each issue.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The nurse's role in nutritional management of radiotherapy patients. Schreier, AM., Lavenia, J.[2008]

A wellness education (WE) intervention significantly improved health-promoting behaviors, such as smoking cessation and dietary awareness, among 126 patients with stage IV non-small cell lung cancer (NSCLC) undergoing icotinib treatment over a 12-week period.

The WE intervention also led to enhanced quality of life and reduced anxiety and depression scores in both patients and their caregivers, indicating its effectiveness in supporting both physical and mental well-being during cancer treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Influence of wellness education on first-line icotinib hydrochloride patients with stage IV non-small cell lung cancer and their family caregivers. Yanwei, L., Minghui, F., Manman, Q., et al.[2019]

A 15-minute educational DVD significantly increased cancer patients' knowledge about nutrition and managing chemotherapy side effects, as shown by improved survey scores after the intervention.

Most participants found the DVD informative and useful, with 71% reporting they applied tips from it, suggesting that multimedia education can effectively support patients during chemotherapy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impact of an early education multimedia intervention in managing nutrition-related chemotherapy side effects: a pilot study. Thompson, J., Silliman, K., Clifford, DE.[2021]

In a study of 101 adult cancer patients undergoing chemotherapy, 83% reported experiencing adverse events, highlighting the common side effects of anticancer drugs.

The research found that 11% of adverse events and a significant portion of medical consultations and hospitalizations were linked to a lack of therapeutic education, emphasizing the need for better patient education on treatment and supportive care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Potential clinical impact of therapeutic education in patients treated with anticancer drugs]. Santucci, R., Aatmani, AE., Lescoute, A., et al.[2017]

An 11-minute educational DVD combined with a group discussion led by an oncology nurse effectively improved patients' understanding of chemotherapy side effects and self-care management.

Surveys conducted after the class and at an eight-week follow-up indicated that this approach empowered patients and families, enhancing their confidence in managing side effects of chemotherapy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Empowering individuals to self-manage chemotherapy side effects. Fee-Schroeder, K., Howell, L., Kokal, J., et al.[2022]

Cancer patients and their families have diverse psychological and educational needs, prompting healthcare professionals to implement a range of educational activities from one-on-one sessions to group programs across various settings.

Innovative teaching strategies, such as imagery, are being utilized to effectively address these needs, particularly during different phases of the patient's illness, highlighting the importance of tailored educational approaches.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cancer patient education: what, where, and by whom? Crosson, K.[2007]

Lung cancer screening programs using computed tomography have significantly improved early detection, which can help reduce mortality rates associated with the disease.

These programs not only focus on screening but also provide education, support smoking cessation, and address other tobacco-related health issues, highlighting the need for evolving guidelines as new risk factors and tests emerge.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Computed Tomography Scanning for Early Detection of Lung Cancer. Jacobson, FL., Jaklitsch, MT.[2019]

References

1. Switzerland pubmed.ncbi.nlm.nih.gov

Relationships between patient knowledge and the severity of side effects, daily nutrient intake, psychological status, and performance status in lung cancer patients. [2018]

2. United States pubmed.ncbi.nlm.nih.gov

Information and education across the phases of cancer care. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

Cancer patient education: reality and potential. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

The nurse's role in nutritional management of radiotherapy patients. [2008]

5. United States pubmed.ncbi.nlm.nih.gov

Influence of wellness education on first-line icotinib hydrochloride patients with stage IV non-small cell lung cancer and their family caregivers. [2019]

6. Switzerland pubmed.ncbi.nlm.nih.gov

Impact of an early education multimedia intervention in managing nutrition-related chemotherapy side effects: a pilot study. [2021]

7. France pubmed.ncbi.nlm.nih.gov

[Potential clinical impact of therapeutic education in patients treated with anticancer drugs]. [2017]

8. United States pubmed.ncbi.nlm.nih.gov

Empowering individuals to self-manage chemotherapy side effects. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Cancer patient education: what, where, and by whom? [2007]

10. United States pubmed.ncbi.nlm.nih.gov

Computed Tomography Scanning for Early Detection of Lung Cancer. [2019]