Facilitated Referral and Text Messaging for Lung Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if extra help increases lung cancer screening rates. It compares two methods: a basic referral with written information and a more hands-on approach involving staff-sent referrals and follow-up text messages to encourage screening. The goal is to identify which method leads to more completed lung cancer screenings. Ideal candidates for this trial are current or former smokers with a significant smoking history, who visit the emergency department and can receive text messages. As an unphased trial, this study allows participants to contribute to important research that could enhance lung cancer screening processes.
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 seems focused on lung cancer screening and does not mention medication changes.
What prior data suggests that this method is safe for increasing lung cancer screening uptake?
Research has shown that text messages and guided referrals can increase lung cancer screening rates. Studies indicate that text messages effectively remind people about screenings, especially those with limited access to healthcare.
Patient navigation, a component of the guided referral approach, promotes lung cancer screening by helping patients navigate the healthcare system. This method is particularly beneficial for those facing challenges in getting screened.
No reports of serious side effects have emerged from using text messages or guided referrals to increase screening. These methods are generally well-received due to their focus on communication and reminders.
Overall, guided referrals and text messages provide safe ways to encourage more people to get screened for lung cancer.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores innovative ways to increase the uptake of lung cancer screening, which is crucial for early detection and treatment. Unlike traditional methods that rely solely on physician referrals, this trial introduces a "Facilitated Referral + Text Messaging" approach. This method not only submits a screening form directly during an emergency department visit but also uses personalized text messages to motivate patients. These messages are based on psychological theories, aiming to enhance patients' intention and motivation to get screened. By integrating technology and personalized support, this trial could make lung cancer screening more accessible and engaging for patients.
What evidence suggests that this trial's interventions could increase lung cancer screening uptake?
Research has shown that text messages and guided referrals can increase lung cancer screening rates. In this trial, participants in the "Facilitated Referral + Text Messaging" group will receive text reminders and guided support to encourage screening completion. Studies have found that technology, such as text reminders, boosts motivation for screenings. Another study found that guiding patients through the process is especially helpful for those at high risk. Overall, these methods aim to catch lung cancer early, which can improve survival rates.13678
Are You a Good Fit for This Trial?
This trial is for individuals eligible for lung cancer screening (LCS) who visit a high-volume urban emergency department. Participants will be randomly assigned to one of two groups: one receiving basic referral information and the other getting facilitated referrals plus text message reminders.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Randomization and Intervention
Participants are randomized into two arms: basic referral or facilitated referral with text messaging. Activities include verbal referral, submission of requisition forms, and sending text messages.
Follow-up
Participants are monitored for LCS uptake and feedback is collected on barriers and facilitators to screening.
What Are the Treatments Tested in This Trial?
Interventions
- Increasing Lung Cancer Screening Uptake Among Emergency Department Patients
Trial Overview
The study aims to see if LCS uptake among emergency department patients can be increased through facilitated referrals and text messaging, compared to just a basic referral. The effectiveness of these methods will be measured after 120 days.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
For participants assigned to Arm 2, an LCS requisition form will be submitted to the UR Medicine LCS Program on behalf of the participant during their ED visit. The participant's primary care provider (if they have one) will be CC'd on the requisition. Participants will be instructed that the LCS program will reach out to them to discuss LCS and, if decided upon, schedule screening. An LCS Program Navigator will call the participant by phone, conduct a shared decision-making discussion, and schedule the screening CT scan (assuming eligibility is confirmed and the discussion results in the participant's decision to schedule screening). In addition, participants in Arm 2 will receive a series of text messages, grounded in the TPB, SDT, and HBM aimed at generating intention and motivation to get LCS.
Participants assigned to Arm 1 will be referred to the UR Medicine LCS Program and their primary care provider (if they have one) to discuss LCS. They will also be provided with written materials that include telephone contact information for the LCS Program Navigator.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Rochester
Lead Sponsor
Lung Cancer Research Foundation
Collaborator
Citations
Facilitators and barriers of lung cancer screening participation
Early detection of lung cancer, including screening, improves survival outcomes ... Cross-sectional study using self-reported data via Research ...
The Feasibility and Equity of Text Messaging to Determine ...
Text messaging shows promise for assessing smoking status and identifying lung cancer screening eligibility, particularly among middle-aged, educated ...
Interventions targeted to improve lung cancer screening ...
Combined intervention and patient navigation are most effective in increasing lung cancer screening uptake among high-risk individuals.
Effectiveness of Technology-Based Interventions in ...
This study reviews how technology-based interventions have been designed and implemented to promote lung cancer screening (LCS), support shared ...
Text Messaging Interventions on Cancer Screening Rates
Background: Despite high-quality evidence demonstrating that screening reduces mortality from breast, cervical, colorectal, and lung cancers ...
Increasing Lung Cancer Screening Uptake Among ...
The objective of the proposed clinical trial is to determine if we can increase LCS among ED patients using a combination of facilitated ...
Patient Navigation for Lung Cancer Screening at a Health ...
Study findings suggest that patient navigation may be an effective tool for promoting lung cancer screening engagement among people experiencing homelessness.
8.
arrsinpractice.org
arrsinpractice.org/barriers-facilitators-lung-cancer-screening-equity-in-individual-provider-and-community-practice/Barriers & Facilitators—Lung Cancer Screening Equity in ...
Lung cancer screening (LCS) can serve as a pillar to bridge disparities in LC outcomes through primary risk reduction with smoking cessation and secondary risk ...
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