Recruiting

Observational Study

Sponsor:

Ronald Myers

Code:

NCT05679349

Conditions

Lung Carcinoma

Tobacco-Related Carcinoma

Eligibility Criteria

Sex: All

Age: 50 - 70+

Healthy Volunteers: Accepted

Interventions

Survey Administration

Educational Activity

Survey Administration

Electronic Health Record Review

Educational Activity

Study Details

Brief summary:

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.

Conditions

Lung Carcinoma

Tobacco-Related Carcinoma

Study ID

NCT05679349

Start date

Apr 1, 2024

Status verified date

May, 2026

Completion date

Feb 26, 2027

Anticipated

Primary completion date

Feb 26, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 50 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • PRACTICE LEVEL:
  • Primary care practice (family medicine, geriatrics, internal medicine) in one of the 4 participating health systems
  • Practice using the main electronic medical record (EMR) of each system, in order to run appropriate patient recruitment reports
  • Practice with at least 50% of practice providers (physicians and advanced care providers) consenting to participate
  • PATIENT LEVEL:
  • Have an office or telemedicine established patient visit scheduled with a primary care provider in one of the participating practices within next 14 to 25 days
  • 50 to 77 years of age
  • Have at least a 20-pack-year smoking history (based on self-report at baseline eligibility assessment)
  • Currently smoke or have quit smoking within the past 15 years (based on self-report at baseline eligibility assessment)
  • Able to communicate in English or Spanish (determined at baseline eligibility assessment)

Exclusion Criteria:

  • PATIENT OUTREACH:
  • Any lung computed tomography (CT) or low-dose computed tomography (LDCT) scan in the past 11 months, current procedural terminology (CPT) Codes are as follows

  • G0297 - LDCT screening
  • 71250 - CT w/o contrast
  • 71260 - CT w/ contrast
  • 71270 - CT with and w/o contrast
  • 71275 - CT angiography chest
  • 78815 - Positron emission tomography computed tomography (PET CT) skull base to mid-thigh
  • 78816 - PET CT whole body
  • Prior history of lung cancer (The patient's problem list includes a problem with an international classification of diseases (ICD10) code of "Z85.118" or one beginning with "C34.", or by self-report at baseline eligibility assessment)
  • Recent hospitalization (Admission date within the last 60 days listed in electronic health record (EHR), or by self-report at baseline eligibility assessment)
  • Dementia (diagnosis codes F03.90 or F03.91) in EHR

Study Design

Enrollment

822 participants

Anticipated

Allocation

Randomized

Intervention Model

Factorial

Primary purpose

Screening

Interventions and Outcome Measures

Arms

experimental: Group A (Providers): (survey, online educational activity)

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

active comparator: Group B (Providers): (survey)

Participants complete survey at baseline and end of study survey.

experimental: Group A (Patients): (EHR, educational activity, counseling))

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

active comparator: Group B (Patients): (survey)

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

Interventions

Survey Administration

Complete survey

Educational Activity

Undergo online shared decision making training and distance learning

Survey Administration

Complete survey

Electronic Health Record Review

Undergo electronic health record review

Educational Activity

Undergo online shared decision making training and distance learning

Counseling

Undergo shared decision making counseling

Survey Administration

Complete survey

Electronic Health Record Review

Undergo electronic health record review

Primary outcome measure

  • Completion of initial lung cancer screening (LCS) [ Time Frame: Within 4 months of randomization ]

Central Contacts and Locations

Central contacts

Ronald Myers, PhD

215-503-4085ronald.myers@jefferson.edu

Locations

Sidney Kimmel Cancer Center at Thomas Jefferson University

Recruiting

Philadelphia, Pennsylvania, United States, 19107

More Information

Sponsor

Ronald Myers

Last update posted

May 29, 2026

Last verified

May, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Ronald Myers on 2026-05-29.