Evaluating the Impact of Centralized Interventions on Lung Cancer Screening Adherence in Community Settings, ACCELL Trial

Launched by FRED HUTCHINSON CANCER CENTER · Mar 15, 2024

Keywords

ClinConnect Summary

OUTLINE:

Patients receive lung cancer screening follow-up care coordination services, delivered by a lung cancer screening care coordinator at their care site.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • AIM II: Age 50-80
• • AIM II: Current or former (within 15 years) smoker
• • AIM II: 20+ pack-years of cigarette use
• • AIM II: Undergone at least one lung cancer screening low-dose chest computed tomography (CT) at partnering sites within the study period
• • AIM III (PROVIDER INTERVIEWS): Age minimum of 18
• • AIM III (PROVIDER INTERVIEWS): Affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• • AIM III (PROVIDER INTERVIEWS): Identifies as providing primary care or specialty care to LCS patients (medical doctor \[MD\], registered nurse \[RN\], physician assistant \[PA\], advanced registered nurse practitioner \[ARNP\])
• • AIM III (LCS PATIENT INTERVIEWS): Aged 50-80 years
• • AIM III (LCS PATIENT INTERVIEWS): Received lung cancer screening at Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center within the intervention period
• • AIM III (LCS PATIENT INTERVIEWS): Was eligible for LCS at time of performance by United States Preventative Services Taskforce (USPSTF) criteria
• • Age 50-80 at time of exam
• • At least 20 pack-year smoking history
• • Currently smoking or smoked within the last 15 years
• • AIM III (LCS-SPECIFIC CARE COORDINATORS): Age minimum of 18
• • AIM III (LCS-SPECIFIC CARE COORDINATORS): Affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• • AIM III (LCS-SPECIFIC CARE COORDINATORS): Identifies as fulfilling a supportive role in the LCS care continuum as part of the centralizing intervention
• Exclusion Criteria:
• • AIM II: No longer eligible for lung cancer screening chest CT during follow-up period (no longer meeting inclusion criteria during follow-up period)
• • AIM II: Request to not participate in the trial
• • AIM III (PROVIDER INTERVIEWS): Less than age 18
• • AIM III (PROVIDER INTERVIEWS): Do not have an affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• • AIM III (PROVIDER INTERVIEWS): Does not identify as providing primary care or specialty care to LCS patients (MD, RN, PA, ARNP)
• • AIM III (LCS PATIENT INTERVIEWS): Less than age 50 or older than age 80
• • AIM III (LCS PATIENT INTERVIEWS): Did not receive lung cancer screening at Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center within the intervention period
• • AIM III (LCS PATIENT INTERVIEWS): Was not eligible for LCS at time of performance by USPSTF criteria
• • AIM III (LCS-SPECIFIC CARE COORDINATORS): Less than of 18
• • AIM III (LCS-SPECIFIC CARE COORDINATORS): Does not have an affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center