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Integrating Telehealth to Advance Lung Cancer Screening
Sponsor: Abramson Cancer Center at Penn Medicine
Summary
The goal of this pragmatic trial is to learn if telehealth strategies can increase shared decision-making (SDM) for lung cancer screening (LCS). It will also learn about the equity of these strategies by conducting non-inferiority analysis by race and sex. The main questions it aims to answer are: 1. Does patient outreach using synchronous and asynchronous telehealth strategies increase completion of SDM visits for LCS? 2. Is the effectiveness of these telehealth strategies similar by race and sex? The study uses a Sequential Multiple Assignment Randomized Trial (SMART) design and includes two stages of interventions. The first stage of intervention includes direct patient outreach with an invitation to schedule either a 1) telehealth SDM visit or 2) telehealth or in-person SDM visit. Participants that do not respond to the first stage interventions receive a text message reminder encouraging SDM visit completion with or without digital care coordination.
Key Details
Gender
All
Age Range
50 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
6000
Start Date
2024-07-09
Completion Date
2027-01-31
Last Updated
2025-11-12
Healthy Volunteers
No
Interventions
Active Choice
The participant will be send a letter inviting them to complete a SDM visit either in-person or via telehealth.
Telehealth Only
The participant will be send a letter inviting them to complete a SDM visit via telehealth only.
Low Touch Strategy
Patient will be sent asynchronous text messaging reminders encouraging SDM for LCS using framed messaging.
High Touch Strategy
Patient will be sent asynchronous text messaging reminders encouraging SDM for LCS using framed messaging in combination with synchronous telephone-based digital care coordination.
Locations (1)
University of Pennsylvania
Philadelphia, Pennsylvania, United States