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Digital Health Implementation Strategies to Improve Lung Cancer Screening Among Safety-Net Clinics
Sponsor: University of Utah
Summary
The long-term goal of this program of research is to increase the reach of Lung Cancer Screening (LCS) among low-resource healthcare settings and populations. The proposed project, LUNG-IS, is a mixed-methods, pre-post quasi-experimental design conducted in three Utah safety-net healthcare system clinics. LUNG-IS employs a comprehensive conceptual model with theories, models, and frameworks of implementation and behavioral science, uses rigorous mixed-methods to evaluate factors that influence implementation of LCS, and uses patient navigation to facilitate clinic-community linkages. LUNG-IS leverages existing pathways to care and Centralized Hub infrastructure that enables eligibility assessment, LCS Shared Decision Making (SDM) with clinical decision support, screening referral, and screening logistics assistance to help overcome barriers to LCS completion. The Centralized Hub model uses ubiquitous technologies (i.e., text messaging/telehealth) to enable patients to be assessed for LCS eligibility, engage in SDM if eligible, and be referred for LCS. For patients who decide to complete LCS, they will be provided patient navigation via Community Health Workers designed to address logistical barriers, hesitancy, and financial constraints around completing LCS.
Official title: Digital Health Implementation Strategies to Improve Lung Cancer Screening Among Safety-Net Clinics (LUNG-IS) - PATIENT
Key Details
Gender
All
Age Range
50 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
800
Start Date
2026-01-01
Completion Date
2027-01
Last Updated
2026-07-21
Healthy Volunteers
Yes
Conditions
Interventions
Text Messages (TM+)
Basic text messages sent directly to the patient's cell phone.
Chat bot (CA)
Chat bot to answer frequently asked LCS questions.
Video
Educational video about LCS.
Reactive Patient Navigation (RPN)
Reactive patient navigation to help get to the LCS appointment.
Proactive Patient Navigation (PPN)
Proactive patient navigation to help get to the LCS appointment.
Locations (1)
Huntsman Cancer Institute/ University of Utah
Salt Lake City, Utah, United States