Lung Cancer Clinical Trial

PrOVE QUERI Project #1

Summary

The overall goal of this project is to test two strategies for implementing a shared decision making tool to be used by providers while talking to patients about lung cancer screening. Eight participating sites will be randomized to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will survey patients to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

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Full Description

The overall goal of this quality improvement project is to test two strategies for implementing shared decision making, which incorporates the Decision Precision lung cancer screening tool. The investigators will use multi-site, cluster-based randomization to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will have a human subjects research component to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.

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Eligibility Criteria

Inclusion Criteria:

Patients at participating sites without documented exclusions for lung cancer screening who have had initial lung cancer screening clinical reminders resolved during the recruitment period

Exclusion Criteria:

Exclusions for initial lung cancer screening clinical reminders:

history of lung, pancreatic, liver or esophageal cancer
a health factor on file indicating they have a life expectancy of less than 6 months or who already had a chest CT in the past 12 months

Study is for people with:

Lung Cancer

Estimated Enrollment:

74022

Study ID:

NCT02765412

Recruitment Status:

Completed

Sponsor:

VA Office of Research and Development

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There are 8 Locations for this study

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Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis Minnesota, 55417, United States
Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY
New York New York, 10010, United States
Durham VA Medical Center, Durham, NC
Durham North Carolina, 27705, United States
Cincinnati VA Medical Center, Cincinnati, OH
Cincinnati Ohio, 45220, United States
VA Portland Health Care System, Portland, OR
Portland Oregon, 97239, United States
Providence VA Medical Center, Providence, RI
Providence Rhode Island, 02908, United States
Ralph H. Johnson VA Medical Center, Charleston, SC
Charleston South Carolina, 29401, United States
VA Ann Arbor Healthcare System, Ann Arbor, MI
Ann Arbor Utah, 48105, United States

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Study is for people with:

Lung Cancer

Estimated Enrollment:

74022

Study ID:

NCT02765412

Recruitment Status:

Completed

Sponsor:


VA Office of Research and Development

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