Lung Cancer Clinical Trial
The MyLungHealth Study Protocol: Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale
Summary
Early lung cancer screening (LCS) through low-dose computed tomography (LDCT) is crucial but underused due to various barriers, including incomplete or inaccurate patient smoking data in the electronic health record and limited time for shared decision-making. The objective of this trial is to investigate a patient-centered intervention, MyLungHealth, delivered through the patient portal. The intervention is designed to improve LCS rates through increased identification of eligible patients and informed decision making.
Full Description
MyLungHealth is a multi-site pragmatic trial, involving University of Utah Health and New York University Langone Health primary care clinics. The MyLungHealth intervention was developed using a user-centered design process, informed by patient and provider focus groups and interviews. The intervention's effectiveness will be evaluated through a patient-randomized trial, comparing the combined use of MyLungHealth and DecisionPrecision+ (a provider-focused clinical decision support and shared decision-making intervention) against DecisionPrecision+ alone.
Eligibility Criteria
Inclusion criteria for both study 1 and study 2:
aged 50-79
a history of smoking (e.g., current or former tobacco use)
seen in a study primary care clinic in the 12 months preceding the start of the trial
Exclusion criteria for both study 1 and study 2:
>0 but < 10 pack-year smoking history or quit more than 15 years ago
No use of the patient portal at least once in the year preceding the start of the study
A lung cancer diagnosis at the start of the study
LDCT completed in the past 3 years
Another chest CT completed in the past year
Structured EHR data indicating LCS SDM was provided in the past 3 years
Exposed to the intervention during the pilot phase
Inclusion criteria for study 1:
a 10-19 pack-year smoking history, an unknown pack-year history, unknown quit date for patients who quit smoking, or a 0 pack-year smoking history
Inclusion criteria for study 2:
at least a 20 pack-year smoking history and are a current smoker or have quit within the last 15 years
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