Population Health Management -Increase Lung Cancer Screening in Community Health Centers (LungSMART)

Part of paid clinical trials in Salt Lake City, Utah.

Sponsor
University of Utah
Study ID
NCT07599943
Status
Not Yet Recruiting

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Conditions

Eligibility Criteria

Sex
ALL
Age
50 Years - 80 Years
Healthy Volunteers
Accepted

Interventions

  • Text Messages (TM+) — BEHAVIORAL
    A message informs the participants that a Registered Nurse (RN) from the Hub will call them about shared decision making (SDM) and LCS.
  • Chatbot (CA) — BEHAVIORAL
    Access to a chatbot for frequently asked questions about LCS
  • Video (VID) — BEHAVIORAL
    An educational video about LCS
  • Reactive Patient Navigation (RPN) — BEHAVIORAL
    RPN to help complete the LCS appointment. RPN requires the participant to initiate the PN request
  • Proactive Patient Navigation (PPN) — BEHAVIORAL
    Proactive patient navigation to help complete the LCS appointment. PPN does not require the participant to initiate the PN request and instead is a proactive call to the participant.

Study Details

The long-term goal of Lung Sequential Multiple Assignment Randomized Trial (LungSMART) Utah is to increase the reach of Low-Dose Computed Tomography (LDCT) screening for lung cancer (hereafter referred to as Lung Cancer Screening or LCS) at scale in low-resource healthcare settings.

Key Dates

Start date
Aug 31, 2026
Status verified
May 2026
Primary completion
Apr 30, 2030
Completion
Apr 30, 2030

Study Design

Enrollment
18,894 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION

Arms

  • Other: Stage 1: Repeated Text Messages (TM+)
    Participants will receive up to nine text messages containing eligibility questions, along with up to nine reminder messages. If a participant successfully responds to the eligibility questions, no more messages will be sent. If a participant does not respond to the eligibility questions after receiving a text message, they will receive a reminder message three days later, prompting them to answer the questions.
  • Other: Stage 1: Repeated Text Messages and Chatbot (TM+/CA)
    Participants will receive up to nine text messages containing eligibility questions, along with up to nine reminder messages. If a participant successfully responds to the eligibility questions, no more messages will be sent. If a participant does not respond to the eligibility questions after receiving a text message, they will receive a reminder message three days later, prompting them to answer the questions. Participants will have access to a Lung Cancer Screening (LCS) Chatbot delivered via Short Message Service (SMS).
  • Other: Stage 1: Repeated Text Messages and Video (TM+/VID)
    Participants will receive up to nine text messages containing eligibility questions, along with up to nine reminder messages. If a participant successfully responds to the eligibility questions, no more messages will be sent. If a participant does not respond to the eligibility questions after receiving a text message, they will receive a reminder message three days later, prompting them to answer the questions. Participants can watch an educational video via SMS.
  • Other: Stage 1: Repeated Text Messages, Chatbot, and Video (TM+/CA/VID)
    Participants will receive up to nine text messages containing eligibility questions, along with up to nine reminder messages. If a participant successfully responds to the eligibility questions, no more messages will be sent. If a participant does not respond to the eligibility questions after receiving a text message, they will receive a reminder message three days later, prompting them to answer the questions. Participants will have access to a Lung Cancer Screening (LCS) Chatbot delivered via SMS. Participants can watch an educational video via SMS.
  • Other: Stage 2: Chatbot and Reactive Patient Navigation (CA/RPN)
    Reactive Patient Navigation (RPN) requires the participant to initiate the patient navigation (PN) request. Participants receive up to three text messages scheduled four weeks apart.
  • Other: Stage 2: Chatbot and Proactive Patient Navigation (CA/PPN)
    Proactive Patient Navigation (PPN) does not require the participant to initiate the PN request and instead is a proactive call to the participant. Participants receive up to three text messages scheduled four weeks apart.

Primary Outcome Measure

Stage 1: Completion of eligibility assessment [ Time Frame: up to 18 weeks ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Huntsman Cancer Institute/University of UtahSalt Lake CityUtah84112
David Wetter, PhD, MS
801-213-6178
David Wetter, PhD, MS (PRINCIPAL_INVESTIGATOR)

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