N/A
Completed N=1,422
Digital Outreach Intervention for Lung Cancer Screening
Source: ClinicalTrials.gov NCT04083859 ↗Enrolled (actual)
1,422
Serious AEs
0.0%
Results posted
Jan 2025
Primary outcomePrimary: Number of Participants With Electronic Health Record-verified Completion of a Chest CT Scan — 164; 113 Participants
Summary
mPATH-Lung (mobile Patient Technology for Health - Lung) is an innovative digital outreach program that identifies patients who qualify for lung cancer screening and helps them get screened. The study will: 1) Determine the effect of mPATH-Lung on receipt of lung cancer screening in a pragmatic randomized-controlled trial conducted with primary care patients in two large health networks, 2) Elucidate the drivers of patients' screening decisions and screening behavior; and 3) Explore implementation outcomes that will impact the sustainability and dissemination of mPATH-Lung using program data, surveys, and interviews.
This project will determine how mPATH-Lung affects patients' screening decisions and their completion of screening.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Electronic Health Record-verified Completion of a Chest CT Scan |
164; 113 | — |
| SECONDARY LCS Screening Decision |
— | — |
| SECONDARY Proportion of Patients With LCS Clinic Visits Scheduled |
— | — |
| SECONDARY Proportion of Patients With LCS Clinic Visits Completed |
— | — |
| SECONDARY Proportion of Patients With LCS Scans Ordered |
— | — |
| SECONDARY LCS Clinic Referral Requested Through mPATH |
— | — |
| SECONDARY Lung Cancer Screening Test Results |
— | — |
| SECONDARY Number of LCS False Positives |
— | — |
| SECONDARY Invasive Procedures Following LCS Scan |
— | — |
| SECONDARY Proportion of Patients With Complications Following LCS |
— | — |
| SECONDARY Number of Diagnosed Lung Cancers |
— | — |
| SECONDARY How Diagnosed Lung Cancers Were Detected |
— | — |
| SECONDARY Stage of Lung Cancers Diagnosed |
— | — |
| SECONDARY Overscreening |
— | — |
| SECONDARY Reach of Digital Outreach Strategy |
3267 | — |
| SECONDARY Completion of mPATH-Lung Program |
— | — |
Eligibility Criteria
Inclusion Criteria
- Meet the Medicare criteria for lung cancer screening, as updated in February 2022:
- Age 50 - 77 years
- Smoked at least 20 pack years
- Current smoker or quit smoking within the past 15 years
- Be scheduled to see a primary care provider within the health network in the next 3-4 weeks
- Have a patient portal account or cellphone number listed in the electronic health record
Exclusion Criteria
- Patients flagged as needing a language interpreter in the electronic health record (electronic messages and intervention is delivered in English only).
- Those for whom lung cancer screening would be inappropriate:
- Prior history of lung cancer
- Chest CT within the last 12 months
- Those with medical conditions predicting shorter life expectancy
- Patients whose home address is not within the state of North Carolina. (Due to telehealth guidelines)
Data sourced from ClinicalTrials.gov (NCT04083859). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.