CONNECTing to LungCare

NCT ID: NCT06213532

Last Updated: 2024-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-03

Study Completion Date

2025-11-30

Brief Summary

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This study evaluates a smoking cessation intervention (CONNECTing to LungCare) for improving shared decision-making conversations about smoking cessation and lung cancer screening between patients and providers. Shared decision making is a patient care model in which providers offer information regarding risks and benefits, patients express their values and preferences, and then healthcare decisions are jointly discussed between the patient and provider. Patient education, aided by decision support tools, can increase patients' knowledge, decrease their decisional conflict, promote decision making, and improve the patients' perception of risk. CONNECTing to LungCare is an interactive education intervention that addresses lung cancer screening and smoking cessation and provides participants with a tailored summary that may make them more likely to have shared decision-making discussions with their providers about smoking cessation and lung cancer screening.

Detailed Description

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PRIMARY OBJECTIVES:

Aim 1: Development of the smoking cessation and LCS intervention, CONNECTing to LungCare.

Aim 2: Test CONNECTing to Lung Care for Feasibility and Acceptability (N=120)

Aim 3: To qualitatively evaluate feasibility and acceptability of the intervention and study procedures from the perspectives of patients, providers, staff and administrators and other stakeholders.

OUTLINE:

BETA TESTING: Participants interact with the CONNECTing to LungCare intervention and provide feedback in support of intervention refinement.

FEASIBILITY TRIAL: Participants are randomized to 1 of 2 groups.

GROUP I: Participants receive the CONNECTing to LungCare intervention, including education about the benefits and risks of LCS and the importance of shared decision making, computerized assessments of the participant's smoking status, readiness to quit and concerns about quitting, and video segments tailored to the participant's responses to assessment questions, prior to their primary care appointment. Participants and their providers receive a tailored summary of the participant's concerns and barriers to quitting to enhance motivation for smoking cessation and shared decision making discussions. Participants then receive up to 3 follow-up phone calls over 10-15 minutes each encouraging them to follow up with their provider, to complete the shared decision-making conversation, obtain LCS if appropriate, and access smoking cessation resources. Participants may also receive brief, tailored follow-up text messages that include links to video segments or cessation resources 1-3 times weekly.

GROUP II: Participants receive usual care from their provider at their primary care appointment.

After completion of study intervention, participants are followed up at 1 and 3 months.

Conditions

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Smoking Cessation Cigarette Smoking-Related Carcinoma Lung Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

The first cohort of participants will be enrolled on the Beta Arm or intervention development. Once developed, new participants will be randomized into Groups 1 and Groups 2.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Beta testing (CONNECTing to LungCare, feedback)

Participants interact with the CONNECTing to LungCare intervention and provide feedback in support of intervention refinement.

Group Type OTHER

Smoking Cessation Intervention

Intervention Type BEHAVIORAL

Multimedia program administered either remotely or in person

Survey Administration

Intervention Type OTHER

Ancillary studies

Feasibility trial, Group I (CONNECTing to LungCare)

Participants receive the CONNECTing to LungCare intervention, including education about the benefits and risks of LCS and the importance of shared decision making, computerized assessments of the participant's smoking status, readiness to quit and concerns about quitting, and video segments tailored to the participant's responses to assessment questions, prior to their primary care appointment. Participants and their providers receive a tailored summary of the participant's concerns and barriers to quitting to enhance motivation for smoking cessation and shared decision-making discussions. Participants then receive up to 3 follow-up phone calls over 10-15 minutes each encouraging them to follow up with their provider, to complete the shared decision-making conversation, obtain LCS if appropriate, and access smoking cessation resources. Participants may also receive brief, tailored follow-up text messages that include links to video segments or cessation resources 1-3 times weekly.

Group Type EXPERIMENTAL

Smoking Cessation Intervention

Intervention Type BEHAVIORAL

Multimedia program administered either remotely or in person

Saliva Collection

Intervention Type OTHER

Saliva samples will be collected from each participant

Survey Administration

Intervention Type OTHER

Ancillary studies

Feasibility trial, Group II (usual care)

Participants receive usual care from their provider at their primary care appointment.

Group Type ACTIVE_COMPARATOR

Smoking Cessation Intervention

Intervention Type BEHAVIORAL

Multimedia program administered either remotely or in person

Saliva Collection

Intervention Type OTHER

Saliva samples will be collected from each participant

Survey Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Smoking Cessation Intervention

Multimedia program administered either remotely or in person

Intervention Type BEHAVIORAL

Saliva Collection

Saliva samples will be collected from each participant

Intervention Type OTHER

Survey Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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CONNECTing to LungCare intervention Biospecimen Collection Specimen Sample Saliva Sample

Eligibility Criteria

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Inclusion Criteria

* English, Spanish and Cantonese speaking
* Age \>= 18 years old
* Primary care patients at the University of California, San Francisco (UCSF) General Internal Medicine (GIM) clinics
* Must be current smokers and/or candidates for Lung Cancer Screening (LCS).

Key Informant Interviews:

\- Must be working in one of the clinics participating in CONNECTing to LungCare.

Exclusion Criteria

* Not a current smoker
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tobacco Related Disease Research Program

OTHER

Sponsor Role collaborator

Alere San Diego

INDUSTRY

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Judith Walsh-Cassidy, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Van Le

Role: CONTACT

Phone: 877-827-3222

Email: [email protected]

Facility Contacts

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Van Le

Role: primary

Role: backup

Other Identifiers

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NCI-2023-10506

Identifier Type: REGISTRY

Identifier Source: secondary_id

226311

Identifier Type: -

Identifier Source: org_study_id