Telehealth Approaches to Increase Shared Decision-Making for Lung Cancer Screening in Adults Aged 50 to 80

What this Trial Is About

Researchers are evaluating how telehealth methods can improve shared decision-making SDM visits before lung cancer screening LCS among adults aged 50 to 80 who have a history of smoking. This pragmatic trial seeks to find out if telehealth outreach increases SDM visit completion and whether these strategies work equally well across different races and sexes. The study uses a Sequential Multiple Assignment Randomized Trial SMART design with two stages of interventions. Participants receive outreach letters inviting them to schedule an SDM visit either via telehealth only or with the option of telehealth or in-person visits. If they do not respond within 30 days, they receive text message reminders either alone low-touch strategy or combined with phone-based digital care coordination high-touch strategy. Four different intervention arms combine these approaches in various ways to compare their effectiveness. Participants are involved through outreach, scheduling and completing SDM visits, and receiving reminders or coordination calls if needed. Researchers measure the completion of SDM visits within 90 days and follow up with lung cancer screening using low-dose computed tomography LDCT at six months. The trial aims to assess the equity and effectiveness of telehealth outreach strategies for lung cancer screening decision-making over a multi-year period.

Integrating Telehealth to Advance Lung Cancer Screening