A Patient and Provider Intervention to Address Health Disparities in Lung Cancer Screening

A Multilevel Intervention to Address Health Disparities in Lung Cancer Screening

To test the impact of a multilevel intervention on primary (provider-patient communication, intentions, and knowledge) and secondary (screening referrals and completion) outcomes.

The proposed study will target two key levels of influence in the healthcare setting: provider and patient behavior in order to address disparities between African American and whites in lung screening awareness and utilization. Guided by NIH's Health Disparities Research Framework and building on the formative work conducted in the K99 phase, we will conduct a quasi-experimental study (pretest-posttest, with a nonequivalent control group) in partnership with four primary care clinics within the MedStar Health system in the R00 phase.

Inclusion Criteria:

• 50-80 years old;
• current cigarette smoker or quit within 15 years;
• a 20+ pack-year smoking history;
• non-adherent to lung screening (>13 months);
• English-speaking;
• scheduled for an upcoming clinic appointment (4 weeks - 8 weeks); and
• able and willing to provide meaningful consent and complete telephone interviews

Exclusion Criteria:

• Individuals with a history of lung cancer