TELESCOPE- TELEhealth Shared Decision-making COaching

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRutgers, The State University of New Jersey

About this trial

Hypothesis 1a: The investigators anticipate that navigator decision coaching, compared to enhanced usual care (EUC) will result in higher quality SDM for lung cancer screening (LCS )(primary outcome), greater knowledge of lung cancer screening benefits and harms, and lower decisional conflict.

Hypothesis 1b: Compared to enhanced usual care (EUC), we expect that TELESCOPE will result in more screening discussions, increased initial for lung cancer screening (LCS) with low-dose CT scan (LDCT) uptake among interested participants, increased adherence to repeat LCS and diagnostic testing, and increased smoking cessation referrals for current smokers.

Hypothesis 2: The investigators expect that a "booster" coaching session will increase adherence to repeat lung cancer screening (LCS).

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Be 50 to 77 years of age

Be a current or former smoker having quit within the past 15 years

Have at least a 20 pack-year smoking history

Be scheduled for a non-acute care visit at one of the study sites. Interviews (N=50)

Disqualifiers

Do not speak English

Have a history lung cancer

Were screened for lung cancer within the past 12 months

Have health conditions that make them poor candidates for curative treatment as determined by the primary care provider

Trial design

Design model

Parallel

Treatments tested in this trial

  • TELESCOPE, Remote Decision Coaching with Navigation Intervention

    Behavioral

    The TELESCOPE intervention involves three complementary components: 1) decision aid and coaching for LCS, 2) referral of current smokers to evidence-based smoking cessation services, and 3) for participants interested in screening, navigation to complete LCS and diagnostic testing and oncology care as needed

Treatment groups

594 Participants
are divided into 2 treatment groups
Group A: TELESCOPE interventionExperimental treatment 1 intervention
Group B: Enhanced usual care (EUC)No intervention 0 interventions

Trial outcomes

Primary outcomes

1

To assess shared decision making

Semi-structured interviews (qualitative data)

Time frame
The change in baseline, three months and five years

Secondary outcomes

1

Tobacco treatment referral

Semi-structured interviews (qualitative data)

Time frame
The change in baseline, three months and five years
2

Uptake of Low-Dose CT Screening for Lung Cancer

Proportion of participants who complete low-dose CT (LDCT) lung cancer screening within 6 months post-intervention.

Time frame
Within 6 months post-intervention

Other outcomes

1

Receipt of tobacco treatment

Semi-structured interviews (qualitative data).

Time frame
The change in baseline, three months and five years
2

Completion of diagnostic testing

Semi-structured interviews (qualitative data).

Time frame
The change in baseline, three months and five years

Sponsors and contacts

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Rutgers, The State University of New Jersey

Lead sponsor

National Institutes of Health (NIH)

Collaborator

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator