Evaluating the Impact of Centralized Interventions on Lung Cancer Screening Adherence in Community Settings, ACCELL Trial

Inclusion Criteria

• •AIM II: Age 50-80
• •AIM II: Current or former (within 15 years) smoker
• •AIM II: 20+ pack-years of cigarette use
• •AIM II: Undergone at least one lung cancer screening low-dose chest computed tomography (CT) at partnering sites within the study period
• •AIM III (PROVIDER INTERVIEWS): Age minimum of 18
• •AIM III (PROVIDER INTERVIEWS): Affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• •AIM III (PROVIDER INTERVIEWS): Identifies as providing primary care or specialty care to LCS patients (medical doctor \[MD\], registered nurse \[RN\], physician assistant \[PA\], advanced registered nurse practitioner \[ARNP\])
• •AIM III (LCS PATIENT INTERVIEWS): Aged 50-80 years
• •AIM III (LCS PATIENT INTERVIEWS): Received lung cancer screening at Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center within the intervention period
• •AIM III (LCS PATIENT INTERVIEWS): Was eligible for LCS at time of performance by United States Preventative Services Taskforce (USPSTF) criteria
• •* Age 50-80 at time of exam
• •* At least 20 pack-year smoking history
• •* Currently smoking or smoked within the last 15 years
• •AIM III (LCS-SPECIFIC CARE COORDINATORS): Age minimum of 18
• •AIM III (LCS-SPECIFIC CARE COORDINATORS): Affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• •AIM III (LCS-SPECIFIC CARE COORDINATORS): Identifies as fulfilling a supportive role in the LCS care continuum as part of the centralizing intervention
• •AIM II: Request to not participate in the trial
• •AIM III (PROVIDER INTERVIEWS): Less than age 18
• •AIM III (PROVIDER INTERVIEWS): Do not have an affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center
• •AIM III (PROVIDER INTERVIEWS): Does not identify as providing primary care or specialty care to LCS patients (MD, RN, PA, ARNP)
• •AIM III (LCS PATIENT INTERVIEWS): Less than age 50 or older than age 80
• •AIM III (LCS PATIENT INTERVIEWS): Did not receive lung cancer screening at Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center within the intervention period