Evaluating the Implementation and Effectiveness of the BJC-Pink and Pearl Project on Lung Cancer Screening
Summary
The investigators proposal is ripe for executing as the investigators seek to leverage this "natural experiment" initiated by the BJC health system to evaluate the effectiveness of the Pink \& Pearl Campaign as an implementation strategy to promote lung cancer screening (LCS) uptake among LCS-eligible women undergoing mammography at BJC West County. This evaluation is grounded in the Integrated Screening Action Model that depicts individual- and environmental-level influences on the screening behavior process. Using an explanatory sequential mixed methods design, which combines both quantitative and qualitative approaches, the research questions and specific aims for this proposal are to: a) evaluate the baseline prevalence of LCS among LCS-eligible women; b) assess whether the Pink \& Pearl Campaign increases referrals and uptake/ completion of LCS among LCS-eligible women undergoing screening mammography; and c) evaluate individual and environmental factors influencing LCS uptake, and implementation outcomes of the campaign. These implementation outcomes will help identify whether the campaign was put in place successfully or not. This proposal will inform strategies for integrating cancer screening programs to improve poorly performing programs like LCS.
Arms & interventions
Outcome measures
Primary
Prevalence of LCS-eligible women who opt-in to, and successfully, complete LCS mammography and opt-in to lung cancer screening
Time frame: At baseline
Number of women screened for LCS
Time frame: At 3 months
Number of women screened for LCS
Time frame: At 6 months
Feasibility of Pink and Pearl project
Feasibility is defined as the extent to which the strategy is suitable for routine use in a setting. Information on the feasibility of the Pink and Pearl campaign from healthcare providers will be collected using in-depth interviewing.
Time frame: At 6 months
Acceptability of Pink and Pearl project
Acceptability is defined as the perception that the strategy is agreeable or satisfactory. Information on the acceptability of the Pink and Pearl campaign from healthcare providers will be collected using in-depth interviewing.
Time frame: At 6 months
Appropriateness of Pink and Pearl project
Appropriateness is defined as the perceived fit, relevance, or compatibility of the strategy or practice for a given setting. Information on the appropriateness of the Pink and Pearl campaign from healthcare providers will be collected using in-depth interviewing.
Time frame: At 6 months
Secondary
Median time to lung cancer screening
Time frame: Through completion of follow-up (estimated to be 1 year)
Number of women who have a positive lung radiology screening
Time frame: Through completion of follow-up (estimated to be 1 year)
Rate of follow-up for a positive screening examination
Time frame: Through completion of follow-up (estimated to be 1 year)
False positive rates
Time frame: Through completion of follow-up (estimated to be 1 year)
Invasive intervention rate
Time frame: Through completion of follow-up (estimated to be 1 year)
Cancer yield rate
Time frame: Through completion of follow-up (estimated to be 1 year)
Adverse event rate for screening
Time frame: Through completion of follow-up (estimated to be 1 year)
Number of women with varying Stage (1-4) findings in the lung screening radiology report.
Time frame: Through completion of follow-up (estimated to be 1 year)
Cause of death
Time frame: Through completion of follow-up (estimated to be 1 year)
Eligibility criteria
Study locations (1)
Barnes-Jewish Hospital West County
Creve Coeur, Missouri, 63141