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Brief Title: PrOVE QUERI Project #1
Official Title: Implementing Guidelines for Shared Decision Making in Lung Cancer Screening (QUE 15-286)
Study ID: NCT02765412
Brief Summary: The overall goal of this project is to test two strategies for implementing a shared decision making tool to be used by providers while talking to patients about lung cancer screening. Eight participating sites will be randomized to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will survey patients to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.
Detailed Description: The overall goal of this quality improvement project is to test two strategies for implementing shared decision making, which incorporates the Decision Precision lung cancer screening tool. The investigators will use multi-site, cluster-based randomization to compare standard implementation with intensive implementation. Additionally, the investigators will determine the factors that were most important for successful implementation of the shared decision making tool. Finally, the investigators will have a human subjects research component to evaluate the effects of Decision Precision on patient's knowledge of the risks and benefits of lung cancer screening, the quality of their decision making, and their satisfaction with care.
Minimum Age: 55 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: Yes
Minneapolis VA Health Care System, Minneapolis, MN, Minneapolis, Minnesota, United States
Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY, New York, New York, United States
Durham VA Medical Center, Durham, NC, Durham, North Carolina, United States
Cincinnati VA Medical Center, Cincinnati, OH, Cincinnati, Ohio, United States
VA Portland Health Care System, Portland, OR, Portland, Oregon, United States
Providence VA Medical Center, Providence, RI, Providence, Rhode Island, United States
Ralph H. Johnson VA Medical Center, Charleston, SC, Charleston, South Carolina, United States
VA Ann Arbor Healthcare System, Ann Arbor, MI, Ann Arbor, Utah, United States
Name: Tanner Caverly, MD MPH
Affiliation: VA Ann Arbor Healthcare System, Ann Arbor, MI
Role: PRINCIPAL_INVESTIGATOR