Leveraging the Emergency Department (LEAD) Study

Description

This is a pilot Type 1 Hybrid Effectiveness-Implementation Trial. The study will first examine reach in a non-traditional setting (the Emergency Department - ED) that uses an Electronic Health Record (EHR)-embedded Social Determinants of Health (SDoH) screening tool to identify lung screening-eligible patients for a tailored intervention to increase lung screening uptake. Reach is defined as the absolute number, proportion, and representativeness of individuals targeted for lung screening knowledge, awareness, and uptake. Then, a pilot trial will be conducted to examine the preliminary effectiveness of a tailored lung screening intervention compared to enhanced usual care to influence individual-level potential drivers of lung screening (health literacy, mistrust, stigma, fatalism, knowledge, lung screening health beliefs) and the ability to increase lung screening uptake among screening-eligible patients. Quantitative (Randomized Controlled Trial and EHR data) methods will be used for data collection and analysis to address the study aims.

Conditions

Lung Cancer

Study Overview

Study Details

Study overview

This is a pilot Type 1 Hybrid Effectiveness-Implementation Trial. The study will first examine reach in a non-traditional setting (the Emergency Department - ED) that uses an Electronic Health Record (EHR)-embedded Social Determinants of Health (SDoH) screening tool to identify lung screening-eligible patients for a tailored intervention to increase lung screening uptake. Reach is defined as the absolute number, proportion, and representativeness of individuals targeted for lung screening knowledge, awareness, and uptake. Then, a pilot trial will be conducted to examine the preliminary effectiveness of a tailored lung screening intervention compared to enhanced usual care to influence individual-level potential drivers of lung screening (health literacy, mistrust, stigma, fatalism, knowledge, lung screening health beliefs) and the ability to increase lung screening uptake among screening-eligible patients. Quantitative (Randomized Controlled Trial and EHR data) methods will be used for data collection and analysis to address the study aims.

LEAD Pilot Study: Leveraging the Emergency Department to Address SDOH and Reduce Lung Cancer Screening Disparities

Leveraging the Emergency Department (LEAD) Study

Condition
Lung Cancer
Intervention / Treatment

-

Contacts and Locations

Brick

Ocean Medical Center, Brick, New Jersey, United States, 08724

Edison

John F. Kennedy Medical Center, Edison, New Jersey, United States, 08820

Hackensack

Hackensack University Medical Center, Hackensack, New Jersey, United States, 07601

Holmdel

Bayshore Medical Center, Holmdel, New Jersey, United States, 07733

Manahawkin

Southern Ocean Medical Center, Manahawkin, New Jersey, United States, 08050

Neptune

Jersey Shore University Medical Center, Neptune, New Jersey, United States, 07753

North Bergen

Palisades Medical Center, North Bergen, New Jersey, United States, 07047

Old Bridge

Old Bridge Medical Center, Old Bridge, New Jersey, United States, 08857

Perth Amboy

Raritan Bay Medical Center, Perth Amboy, New Jersey, United States, 08861

Red Bank

Riverview Medical Center, Red Bank, New Jersey, United States, 07701

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Aged 50 years to 80 years
  • * Currently smoke cigarettes or quit smoking cigarettes within the past 15 years
  • * 20 pack-year smoking history
  • * Has never had lung cancer screening
  • * Able to provide informed consent
  • * Able to speak and understand English
  • * Diagnosed with lung cancer
  • * Has a history of having a lung cancer screening scan
  • * Unable to speak and understand English

Ages Eligible for Study

50 Years to 80 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Hackensack Meridian Health,

Lisa Carter-Bawa, PhD, PRINCIPAL_INVESTIGATOR, Hackensack Meridian Health

Study Record Dates

2026-10-30