A Mobile Patient Health Technology Intervention for Improving Lung Cancer Screening Rates in Eligible High Risk Patients
Lung Cancer
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 50 years - 77 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 27000 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
To evaluate the real-world effectiveness and implementation strategies for mPATH-Lung, investigators propose a pragmatic, randomized controlled trial across an academic Learning Health System. The trial will contrast several approaches to participant outreach and will specifically target engaging fully powered cohorts of racial/ethnic minorities and rural residents.
Read the full description
Primary Objective: Evaluate the real-world effectiveness of mPATH-Lung in increasing lung cancer screening rates across diverse populations.
Secondary Objectives
- Compare the differential effectiveness of three outreach strategies for engaging participants with mPATH-Lung across vulnerable rural or ethnic/racial minority population subgroups.
- Estimate the additional revenue generated by mPATH-Lung through increased screening and downstream care.
- Evaluate the potential for over-screening and the impact of applying HEDIS-based exclusion criteria
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
Eligible patients will:
- Meet the Medicare criteria for lung cancer screening, as updated in February 2022:
- Age 50 - 77 years
- Smoked at least 20 pack years
- Current smoker or quit smoking within the past 15 years
- Be established with a primary care provider within the Atrium Health Wake Forest Baptist health network (defined as having completed at least 1 primary care appointment in the past 6 months or have completed at least 2 primary care appointments within the past 18 months or being scheduled to see a health network primary care provider within the next 30 days).
- Have a patient portal account or cellphone number listed in the electronic health record
- Have a North Carolina address listed in the electronic health record
Exclusion Criteria:
The following patients will be excluded:
- Patients flagged as needing a language interpreter in the electronic health record for any language other than Spanish (electronic messages and intervention are deliverable in English or Spanish only)
- Those for whom lung cancer screening would be or may be inappropriate:
electronic health record Prior history of lung cancer electronic health record Chest CT within the last 12 months electronic health record Those meeting the HEDIS COL-E measure exclusion criteria based on significant comorbidities and/or frailty.
Understand screeningTreatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- Single masked
Arm A
Patient portal message first followed by up to 3 reminder text messages.
Other: Portal Message with Reminder Text Messages
Arm B
Text message only with up to 3 reminder text messages.
Other: Text Message with Reminder Text Messages
Arm C
Portal message only with no reminder messages.
Other: Portal message only
Usual Care Arm
Patients receive usual care.
Other: Usual Care
Portal Message with Reminder Text Messages OTHER
If the participant has an upcoming scheduled appointment, they will receive a reminder text message 5 days after initial portal message, a final reminder text message a day before their scheduled appointment, and potentially an 'in progress' text message reminder if they start the mPATH-Lung program but do not complete it.
If the participant does not have an upcoming scheduled appointment, they will receive a reminder text message 5 days after initial portal message, the final reminder message 8 days after the initial message, and potentially an 'in progress' text message reminder.
Text Message with Reminder Text Messages OTHER
If the participant has an upcoming scheduled appointment, they will receive a reminder text message 5 days after initial message, a final reminder text message a day before their scheduled appointment, and potentially an 'in progress' text message reminder.
If the participant does not have an upcoming scheduled appointment, they will receive a reminder text message 5 days after initial message, the final reminder message 8 days after the initial message, and potentially an 'in progress' text message reminder.
Portal message only OTHER
Participant will only receive portal message with no reminder text messages.
Usual Care OTHER
Standard of care
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Number of Participants to Complete Lung Screening CT - Primary Effectiveness
Time frame: 90 days
Completion of the lung screening CT by participants.
Secondary measures
Number of Participants with Eligibility for Lung Screening
Time frame: 90 days
Reach of the mPATH-Lung platform, defined as the participants who determine their eligibility for lung screening within the mPATH-Lung program within 90 days of the first invitation. Investigators will determine reach overall, within subgroups, and within study arms.
Number of Requests for Lung Screening
Time frame: 90 days
Requests for lung screening within the mPATH-Lung program
Number of Orders for Lung Screening CT Scans
Time frame: Within 90 days of randomization
Orders for lung screening CT scans for participants in study arms
Amount of Revenue Generated
Time frame: 12 months following completion of screenings
Revenue (costs) generated from lung cancer screening and follow-up care.
Number of Participants that Represent Over-screening
Time frame: 90 days
Among patients with newly diagnosed lung cancer by lung screening, the participants that represent over-screening, defined as a patient being deemed too ill for potentially curative surgery on blinded chart review.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Atrium Health Wake Forest BaptistWinston-Salem, North Carolina, United StatesRecruiting
Study team and timeline
- Lead sponsor
- Wake Forest University Health Sciences
- Study start
- Mar 25, 2026 Actual
- Primary completion
- 2027-01 Estimated
- Study completion
- 2027-01 Estimated
- First posted
- Jan 7, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
A Pragmatic Randomized-Controlled Learning Health System Trial
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
