Lung CancerEmpower-LCSNCT06000683
Empowering Patients' Lung Cancer Screening Uptake
A study testing Patient education, Referral to financial navigation resources and Patient Reminders in people with Lung Cancer, run by University of California, Irvine at 7 sites in United States.
Trial summary
Lung cancer is the leading cause of cancer related mortality. Lung cancer screening (LCS) with low dose computed tomography (LDCT) decreases mortality rate of lung cancer by 20%. Read more about this study
- Who is it for?
- Ages 50 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Lung Cancer
- What is being tested?
- Patient education, Referral to financial navigation resources and Patient Reminders
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 79 participants
- Where
- 7 sitesUnited States
- Study dates
- 13 Oct 2023to 25 Nov 2025
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Patients' Inclusion Criteria:
- Aged 50- 80 years of age.
- Be able to Speak English, Spanish, or Vietnamese
- Must have a scheduled appointment with their Primary Care Providers within next one to three months.
- The Scheduled PCP appointment is at any of the UCI Health primary care clinics in Orange County including two UCI federally qualified health centers
- History of 20 pack year smoking history ( based on survey self report)
- Current smoker or a former smoker who has quit smoking within the last 15 years (based on survey self report)
Patients' Exclusion Criteria:
- Prior history of lung cancer
- chest CT for any reason in the last 12 months based on self-report and UCI EMR
- history of Alzheimer's disease or dementia
Providers' Inclusion Criteria:
- Primary Care Providers whose patients were enrolled in the Empower LCS trial.
- Received notifications about the eligibility of their patients for lung cancer screening.
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
United States7 sites
UCI Health - Costa Mesa
Costa Mesa, California, 92627
UCI Health Gottschalk Medical Plaza
Irvine, California, 92697
UCI Health - Laguna Hills
Laguna Hills, California, 92653
UCI Health - Newport Beach MacArthur
Newport Beach, California, 92660
UCI Medical Center
Orange, California, 92868
UCI Health - Tustin
Tustin, California, 92670
UCI Health-Yorba Linda
Yorba Linda, California, 92886
About this study
Official title: Empowering Patients' Lung Cancer Screening Uptake (Empower LCS)
Lung cancer is the leading cause of cancer related mortality. Lung cancer screening (LCS) with low dose computed tomography (LDCT) decreases mortality rate of lung cancer by 20%. Yet many patients who are eligible for lung cancer screening are still falling through the cracks which prevents patients the ability to detect lung cancer early. This study will test the effect of a a multi-level intervention on ordering LDCT within 6 months after patient enrollment. Our proposed intervention includes (1) Primary care provider notifications of patients' LCS eligibility; (2) patients' education ; (3) patients' referral to financial navigation resources; and (4) patients' reminder to discuss LCS during PCP visit.
- Conditions
- Lung Cancer
- Being tested
- Patient education, Referral to financial navigation resources, Patient Reminders, Provider Reminers
- Medical subject headings
- Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patient educationBehavioural
Patients will be sent information (in preferred language) on lung cancer risk, lung cancer screening (LCS) benefits, harms, false positive rates, recommendations of follow-up for positive results, and exam insurance coverage.
Referral to financial navigation resourcesBehavioural
Patients who self-report needing help with health-related social risks at baseline will be sent a brochure (in preferred language) from patient advocate foundation (PAF), a national non-profit financial navigation organization, where patients can self-refer.
Patient RemindersBehavioural
Within 2 weeks prior to primary care appointment, patients will receive a text message or a phone call (if not having a phone that receives text messaging) encouraging patients to discuss the LCS with their provider.
Provider ReminersBehavioural
Within 2 weeks prior to primary care appointment, providers will be notified of their patient's eligibility for LCS.
| Study group | Role | What they receive |
|---|---|---|
| Empower LCS | Experimental | Patient will be given education material(addressing knowledge barriers); patients' referral to financial navigation resources (addressing health-related social risks); and patients' reminder to discuss LCS during PCP visit. Providers will also be notified of eligibility of their patients to receive LCS. Receives: Behavioral: Patient education; Behavioral: Referral to financial navigation resources; Behavioral: Patient Reminders; Behavioral: Provider Reminers |
What is being measured
The primary outcome is the main question the study is designed to answer.
Order of LDCT
Number of participants who were ordered screening with Low Dose Computed Tomographyorder (LDCT) within 6 months after enrollment, assessed with self-reported surveys or EMR data extraction.
Measured: within 6 months of enrollment
Secondary outcomes (9)
Receipt of LDCT
Number of participants who were completed screening with Low Dose Computed Tomographyorder (LDCT) within 6 months after enrollment, assessed with self-reported surveys or EMR data extraction.
Measured: Within 6 months of enrollment
LCS Discussion
Number of participants who had a discussion about screening with Low Dose Computed Tomographyorder (LDCT) with their primary care provider measured within 6 months after enrollment, through self-reported surveys or EMR documentation of discussion in the primary care notes.
Measured: within 6 months after enrollment
Perceived Risk of Lung Cancer
3-item validated survey questions (from Carter Harris et al) assessing patients' perceived risk of lung cancer. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 3-15. Higher score= higher perceived risk of lung cancer.
Measured: At 6 months post-enrollment
Perceived Severity of Lung Cancer
5-item validated survey questions assessing patients' perceived severity of lung cancer. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 5-25. Higher score= higher perceived severity of lung cancer.
Measured: At 6 months post-enrollment
Perceived Benefit of Lung Cancer Screening
6-item validated survey questions (from Carter Harris et al) assessing patients' perceived benefits of lung cancer screening. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 6-30. Higher score= higher perceived benefits of lung cancer screening.
Measured: At 6 months post-enrollment
Perceived Barriers to Lung Cancer Screening
19-item validated survey questions (from Carter Harris et al) assessing patients' perceived barriers to lung cancer screening. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 19-95. Higher score= higher perceived barriers to lung cancer screening.
Measured: At 6 months post-enrollment
Perceived Self-efficacy for Lung Cancer Screening
10-item validated survey questions (from Carter Harris et al) assessing patients' perceived self-efficacy to undergo lung cancer screening. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 5-50. Higher score= higher perceived self-efficacy.
Measured: At 6 months post-enrollment
Knowledge About Lung Cancer and Screening
Knowledge of lung cancer and LCS was assessed using 8-items validated questions (from Volk et al), and scored by awarding one point per correct answer selected and one point per incorrect answer not selected. The total score was calculated as sum of all points. Total score ranged between 0 to 8. Higher score= higher knowledge.
Measured: At 6 months post-enrollment
Providers' Perceived Barriers to Lung Cancer Screening
9-item survey questions assessing providers' perceived barriers to lung cancer screening. Item responses use 5-point Likert scale. Total scores are calculated by summing item responses. Score is ranging between 9-45. Higher score= higher perceived barriers to lung cancer screening.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2023
- Study start13 Oct 2023
- Primary completion21 Mar 2025
- Study completion25 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Lung CancerStudies of the same condition, open and under way.
- More trials run by University of California, IrvineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Screening
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Patient participants (n=70) will receive the study intervention, complete surveys and a subset of them (n=11) will participate in a one-time qualitative interview. Provider participants (n=9) will not receive any intervention. Provider participants will participate in a one-time survey, and a subset of them (n=5) will participate in a one-time qualitative interview.
- Masking
- None (open label)
- Enrolment
- 79 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of California, Irvine
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gelareh Sadigh, University of California, Irvine
- Investigators
- Gelareh Sadigh, MD, Principal investigator, University of California, Irvine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06000683
- Sponsor's protocol ID
- 3432
- Other IDs
- UCI 23-107
- Acronym
- Empower-LCS
- Status last verified
- Feb 2026
- First submitted
- 14 Aug 2023
- Last updated
- 20 Feb 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Sharifian M, Hoyt MA, Madan A, Lee S, Nguyen TQ, Sadigh G. Patients' and Providers' Perspective of a Multi-level Approach to Improve Participation in Low-dose CT for Lung Cancer Screening (Empower LCS): A Mixed-Methods Analysis. Acad Radiol. 2026 Jun;33(6):2352-2360. doi: 10.1016/j.acra.2026.03.014. Epub 2026 Mar 28.
PubMed 41904093Shojazadeh A, Kao R, Pham T, Madan A, Echeverria R, Chen WP, Nguyen V, Gutierrez O, Lee S, Hoyt MA, Ziogas A, Nguyen TQ, Keshava H, Sadigh G. A Multilevel Approach to Improve Participation in Low-Dose CT for Lung Cancer Screening (Empower LCS): A Single-Arm Pilot Feasibility Clinical Trial. J Am Coll Radiol. 2026 Apr;23(4):556-564. doi: 10.1016/j.jacr.2025.11.005. Epub 2025 Nov 13.
PubMed 41241060
Study at a glance
From the registry record, last updated by the sponsor on 20 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Empowering Patients' Lung Cancer Screening Uptake (Empower LCS)
- ClinicalTrials.gov ID
- NCT06000683
- Acronym / sponsor ID
- Empower-LCS / 3432
- Conditions
- Lung Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 79 participants (actual)
- Lead sponsor
- University of California, IrvineUniversity, hospital or other
- Study start
- 13 Oct 2023 (actual)
- Primary completion
- 21 Mar 2025 (actual)
- Study completion
- 25 Nov 2025 (actual)
- First posted
- 21 Aug 2023 (actual)
- Results
- Posted 3 Feb 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Lung cancer is the leading cause of cancer related mortality. Lung cancer screening (LCS) with low dose computed tomography (LDCT) decreases mortality rate of lung cancer by 20%. Yet many patients who are eligible for lung cancer screening are still falling through the cracks which prevents patients the ability to detect lung cancer early. This study will test the effect of a a multi-level intervention on ordering LDCT within 6 months after patient enrollment. Our proposed intervention includes (1) Primary care provider notifications of patients' LCS eligibility; (2) patients' education ; (3) patients' referral to financial navigation resources; and (4) patients' reminder to discuss LCS during PCP visit.
Study design
- Primary purpose
- Screening
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Patient participants (n=70) will receive the study intervention, complete surveys and a subset of them (n=11) will participate in a one-time qualitative interview. Provider participants (n=9) will not receive any intervention. Provider participants will participate in a one-time survey, and a subset of them (n=5) will participate in a one-time qualitative interview.
| Arm | Type | Receives |
|---|---|---|
| Empower LCS | Experimental | Behavioral: Patient education, Behavioral: Referral to financial navigation resources, Behavioral: Patient Reminders, Behavioral: Provider ReminersPatient will be given education material(addressing knowledge barriers); patients' referral to financial navigation resources (addressing health-related social risks); and patients' reminder to discuss LCS during PCP visit. Providers will also be notified of eligibility of their patients to receive LCS. |
Who may qualify
- Ages
- 50 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patient educationPatients will be sent information (in preferred language) on lung cancer risk, lung cancer screening (LCS) benefits, harms, false positive rates, recommendations of follow-up for positive results, and exam insurance coverage. | Behavioural | Empower LCS |
| Referral to financial navigation resourcesPatients who self-report needing help with health-related social risks at baseline will be sent a brochure (in preferred language) from patient advocate foundation (PAF), a national non-profit financial navigation organization, where patients can self-refer. | Behavioural | Empower LCS |
| Patient RemindersWithin 2 weeks prior to primary care appointment, patients will receive a text message or a phone call (if not having a phone that receives text messaging) encouraging patients to discuss the LCS with their provider. | Behavioural | Empower LCS |
| Provider ReminersWithin 2 weeks prior to primary care appointment, providers will be notified of their patient's eligibility for LCS. | Behavioural | Empower LCS |
Primary outcome
Order of LDCT
Time frame: within 6 months of enrollment
Number of participants who were ordered screening with Low Dose Computed Tomographyorder (LDCT) within 6 months after enrollment, assessed with self-reported surveys or EMR data extraction.
9 secondary outcomes
Receipt of LDCT
Time frame: Within 6 months of enrollment
LCS Discussion
Time frame: within 6 months after enrollment
Perceived Risk of Lung Cancer
Time frame: At 6 months post-enrollment
Perceived Severity of Lung Cancer
Time frame: At 6 months post-enrollment
Perceived Benefit of Lung Cancer Screening
Time frame: At 6 months post-enrollment
Perceived Barriers to Lung Cancer Screening
Time frame: At 6 months post-enrollment
Perceived Self-efficacy for Lung Cancer Screening
Time frame: At 6 months post-enrollment
Knowledge About Lung Cancer and Screening
Time frame: At 6 months post-enrollment
Providers' Perceived Barriers to Lung Cancer Screening
Time frame: Baseline
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Feb 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41904093Sharifian M, Hoyt MA, Madan A, Lee S, Nguyen TQ, Sadigh G. Patients' and Providers' Perspective of a Multi-level Approach to Improve Participation in Low-dose CT for Lung Cancer Screening (Empower LCS): A Mixed-Methods Analysis. Acad Radiol. 2026 Jun;33(6):2352-2360. doi: 10.1016/j.acra.2026.03.014. Epub 2026 Mar 28.
- Derived from this study: PubMed 41241060Shojazadeh A, Kao R, Pham T, Madan A, Echeverria R, Chen WP, Nguyen V, Gutierrez O, Lee S, Hoyt MA, Ziogas A, Nguyen TQ, Keshava H, Sadigh G. A Multilevel Approach to Improve Participation in Low-Dose CT for Lung Cancer Screening (Empower LCS): A Single-Arm Pilot Feasibility Clinical Trial. J Am Coll Radiol. 2026 Apr;23(4):556-564. doi: 10.1016/j.jacr.2025.11.005. Epub 2025 Nov 13.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gelareh Sadigh, MD principal investigator
University of California, Irvine
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Patient education, Referral to financial navigation resources and Patient Reminders in people with Lung Cancer, run by University of California, Irvine at 7 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Order of LDCT (time frame: within 6 months of enrollment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06000683, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2026.