A Direct-to-Patient Digital Health Program for Lung Cancer Screening

Does a digital health intervention delivered outside a clinical encounter increase lung cancer screening with chest computed tomography (CT) among primary care patients in the US?In a pragmatic randomized trial at 2 academic health systems in the southeastern US, 669 primary care patients were randomized to a digital intervention and 664 to enhanced usual care, which involved informing individuals they met screening criteria and advising them to discuss chest CT screening with their primary care clinician. Patients in the digital intervention group were significantly more likely to complete chest CT at 16 weeks (24.5% vs 17.0%) compared with the control group.A digital health intervention delivered directly to patients modestly increased completion rates of a lung cancer screening CT scan compared with enhanced usual care.

Corresponding Author: David P. Miller, MD, MS, Department of Implementation Science, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157 (dmiller@wakehealth.edu).

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