Table 2.
Summary of measures and assessment points
| Measuresa | Screening site and EHR | T0, T1 (baseline) | T2, T3, T4 (3, 6, 12 mo) |
|---|---|---|---|
| Demographic and clinical information | |||
| Age, sex, language, date of birth, insurance coverage (64,65) | Yes | No | No |
| Race and ethnicity (another race include Asian, American Indian, Alaska Native, Native Hawaiian) (64,65) | Yes | Yes | No |
| Marital status and education level (64,65) | No | Yes | No |
| Tobacco-related comorbid illnesses (COPD, stroke, heart attack, high blood pressure, diabetes, asthma, chronic bronchitis) (1,64,65) | Yes | Yes | No |
| Family history of lung cancer (first-degree relative) (1,64,65) | No | Yes | No |
| Lung cancer screening | |||
| CT scan results (EHR) (41,64,65) | Yes | No | No |
| Recommended follow-up procedures (lung biopsy, sputum cytology, bronchoscopy, follow-up CT scan in 3, 6, or 12 mo, follow-up PET scan, appointment with pulmonologist or PCP) (64,65) | Yes | Yes | Yes |
| Final diagnosis: lung cancer, other cancer, nondiagnostic, alternate benign diagnosis (64,65) | Yes | No | No |
| Smoking and cessation history | |||
| Cigarettes per d (64-66) | No | Yes | Yes |
| Other tobacco/nicotine use (pipes, cigars, smokeless, e-cigarettes) (64-66) | No | Yes | Yes |
| Fagerstrom test for nicotine dependence (64,65,67) | No | Yes | Yes |
| Pack years (no. of years smoked × packs per d) (64,65) | Yes | No | No |
| Smoking/tobacco outcomes | |||
| Readiness to quitb, (64,65,68) | No | Yes | Yes |
| Confidence and motivation to quit (10-point scale, 0 = least confident or motivated, 10 = most confident or motivated) (64,65,69) | No | Yes | Yes |
| 24-h quit attempts within past 7 d (64,65) | No | Yes | Yes |
| Evidence-based treatment in past 7 d (pharmacotherapy, counseling, or electronic interventions) | No | Yes | Yes |
| Self-reported 7-d abstinence (42,55,64,65,70) | No | Yes | Yes |
| Biochemical verification: NicAlert and NicoTest saliva test, expired CO (in person) and iCO (remote test) (42,55,64,65,70) | No | No | Yes |
| Health and substance use | |||
| Alcohol use frequency (never, monthly or less, 2-4 times per mo, 2-3 times per wk, 4+ times per wk) (71) | No | Yes | No |
| Health Index Scale (0 = worst, 100 = best health) (64,65,72) | No | Yes | Yes |
| Treatment engagement and satisfaction | |||
| Engagement (no. of counseling sessions completed and amount of NRT requested (box contains 2-week supply of patches) | No | No | Yes |
| Satisfaction with telephone counseling and nicotine patches (not at all satisfied, a little satisfied, somewhat satisfied, very satisfied) (64,65) | No | No | Yes |
a
CO = carbon monoxide; COPD = chronic obstructive pulmonary disease; CT = computed tomography; EHR = electronic health record; NRT = nicotine replacement therapy; PCP = primary care provider; PET = positron emission tomography.
b
1-10 scale; 10 = already quit smoking, 9 = made changes in smoking but need to keep working , 8 = begun to make changes in smoking, 7 = plan to quit in the next 30 d, 6 = plan to quit in next 6 mo, 5 = often think about quitting but have no plans yet, 4 = sometimes think about quitting and have no plans yet, 3 = rarely think about quitting and have no plans to quit, 2 = do not think about quitting, 1 = decided to continue smoking.