Recruitment & participants
lung cancer, dementia, adult stage
MOVEMENT DISORDERS, RECRUITMENT, ACUTE ASTHMA, SPONTANEOUS PNEUMOTHORAX, LUNG CANCER, EVENTS
Between January and December 2022, we recruited patients from Kaiser Permanente Colorado (KPCO), an integrated healthcare system that provides health insurance and clinical services to > 500,000 individuals in the metropolitan Denver and surrounding Colorado communities. We used a multi-modal recruitment approach: 1) identification of patients with receipt of curative intent therapy; 2) new referrals to the pulmonology, surgery, or radiation oncology departments for newly-diagnosed or suspected lung cancer; and 3) patients presented at a weekly lung cancer/nodule conference. To facilitate recruitment, we developed an algorithm of codes and local chemoradiation protocols, incorporating relevant time periods and exclusionary conditions (Online Resource We included adult stage I-IIIA lung cancer survivors who completed the primary mode of curative intent therapy (i.e., surgical resection, definitive radiation, or concurrent chemoradiation) in the prior 1–6 months. We excluded patients with: 1) recent major cardiovascular events or acute asthma exacerbation; 2) spontaneous pneumothorax within 12 months; 3) neurologic or movement disorders; 4) dementia; 5) estimated < 6-months life expectancy or in hospice care; 6) no internet access; 7) inactive KPCO membership; 8) any preferred language other than English; or 9) unwilling to wear activity trackers. We included patients not willing to participate in telemedicine, as we would allow in-person visits, if needed. We obtained demographic, physiologic, and clinical characteristics from the electronic medical records.