Diagnosis, Lung Cancer, Smoking Behaviors
Conditions
Keywords
lung cancer screening, Hispanic outreach, educational intervention, digital health, smoking documentation, smoking history, health equity
Brief summary
The goal of this clinical trial is to promote lung cancer screening (LCS) uptake among Hispanic current and former smokers. The main questions it aims to answer are: * What barriers do current and former Hispanic smokers face in the identification and documentation of their smoking status? * How can digital delivery of an educational video promote LCS uptake among current and former Hispanic smokers? Participants will receive an educational video about lung cancer screening and complete brief, self-reported surveys afterwards.
Detailed description
Lung cancer remains the leading cause of cancer-specific mortality in the US, and Hispanics experience worse lung cancer outcomes and die at higher rates due to advanced stage at presentation. Lung cancer screening (LCS) can save many lives through early lung cancer detection among Hispanic current and former smokers. Still, without increasing efforts to improve smoking status disclosure and documentation and tailored interventions to promote LCS uptake among Hispanic current and former smokers, this underserved population will continue to demonstrate disparities in lung cancer survival. Based on prior research experience, Dr. Flores has adapted the NIMHD research framework by incorporating elements from Ford's evidence-based theoretical model to guide the following proposed study aims: 1\) To elucidate barriers and facilitators to consistent identification and documentation of smoking status to promote LCS uptake among Hispanic current and former smokers; 2) To assess feasibility, acceptability, and reach of the digital delivery of an educational video to promote LCS uptake among Hispanic current and former smokers; 3) To explore the effect of the digital delivery of the educational video to increase interest, intent, and scheduling of LCS uptake among Hispanic current and former smokers. Impact: The successful completion of this research will serve as a foundation for developing novel interventions to overcome disparities and advance equity in lung cancer outcomes among Hispanics and other vulnerable populations.
Interventions
OTHEREducational Lung Cancer Screening (LCS) Video
An educational video on lung cancer screening tailored to Hispanic current and former smokers.
Sponsors
National Cancer Institute (NCI)
Massachusetts General Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Must be 50-80 years old * Are a current or former smoker (quit within 15 years, or a cumulative smoking status of \> 20 pack-years) * Not currently enrolled in Lung Cancer Screening * Must speak English or Spanish
Exclusion criteria
* Has a clinical cognitive inability to provide informed consent for participation in the study or complete a brief survey * Currently diagnosed with lung cancer * Currently enrolled in lung cancer screening * Have participated in the focus groups discussions from Aim 1
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant outreach (contact) of digital link | Year 3 | Reach is defined as \>20% of enrolled participants interacting with the digital delivery of the LCS educational video (i.e., partial or complete review of the LCS educational video). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant interaction with digital link | Year 3 | Overall proportion of participants that click on the embedded link to the successfully digitally delivered LCS educational videos |
| Participant attention of LCS video | Year 3 | Duration of viewing the LCS video (i.e., partial or complete) |
| Survey completion | Year 4 | Overall proportion of survey completion by participants. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Participant baseline smoking status | Year 5 | Identify salient participant characteristics obtained from the EHR (e.g., smoking status) among those that interacted with the digital delivery modality. |
| Participant acceptability of intervention | Year 5 | Investigate attributes of the intervention to guide future research and development to create such an intervention (for future trials) |
Countries
United States
Contacts
Primary ContactEfren Flores, MD
Outcome results
None listed