Assessing Social Determinants of Health to Increase Cancer Screening
- Conditions
- Lung Cancer
- Interventions
- Behavioral: Social determinants of health screening assessment and referral processBehavioral: Current practice - Community-based lunch cancer screening (LungTalk)
- Registration Number
- NCT06052449
- Lead Sponsor
- Hackensack Meridian Health
- Brief Summary
A multilevel lung screening intervention that pairs Social Determinants of Health (SDoH) screening and referral with a tailored health communication and decision support tool for lung screening has the potential to significantly impact lung screening uptake among at-risk individuals in the community, particularly among those who face barriers related to SDoH. In addition, findings will advance the understanding of effective strategies for improving lung screening and prevention efforts in non-traditional settings, with the ultimate goal of reducing the burden of lung cancer. As ways to support the realization of the public health benefit of lung cancer screening are considered, multiple strategies and venues to reach, and intervene, with screening-eligible is key.
The goal of this study is to compare the effectiveness of a community-based lung screening educational tool paired with a social determinants of health (SDoH) screening assessment and referral process compared to a community-based lung cancer screening (LCS) educational tool alone as part of community outreach activities to improve (a) LCS rates (primary outcome); (b) intention to screen; and (c) individual-level potential drivers of LCS (health literacy, mistrust, stigma, fatalism, knowledge, health beliefs). It is hypothesized that providing SDoH screening and referral will result in higher levels of LCS, forward movement of intention to screen, and improved individual-level drivers of LCS.
- Detailed Description
The study will be a pilot randomized controlled trial (RCT) to compare primary (LCS uptake) and secondary outcomes (intent to screen, literacy, mistrust, stigma, fatalism, health beliefs) among LCS-eligible men and women in New Jersey community-based settings who receive a community-based LCS educational tool paired with a social determinants of health (SDoH) screening assessment and referral process (n=50) compared to a community-based LCS educational tool alone (n=50) as part of community outreach activities. All individuals who attend a community event are normally assessed for cancer risks and appropriate cancer screening education is provided. For those who are eligible for LCS, they will also be invited to participate in this study.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Aged 50 years to 80 years
- Currently smoke or quit smoking within the past 15 years
- 20 pack-year smoking history
- Has never had lung cancer screening
- Able to provide informed consent
- Able to speak and understand English
- Diagnosed with lung cancer
- Has a history of having a lung cancer screening scan
- Unable to speak and understand English
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Social determinants of health screening Social determinants of health screening assessment and referral process Participants will receive a social determinants of health screening assessment and referral process in addition to the community-based lung cancer screening educational tool. Social determinants of health screening Current practice - Community-based lunch cancer screening (LungTalk) Participants will receive a social determinants of health screening assessment and referral process in addition to the community-based lung cancer screening educational tool. Community-based lung cancer screening Current practice - Community-based lunch cancer screening (LungTalk) Participants will receive a community-based lung cancer screening educational tool.
- Primary Outcome Measures
Name Time Method Lung cancer screening uptake 3 months post intervention Number of participants in the two groups that get screened (have a computed tomography (CT or CAT) scan)
- Secondary Outcome Measures
Name Time Method Perceived Smoking-Related Stigma 3 months post intervention Perceived Smoking-Related Stigma will be measured using the 5-item smoking-related stigma subscale of the Cataldo Lung Cancer Stigma Scale ranging from 5 (low perceived stigma) to 25 (high perceived stigma)
Medical Mistrust 3 months post intervention Medical Mistrust will be measured with 5 items ranging from 5 (low mistrust) to 25 (high mistrust)
Lung Cancer Fatalism 3 months post intervention Lung Cancer Fatalism will be measured with 11 items ranging from 0 (no fatalism) to 11 (high fatalism)
Perceived Barriers to Lung Cancer Screening Scale 3 months post intervention Perceived Barriers to Lung Cancer Screening Scale will be used ranging from 17 (low perceived barriers to lung screening) to 68 (high perceived barriers to lung screening).
Health Literacy 3 months post intervention Health Literacy will be measured using the 3-item health literacy scale ranging from 0 (low health literacy level) to 12 (high health literacy level)
Knowledge of Lung Cancer and Lung Screening 3 months post intervention Knowledge of Lung Cancer and Lung Screening will be assessed with a 7-item multidimensional scale used in our preliminary studies adapted from literature specific to lung cancer. Several aspects will be assessed, including knowledge of lung cancer, risk, and screening. Range of scores is 0 (no knowledge) to 7 (high level of knowledge).
Stage of Adoption for Decision-Making About Lung Screening 3 months post intervention Stage of Adoption for Decision-Making About Lung Screening will be assessed with an algorithm of questions used in our prior studies assessing the 7 stages (unaware, aware but unengaged, undecided, decided not to act, decided to act, action, and maintenance). This will allow us to assess intent if someone has "decided to act".
Trial Locations
- Locations (1)
Hackensack Meridian Health - Center for Discovery and Innovation
🇺🇸Nutley, New Jersey, United States