Assessing Social Determinants of Health to Increase Cancer Screening
Overview
- Phase
- Not Applicable
- Intervention
- Current practice - Community-based lunch cancer screening (LungTalk)
- Conditions
- Lung Cancer
- Sponsor
- Hackensack Meridian Health
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Lung Cancer Screening Uptake
- Status
- Completed
- Last Updated
- last month
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •Diagnosed with lung cancer
- •Has a history of having a lung cancer screening scan
- •Unable to speak and understand English
Arms & Interventions
Social determinants of health screening
Participants will receive a social determinants of health screening assessment and referral process in addition to the community-based lung cancer screening educational tool.
Intervention: Current practice - Community-based lunch cancer screening (LungTalk)
Social determinants of health screening
Participants will receive a social determinants of health screening assessment and referral process in addition to the community-based lung cancer screening educational tool.
Intervention: Social determinants of health screening assessment and referral process
Community-based lung cancer screening
Participants will receive a community-based lung cancer screening educational tool.
Intervention: Current practice - Community-based lunch cancer screening (LungTalk)
Outcomes
Primary Outcomes
Lung Cancer Screening Uptake
Time Frame: 1 months post intervention
Number of participants in the two groups that get screened (have a computed tomography (CT or CAT) scan)
Secondary Outcomes
- Health Literacy(1 months post intervention)
- Medical Mistrust(1 months post intervention)
- Perceived Smoking-Related Stigma(1 months post intervention)
- Lung Cancer Fatalism(1 months post intervention)
- Knowledge of Lung Cancer and Lung Screening(1 months post intervention)
- Perceived Barriers to Lung Cancer Screening Scale(1 months post intervention)
- Stage of Adoption for Decision-Making About Lung Screening(1 months post intervention)
- Medical Mistrust(Baseline)
- Health Literacy(Baseline)
- Perceived Smoking-Related Stigma(Baseline)
- Lung Cancer Fatalism(Baseline)
- Knowledge of Lung Cancer and Lung Screening(Baseline)
- Perceived Barriers to Lung Cancer Screening Scale(Baseline)
- Stage of Adoption for Decision-Making About Lung Screening(Baseline)