Co-Design and Pilot Testing of Peer-led Community Outreach to Improve Equity, Veteran-Centeredness and Uptake of Lung Cancer Screening
- Conditions
- Lung Cancer
- Interventions
- Other: Veterans peer connect Program
- Registration Number
- NCT06389981
- Lead Sponsor
- VA Boston Healthcare System
- Brief Summary
Co-design will be implemented to develop an innovative, Veteran-centered intervention (Vet Peer Connects program) that meets the needs of Black Veterans.
Next, a feasibility pilot test of the Vet Peer Connects program will be conducted. The Peer will lead up to 4 group lung cancer screening orientations in community partner sites to reach around 40 lung cancer screening eligible Black Veterans. The Peer will provide one-to-one tailored support to up to 15 Veterans (coaching, goal-setting, navigation to access Veterans Affairs lung cancer screening). Then, the study team will evaluate program delivery through ethnographic observation and field notes, Peer activity logs, and weekly check-ins between the study team and Peer. Investigators will interview Veteran participants, community partners, and lung cancer screening clinical staff to explore feasibility and acceptability of the Vet Peer Connects program and solicit suggestions for improvement. Preliminary data on the outcomes of the Vet Peer Connects program will be collected by study team through administering surveys to assess change in Social Cognitive Theory constructs, and extracting lung cancer screening uptake and tobacco treatment 3 months post enrollment from VA's Corporate Data Warehouse. This work will inform a subsequent multi-site stepped-wedge trial to assess effectiveness, implementation, and cost of the Vet Peer Connects program in VA lung cancer screening sites and neighboring branches of the National Association for Black Veterans
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Self-identified Black Veterans
- Meet United States Preventive Services Task Force guidelines for lung cancer ( still smoking cigarettes or quit within past 15 years, greater than or equal to 20 pack-years total)
- Have not yet undergone lung cancer screening
- Non-Black Veterans
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Peer led intervention Veterans peer connect Program The peer-led program will be pilot tested enrolling 40 self-identified lung cancer screening eligible Black Veterans.
- Primary Outcome Measures
Name Time Method Lung Cancer Screening Uptake 3 months Assessing electronic health record data to determine if screening has occurred
- Secondary Outcome Measures
Name Time Method Tobacco cessation Treatment 3 months Assessing electronic health record data to determine if tobacco treatment has been utilized
Perceived support from peer 7 months Assess via qualitative interviews
Lung Cancer Self-efficacy 7 months Lung cancer screening health belief self-efficacy scale Scale 9-36, higher score means a better outcome
Stigma Related to Smoking 7 months Assess via qualitative interviews
Lung Cancer Screening Knowledge 7 months Knowledge of risks and benefits of lung cancer screening Scale 0-18, higher score means a better outcome
Motivation to quit smoking 7 months Readiness to change smoking behavior, contemplation ladder, scale 1-10, higher score means a better outcome
Intention to undergo lung cancer screening 7 months Low Literacy Decisional Conflict Scale Scale 0-9, higher score means a better outcome
Lung Cancer Screening Fatalism 7 months Adapted Illness Perception Questionnaire. Scale 10-50, higher score means better outcome
Trust in VA 7 months Adapted Modified trust scale for Veterans Affairs health system New Scale 4-20, higher score means a better outcome
General Cancer Self-efficacy 7 months New General Self-efficacy scale Scale 8-40, higher score means a better outcome
Intention to engage in shared decision making 7 months Preparation for Decision Making, scale 10-40, lower score means better outcome
Trial Locations
- Locations (1)
VA Boston Healthcare System
🇺🇸Boston, Massachusetts, United States