Co-Design and Pilot Testing of Peer-led Community Outreach to Improve Equity, Veteran-Centeredness and Uptake of Lung Cancer Screening
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 3
- Locations
- 1
- Primary Endpoint
- Lung Cancer Screening Uptake
Study Overview
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 5 group lung cancer screening orientations in community partner sites to reach up to 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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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
Exclusion Criteria
- •Non-Black Veterans
Arms & Interventions
Peer led intervention
The peer-led program will be pilot tested enrolling up to 40 self-identified lung cancer screening eligible Black Veterans.
Intervention: Veterans peer connect Program (Other)
Outcomes
Primary Outcomes
Lung Cancer Screening Uptake
Time Frame: 3 months
Electronic health record review on all enrolled subjects to determine if low dose chest CT for lung cancer screening occurred between the time of study enrollment and 3 months post-enrollment.
Secondary Outcomes
- Tobacco Cessation Treatment(3 months)
- Stigma Related to Smoking(between 3-7 months post-enrollment, after completion of peer support intervention)
- Perceived Support From Peer(between 3-7 months post-enrollment, after completion of peer support intervention)
- Lung Cancer Screening Knowledge(3 months)
- Lung Cancer Screening Fatalism(3 months)
- Trust in VA(3 months)
- Lung Cancer Self-efficacy(3 months)
- General Cancer Self-efficacy(3 months)
- Intention to Engage in Shared Decision Making(3 months)
- Motivation to Quit Smoking(3 months)
- Intention to Undergo Lung Cancer Screening(3 months)
Investigators
Renda Wiener
Principal Investigator
VA Boston Healthcare System