Evaluating Shared Decision-Making for Lung Cancer Screening Among Chinese Populations in the United States

Withdrawn

• Conditions: Cigarette Smoking-Related Carcinoma
• Interventions: Procedure: Discussion; Other: Interview

• Registration Number: NCT05024955
• Lead Sponsor: M.D. Anderson Cancer Center

Brief Summary

This study better understands the views on shared decision-making among Chinese adults who smoke or who have a spouse who smokes. Lung cancer is the second most common cancer among men and women in the United States and is the number one cause of cancer-related mortality among Asians and Pacific Islanders. Clinicians are recommended to initiate conversations about lung cancer screening with eligible patients, provide information about the benefits and harms, and engage in shared decision-making. However, a patient's cultural background can influence decision-making in many ways. Given this, there is a need to understand the perceptions of shared decision-making among different populations (in this case, Asian populations) in order to inform the design of culturally sensitive decision aids for cancer screening. This study evaluates how Chinese populations in the U.S. who currently smoke or who have partners who smoke perceive the process of shared decision-making, their preferences, the perceived barriers and facilitators, and their perspective on currently-available screening tools.

Detailed Description

PRIMARY OBJECTIVES:

I. Understand how Chinese populations in the Unites States who currently smoke or who have partners who smoke perceive the process of shared health-related decision-making and their preferences in terms of role involvement, and the barriers to and facilitators of shared decision-making.

II. Evaluate current publicly available lung cancer screening tools from the perspective of Chinese adults who smoke or who have partners who smoke.

OUTLINE:

Participants attend an interview over 45-60 minutes and/or a focus group over 1.5 to 2 hours.

Study Timeline

• Study Start: 2021-07-20
• Study First Submitted: 2021-08-18
• Study First Submitted QC: 2021-08-26
• Study First Posted: 2021-08-27
• Status Verified: 2024-03
• Primary Completion: 2024-03-08
• Study Completion: 2024-03-08
• Last Update Submitted: 2024-03-13
• Last Update Posted: 2024-03-15

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Men and women who self-identify as Chinese
• Live in the U.S. (either citizens or have lived in the U.S. for at least 5 years or more, i.e. long-term residents)
• Age 50-80
• Currently smokes or partner of a person who smokes
• Speak English and/or Mandarin

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Observational (interview, discussion)	Interview	Participants attend an interview over 45-60 minutes and/or a focus group over 1.5 to 2 hours.
Observational (interview, discussion)	Discussion	Participants attend an interview over 45-60 minutes and/or a focus group over 1.5 to 2 hours.

Primary Outcome Measures

Name	Time	Method
How Chinese populations who smoke or have partners who smoke perceive the process of shared health-related decision-making	through study completion, an average of 1 year	Data analysis and data collection occurs simultaneously. Data is analyzed using a sequential approach to identify major and minor thematic areas. An initial codebook is developed based on the core questions within the interview guide, the literature, and initial coding of 3-4 transcripts. The internal validity of the codebook is established through detailed discussion between the coders and the research team. The reliability of the codebook is established in the first level of coding (descriptive codes) by double coding 25% of interviews and discussing any discrepancies to reach consensus on codes. Researchers analyze codes to identify the major and minor themes. Findings are summarized and illustrated using verbatim exemplars.
Current publicly available lung cancer screening tools from the perspective of Chinese adults who smoke or who have partners who smoke	through study completion, an average of 1 year	Data analysis and data collection occur simultaneously. Data is analyzed using thematic analysis. Based on the data from one focus group, an initial codebook is developed based on themes raised by participants. The data is grouped according to broad categories based on the aspects of the tool that the participants provided feedback on, such as: (1) visuals, (2) format of the tool, (3) information, (4) preferences in how risk is presented, (5) decision support, and (6) recommendations for improvement. The codebook is adjusted and refined to include codes that are identified from additional transcripts. Two coders code the transcripts after establishing the codebook's internal validity and reliability through consultation and assistance from other research team members. Findings are summarized and illustrated with verbatim quotes of participants.
Chinese populations' preferences in terms of role involvement, and the barriers to and facilitators of shared decision-making	through study completion, an average of 1 year	Data analysis and data collection occurs simultaneously. Data is analyzed using a sequential approach to identify major and minor thematic areas. An initial codebook is developed based on the core questions within the interview guide, the literature, and initial coding of 3-4 transcripts. The internal validity of the codebook is established through detailed discussion between the coders and the research team. The reliability of the codebook is established in the first level of coding (descriptive codes) by double coding 25% of interviews and discussing any discrepancies to reach consensus on codes. Researchers analyze codes to identify the major and minor themes. Findings are summarized and illustrated using verbatim exemplars.