The Black Health Block Quit and Screen Project

Not Applicable

Not yet recruiting

• Conditions: Knowledge; Attitudes; Behavioral Intention
• Interventions: Other: Black Health Block Culturally Tailored training; Other: Health Disparities and Lung Cancer Screening training

• Registration Number: NCT06350643
• Lead Sponsor: University of Arkansas

Brief Summary

The Black Health Block Quit and Screen Project seeks to engage Black health care providers in helping Black smokers quit tobacco use, including menthol cigarettes and flavored cigars, and screen for lung cancer early as strategies to reduce multiple chronic disease disparities.

The goal of this clinical trial is to test the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition. Participants will complete the training modules and complete pre- and post-tests to assess these outcomes.

Detailed Description

This clinical trial tests the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition.

In partnership with the National Medical Association, investigators will recruit 300 healthcare providers who provide clinical services to Black individuals who smoke smoke. Interested providers will be screened; if eligible, the will complete informed consent. Providers who complete the online consent and agree to enroll in the training study will be individually randomized to one of 2 conditions: The Black Health Block Culturally Tailored + the HDLCS or Black Health Block Culturally Tailored control condition alone. After randomization, providers will complete a pre-test assessing their knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography. Providers will then complete an online training. Providers will then complete a post-test assessing their 1) knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography and 2) preferences for the online materials and satisfaction with the training. Feasibility will be assessed using data on provider interest in the training and training reach.

Study Timeline

• Study First Submitted: 2024-03-06
• Study First Submitted QC: 2024-04-01
• Study First Posted: 2024-04-05
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-20
• Last Update Posted: 2025-02-24
• Study Start: 2025-06
• Primary Completion: 2026-04
• Study Completion: 2026-04

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Current National Medical Association (NMA) member
• Serves a Black patient clientele who smokes
• At least 20% of time (1 day per week) devoted to clinical care
• Currently screens clients for tobacco use in the clinic
• Have the capacity to refer smokers to a patient navigator
• Willing to provide informed consent
• Will provide contact email, address and phone.

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Black Health Block Culturally Tailored training + Health Disparities and Lung Cancer Screening	Health Disparities and Lung Cancer Screening training	In this arm, providers will complete the Health Disparities and Lung Cancer Screening training and the Black Health Block Culturally Tailored training. The Black Health Block Culturally Tailored training is an online course being developed to fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by Health Disparities and Lung Cancer Screening.
Black Health Block Culturally Tailored training alone	Black Health Block Culturally Tailored training	Providers in this arm will only complete the Black Health Block Culturally Tailored training. This online course will be developed for healthcare providers and will fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by Health Disparities and Lung Cancer Screening (HDLCS) training.
Black Health Block Culturally Tailored training + Health Disparities and Lung Cancer Screening	Black Health Block Culturally Tailored training	In this arm, providers will complete the Health Disparities and Lung Cancer Screening training and the Black Health Block Culturally Tailored training. The Black Health Block Culturally Tailored training is an online course being developed to fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by Health Disparities and Lung Cancer Screening.

Primary Outcome Measures

Name	Time	Method
Weaver et al. 2012 Provider Perceptions about provider barriers to providing smoking cessation interventions to patients	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Perceptions about provider barriers to addressing smoking cessation with patient were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Familiarity with lung cancer screening guidelines	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.
Behavioral intentions to screen and advise patients about smoking cessation	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	A set of questions based on the Theory of Planned Behavior assessed provider's intention to screen patients for tobacco use and provide them interventions and referrals for treatment.
Perceptions about shared decision-making for low dose computed tomography for lung cancer screening	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Questions were modified from the questions published by Forcino et al. in 2018.
Behavioral intentions to advise patients to get screened for lung cancer via low dose computed tomography	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	A set of questions based on the Theory of Planned Behavior assessed provider's intention to advise patients who smoke to get screened for lung cancer via low dose computed tomography.
Familiarity with treatment guidelines for tobacco and nicotine treatment	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.
Provider Perceptions about patient barriers to smoking cessation	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Perceptions about patient barriers to smoking cessation were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Weaver et al. 2012 Provider Attitudes and Perceptions about smoking cessation	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	These questions assessed providers perceptions about the benefits of smoking cessation and the benefits of providers advising patients to quit smoking.
Perceptions about provider barriers to referring patients to low dose computed tomography for lung cancer screening	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Questions were modified from questions published by Coughlin et al. 2020.
Provider Perceptions about patient barriers to get screened for lung cancer	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Perceptions about patient barriers to getting screened for lung cancer were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Knowledge about low dose computed tomography for lung cancer screening	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Familiarity with treatment guidelines was assessed using an modified question from the questions published by Kota et al. 2022, Carter-Bawa et al. 2022, and the National Cancer Institute National Survey of Primary Care Physicians' Recommendations \& Practices for Breast, Cervical, Lung, \& Colorectal Cancer Screening.

Secondary Outcome Measures

Name	Time	Method
Adherence to completing training modules: Percent of modules completed	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Study process tracking metrics and training completion data will be used to assess the percent of training modules completed (i.e., the number of modules completed divided by the total available modules).
Diversity of enrolled healthcare providers	This is pre-post design. This outcome will be measured during the pre-test immediately before participants complete the 30-60 minute online training.	Study process tracking metrics will be used to assess the demographic, training, and clinical practice characteristics of providers who enroll in the training.
Retention: Percent of providers complete the training after enrolling	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.	Study process tracking metrics will be used to assess retention of providers who enroll in the training.
Preferences regarding training	This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.	Questions will assess provider feedback on the online training module.
Satisfaction with training	This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.	Questions will assess provider satisfaction on the online training module.

Trial Locations

Locations (1)

Virginia Commonwealth Univesity; 🇺🇸 Richmond, Virginia, United States