Integrating Restorative Practices to Enhance Shared Decision-Making and Uptake of Lung Cancer Screening in Black Community Members (RESTORE)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Intervention acceptability
Study Overview
Brief Summary
This clinical trial develops and studies whether a restorative justice-based lung cancer screening (LCS) decision-making support intervention tailored for Black individuals increases LCS among Black community members. Lung cancer remains the leading cause of cancer deaths among Black men and women. LCS with yearly low-dose chest computed tomography (CT) is recommended for people with current or recent tobacco use (within 15 years) who are aged 50-80 with at least a 20 pack-year smoking history. LCS lowers lung cancer death by 20%; however, data shows that LCS completion remains low among minority groups in the United States. The restorative justice-based LCS decision-making support intervention in this trial has been specifically tailored to meet the needs of Black individuals. It is designed to reduce racial unfairness by promoting trust, shared understanding, and empowerment in clinical decision making while addressing the social and historical circumstances of health inequalities. This may be an effective way to increase LCS among Black community members.
Detailed Description
OUTLINE:
Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.
After completion of study intervention, participants may be followed up at 90 days.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to 77 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Identify as Black or African American
- •Between ages 50-77
- •Self-reported 20-pack year smoking history
- •Ongoing commercial tobacco use within the past 15 years
- •Proficiency in the English language
Exclusion Criteria
- •Has a documented chest CT within the past one year
- •Personal history of lung cancer or symptoms associated with lung cancer
Arms & Interventions
Screening [Lung cancer screening (LCS) decision-making support session]
Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.
Intervention: Educational Intervention (Other)
Screening [Lung cancer screening (LCS) decision-making support session]
Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.
Intervention: Survey Administration (Other)
Screening [Lung cancer screening (LCS) decision-making support session]
Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.
Intervention: Interview (Other)
Screening [Lung cancer screening (LCS) decision-making support session]
Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.
Intervention: Electronic Health Record Review (Other)
Outcomes
Primary Outcomes
Intervention acceptability
Time Frame: At post-intervention (Day 1)
Assessed using the Acceptability of Intervention Measure (AIM). The AIM will be summarized and presented as a range of scores from 1 (low acceptability/appropriateness) to 5 (high acceptability/appropriateness).
Lung cancer screening knowledge
Time Frame: At pre- and post-intervention (both on Day 1)
Will be assessed using the Lung Cancer Screening Knowledge 7 question score. Pre- and post-intervention responses will be compared via Chochran-Mantel-Haenszel and Friedman tests.
Secondary Outcomes
- Readiness to screen(At pre- and post-intervention (both on Day 1))
- Medical mistrust(At pre- and post-intervention (both on Day 1))
- Perceived smoking-related stigma(At pre- and post-intervention (both on Day 1))
- Shared decision-making (SDM) process(At post-intervention (Day 1))
- Completion of chest computed tomography (CT)(Up to 90 days post-intervention)
- Intervention acceptability and refinement(At 90 days post-intervention)