A Community Health Worker Intervention to Improve Lung Cancer Screening Uptake in Community Health Centers

Part of paid clinical trials in Springfield, Massachusetts.

Sponsor
Baystate Medical Center
Study ID
NCT07168629
Status
Recruiting
Apply to this trial

Conditions

Eligibility Criteria

Sex
ALL
Age
50 Years - 80 Years
Healthy Volunteers
Accepted

Interventions

  • Community health worker delivered outreach, shared decision-making, tobacco treatment, and navigation — BEHAVIORAL
    The CHW will perform: 1) patient outreach 2) patient-centered shared-decision making, 3) smoking cessation counseling, and 4) navigation of logistical barriers
  • Enhanced Usual Care — OTHER
    After randomization, the control group will receive the same mailed LCS educational materials as the intervention group and encouraged to discuss screening with their PCP, the typical pathway through which patients enter the LCS program.

Study Details

Lung cancer screening (LCS) can reduce lung cancer-related mortality by 20%, but only 5-10% of eligible individuals have received an initial LCS. The goal of this study is to partner with community stakeholders to jointly develop and pilot test a multi-component community health worker-delivered intervention targeting key barriers to improve LCS and tobacco treatment utilization. The proposed activities will lay the groundwork for a subsequent R01 grant, conducting a fully powered randomized clinical trial to establish CHWs as an evidence-based practice that will facilitate access to screening and tobacco treatment, to reduce lung cancer mortality.

Key Dates

First listed
Sep 11, 2025
Start date
May 10, 2026
Status verified
Aug 2026
Primary completion
Feb 1, 2028
Completion
Aug 1, 2028

Study Design

Enrollment
80 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Enhanced Usual Care
    Will receive educational materials about lung cancer screening and tobacco treatment.
  • Experimental: Intervention
    Will receive a four-part community health worker-delivered intervention to improve LCS uptake, which includes: 1) patient outreach, 2) patient-centered shared decision-making, 3) smoking cessation counseling, and 4) navigation of logistical barriers

Primary Outcome Measure

Feasibility: Number of participants at each stage of the recruitment and retention cascade [ Time Frame: once a month until study trial ends, an average one year ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Baystate HealthSpringfieldMassachusetts01107-

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By condition
Lung cancer
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OncologyLung oncologyLung disease
By research site
Baystate Health· Springfield, MA

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