A Community Health 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

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) tobacco treatmnet counseling, and 4) navigation of logistical barriers
  • Lay Navigator delivered outreach, shared decision-making, tobacco treatment, and navigation — BEHAVIORAL
    The lay navigator will perform: 1) patient outreach 2) patient-centered shared-decision making, 3) tobacco treatment counseling, and 4) navigation of logistical barriers
  • Enhanced Usual Care — OTHER
    Participants will receive educational materials about lung cancer screening and usual lung cancer screening care through their primary care provider.

Study Details

Lung cancer screening (LCS) can reduce lung cancer-related mortality, but screening uptake remains low among eligible individuals. The goal of this study is to partner with community stakeholders to develop and pilot test a multi-component navigator-delivered intervention targeting key barriers to lung cancer screening and tobacco treatment utilization. Participants are randomized to enhanced usual care, a community health worker (CHW)-delivered intervention, or the same intervention delivered by a trained lay navigator. The intervention includes patient outreach, patient-centered shared decision-making, tobacco treatment counseling, and assistance navigating logistical barriers to care. The proposed activities will lay the groundwork for a subsequent fully powered randomized clinical trial evaluating CHW- and lay navigator-delivered approaches to facilitate access to lung cancer screening and tobacco treatment.

Key Dates

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

Study Design

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

Arms

  • Active Comparator: Enhanced Usual Care
    Partcipants will receive educational materials about lung cancer screening
  • Experimental: Community Health Worker-delivered Intervention
    Participants will receive a four-part intervention delivered by a community health worker to improve lung cancer screening uptake. The intervention includes: 1) patient outreach, 2) patient-centered shared decision-making, 3) tobacco treatment counseling, and 4) navigation of logistical barriers to care.
  • Experimental: Lay Navigator-delivered Intervention
    Participants will receive the same four-part intervention delivered by a trained lay navigator to improve lung cancer screening uptake. The intervention includes: 1) patient outreach, 2) patient-centered shared decision-making, 3) tobacco treatment counseling, and 4) navigation of logistical barriers to care.

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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