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

Description

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.

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.

Eligibility criteria

Conditions

Locations

• Baystate Health — Springfield, Massachusetts, United States