Health Opportunities and Promoters of Equitable Screening for Lung Cancer

Study Overview
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Brief Summary
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The goal of this clinical trial is to promote lung cancer screening (LCS) uptake among Hispanic current and former smokers. The main questions it aims to answer are: What barriers do current and former Hispanic smokers face in the identification and documentation of their smoking status? How can digital delivery of an educational video promote LCS uptake among current and former Hispanic smokers? Participants will receive an educational video about lung cancer screening and complete brief, self-reported surveys afterwards.

Detailed Description
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Lung cancer remains the leading cause of cancer-specific mortality in the US, and Hispanics experience worse lung cancer outcomes and die at higher rates due to advanced stage at presentation. Lung cancer screening (LCS) can save many lives through early lung cancer detection among Hispanic current and former smokers. Still, without increasing efforts to improve smoking status disclosure and documentation and tailored interventions to promote LCS uptake among Hispanic current and former smokers, this underserved population will continue to demonstrate disparities in lung cancer survival. Based on prior research experience, Dr. Flores has adapted the NIMHD research framework by incorporating elements from Ford's evidence-based theoretical model to guide the following proposed study aims: 1) To elucidate barriers and facilitators to consistent identification and documentation of smoking status to promote LCS uptake among Hispanic current and former smokers; 2) To assess feasibility, acceptability, and reach of the digital delivery of an educational video to promote LCS uptake among Hispanic current and former smokers; 3) To explore the effect of the digital delivery of the educational video to increase interest, intent, and scheduling of LCS uptake among Hispanic current and former smokers. Impact: The successful completion of this research will serve as a foundation for developing novel interventions to overcome disparities and advance equity in lung cancer outcomes among Hispanics and other vulnerable populations.

Official Title
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Health Opportunities and Promoters of Equitable Screening for Lung Cancer (HOPES for Lung Cancer)

Conditions
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Lung Cancer, Smoking Behaviors, Diagnosis

Intervention / Treatment
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* Other: Educational Lung Cancer Screening (LCS) Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be 50-80 years old Are a current or former smoker (quit within 15 years, or a cumulative smoking status of > 20 pack-years) Not currently enrolled in Lung Cancer Screening Must speak English or Spanish Exclusion Criteria: Has a clinical cognitive inability to provide informed consent for participation in the study or complete a brief survey Currently diagnosed with lung cancer Currently enrolled in lung cancer screening Have participated in the focus groups discussions from Aim 1

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Digital Outreach: Patient Gateway<br>Participants who list Patient Gateway as the preferred mode of contact in the electronic health record (EHR) system. Patient Gateway is an online patient portal that gives patients access to securely message their Mass General Brigham provider, request routine appointments, prescriptions and referral authorizations as well as view test results that were processed at a Mass General Brigham facility. Participants will receive the digital educational lung cancer screening video via their patient gateway account. | Other: Educational Lung Cancer Screening (LCS) Video<br>* An educational video on lung cancer screening tailored to Hispanic current and former smokers.<br>|
| Digital Outreach: Text<br>Participants who list Text as the preferred mode of contact in the electronic health record (EHR) system. Participants will receive the digital educational lung cancer screening video via a text message sent directly to their cell phone. | Other: Educational Lung Cancer Screening (LCS) Video<br>* An educational video on lung cancer screening tailored to Hispanic current and former smokers.<br>|
| Digital Outreach: Email<br>Participants who list Email as the preferred mode of contact in the electronic health record (EHR) system. Participants will receive the digital educational lung cancer screening video directly to the email they have listed. | Other: Educational Lung Cancer Screening (LCS) Video<br>* An educational video on lung cancer screening tailored to Hispanic current and former smokers.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant outreach (contact) of digital link | Reach is defined as >20% of enrolled participants interacting with the digital delivery of the LCS educational video (i.e., partial or complete review of the LCS educational video). | Year 3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant interaction with digital link | Overall proportion of participants that click on the embedded link to the successfully digitally delivered LCS educational videos | Year 3 | 
| Participant attention of LCS video | Duration of viewing the LCS video (i.e., partial or complete) | Year 3 | 
| Survey completion | Overall proportion of survey completion by participants. | Year 4 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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lung cancer screening, Hispanic outreach, educational intervention, digital health, smoking documentation, smoking history, health equity