Culturally Tailored Educational Video to Promote Lung Cancer Screening in Vulnerable Communities

Study Overview
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Brief Summary
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This clinical trial evaluates the impact of a culturally tailored educational video on the perceptions of lung cancer and lung cancer screening in vulnerable communities. Lung cancer is the most common cancer type. African-American communities have a higher rate than any other racial or ethnic group in the United States and accounts for the highest number of deaths among African-Americans. Lung cancer is in the top three causes of cancer death among Asian men and women. Research has shown that low-income, minority and immigrant individuals may be under resourced to make decisions about prevention programs and early detection measures for lung cancer. A culturally tailored educational video may be an effective method to help people learn about lung cancer, susceptibility toward lung cancer and lung cancer screening. This may increase lung cancer screening in vulnerable communities.

Detailed Description
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PRIMARY OBJECTIVES: I. To understand barriers and opportunities for engaging three culturally distinct populations in lung cancer screening. II. To develop three culturally tailored educational videos about lung cancer and the benefits of lung cancer screening. III. To test the impact of the videos on susceptibility to lung cancer, knowledge of lung cancer screening, and intentions to undergo lung cancer screening in a diverse sample of at-risk individuals. OUTLINE: Participants are assigned to 1 of 3 arms. ARM I (AIM 1): Participants participate in a focus group over 1 hour in support of the development of a culturally tailored educational video on study. ARM II (AIM 2): Participants watch a culturally tailored educational video over 3-5 minutes and then immediately undergo an interview in support of the refinement of a culturally tailored educational video on study. ARM III (AIM 3): Participants watch a culturally tailored educational video over 3-5 minutes and complete a brief test pre- and post-video over 30 minutes on study.

Official Title
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Breathe Easier, Philadelphia! Engaging Vulnerable Communities for Innovative Lung Cancer Care

Conditions
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Lung Carcinoma, Cigarette Smoking-Related Carcinoma

Intervention / Treatment
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* Procedure: Discussion
* Other: Media Intervention
* Other: Interview
* Other: Media Intervention
* Other: Test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AIM 1: Participants must be African American, Korean, or Chinese adults who have either: a history of smoking, a history of lung cancer, or who have undergone lung cancer screening AIM 2: Participants must be African American, Korean, or Chinese adults who have either: a history of smoking, a history of lung cancer, or who have undergone lung cancer screening AIM 3: Those who are African American, Korean or Chinese, and are eligible for lung cancer screening, based on current screening guidelines: Current or former smokers who are between 50 and 80 years of age and who have smoked at least one pack a day for 20 years or two packs a day for 10 years Exclusion Criteria: AIM 1: Those excluded from participating include children; those who are not members of the African American, Chinese, or Korean community; those who do not have one of the following: a history of smoking, a history of lung cancer, or have undergone lung cancer screening AIM 2: Those excluded from participating include children; those who are not members of the African American, Chinese, or Korean community; those who do not have one of the following: a history of smoking, a history of lung cancer, or have undergone lung cancer screening AIM 3: Those excluded from participating include children; those who are not members of the African American, Chinese, or Korean community; those who do not have a history of smoking; those who have been diagnosed with lung cancer; those who have undergone lung cancer screening in the past

Ages Eligible for Study
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Minimum Age: 18 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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Design Details

Primary Purpose: Screening
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm I (Aim 1) (focus group)<br>Participants participate in a focus group over 1 hour in support of the development of a culturally tailored educational video on study. | Procedure: Discussion<br>* Participate in focus groups<br>* Other names: Discuss;|
| Experimental: Arm II (Aim 2) (video, interview)<br>Participants watch a culturally tailored educational video over 3-5 minutes and then immediately undergo an interview in support of the refinement of a culturally tailored educational video on study. | Other: Media Intervention<br>* Watch culturally appropriate video<br>Other: Interview<br>* Undergo interview<br>|
| Experimental: Arm III (Aim 3) (video, test)<br>Participants watch a culturally tailored educational video over 3-5 minutes and complete a brief test pre- and post-video over 30 minutes on study. | Other: Media Intervention<br>* Watch culturally appropriate video<br>Other: Test<br>* Complete test<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in knowledge about lung cancer screening | McNemar's test and 95% confidence intervals (CI) used to compare the post-video knowledge response (single multiple choice correct/incorrect item) to the pre-video baseline knowledge response. Generalized estimating equations (GEE) linear and logistic regression models with main effect and interaction terms constructed to explore the potential effect modification between the video intervention and cultural subgroups. | From baseline to endpoint, up to 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in perceptions of susceptibility to lung cancer | Paired t-tests and 95% CI used to compare the post-video perceived susceptibility scores (scored from four 4-point Likert scaled items to pre-video baseline scores. GEE linear and logistic regression models with main effect and interaction terms constructed to explore the potential effect modification between the video intervention and cultural subgroups. | From baseline to endpoint, up to 1 year | 
| Change in intention to undergo lung cancer screening | Paired t-tests and 95% CI used to compare the post-video intention to screen score (single 4-point Likert scaled item) to pre-video baseline scores. GEE linear and logistic regression models with main effect and interaction terms constructed to explore the potential effect modification between the video intervention and cultural subgroups. | From baseline to endpoint, up to 1 year |