Clinical trial NCT06350643: The Black Health Block Quit and Screen Project
Official title: The Black Health Block Quit and Screen Project
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Knowledge
Attitudes
Behavioral Intention
Lead sponsor: University of Arkansas
Sponsor class: OTHER
Collaborators: name: Virginia Commonwealth University
name: Coalition for a Tobacco Free Arkansas
name: National Institute on Minority Health and Health Disparities (NIMHD)
name: National Medical Association
First posted: 2024-04-05
Enrollment: 300
Sex: ALL
Minimum age (years): 21
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The Black Health Block Quit and Screen Project seeks to engage Black health care providers in helping Black smokers quit tobacco use, including menthol cigarettes and flavored cigars, and screen for lung cancer early as strategies to reduce multiple chronic disease disparities.

The goal of this clinical trial is to test the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition. Participants will complete the training modules and complete pre- and post-tests to assess these outcomes.

Detailed description: This clinical trial tests the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition.

In partnership with the National Medical Association, investigators will recruit 300 healthcare providers who provide clinical services to Black individuals who smoke smoke. Interested providers will be screened; if eligible, the will complete informed consent. Providers who complete the online consent and agree to enroll in the training study will be individually randomized to one of 2 conditions: The Black Health Block Culturally Tailored + the HDLCS or Black Health Block Culturally Tailored control condition alone. After randomization, providers will complete a pre-test assessing their knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography. Providers will then complete an online training. Providers will then complete a post-test assessing their 1) knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography and 2) preferences for the online materials and satisfaction with the training. Feasibility will be assessed using data on provider interest in the training and training reach.

Eligibility criteria: Inclusion Criteria:

* Current National Medical Association (NMA) member
* Serves a Black patient clientele who smokes
* At least 20% of time (1 day per week) devoted to clinical care
* Currently screens clients for tobacco use in the clinic
* Have the capacity to refer smokers to a patient navigator
* Willing to provide informed consent
* Will provide contact email, address and phone.

Exclusion Criteria:

* None

Primary outcomes:
measure: Familiarity with treatment guidelines for tobacco and nicotine treatment
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Weaver et al. 2012 Provider Attitudes and Perceptions about smoking cessation
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Weaver et al. 2012 Provider Perceptions about provider barriers to providing smoking cessation interventions to patients
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Provider Perceptions about patient barriers to smoking cessation
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Behavioral intentions to screen and advise patients about smoking cessation
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Familiarity with lung cancer screening guidelines
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Knowledge about low dose computed tomography for lung cancer screening
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Perceptions about shared decision-making for low dose computed tomography for lung cancer screening
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Perceptions about provider barriers to referring patients to low dose computed tomography for lung cancer screening
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Provider Perceptions about patient barriers to get screened for lung cancer
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Behavioral intentions to advise patients to get screened for lung cancer via low dose computed tomography
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Secondary outcomes:
measure: Diversity of enrolled healthcare providers
timeFrame: This is pre-post design. This outcome will be measured during the pre-test immediately before participants complete the 30-60 minute online training.
measure: Retention: Percent of providers complete the training after enrolling
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Adherence to completing training modules: Percent of modules completed
timeFrame: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
measure: Preferences regarding training
timeFrame: This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.
measure: Satisfaction with training
timeFrame: This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.
Other outcomes:
Locations:
city: Richmond
country: United States
facility: Virginia Commonwealth Univesity
state: Virginia
Study officials:
affiliation: University of Arkansas
name: Pebbles Fagan, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
affiliation: Virginia Commonwealth University
name: Mignonne Guy, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Arkansas
name: Ashley Clawson, PhD
role: PRINCIPAL_INVESTIGATOR
References: