Clinical trial NCT06389981: Co-Design and Pilot Testing of Peer-led Community Outreach to Improve Equity, Veteran-Centeredness and Uptake of Lung Cancer Screening
Official title: Co-Design and Pilot Testing of Peer-led Community Outreach to Improve Equity, Veteran-Centeredness and Uptake of Lung Cancer Screening
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Lung Cancer
Keywords: Screening
Lead sponsor: VA Boston Healthcare System
Sponsor class: FED
First posted: 2024-04-29
Enrollment: 40
Sex: ALL
Minimum age (years): 50
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

Brief summary: Co-design will be implemented to develop an innovative, Veteran-centered intervention (Vet Peer Connects program) that meets the needs of Black Veterans.

Next, a feasibility pilot test of the Vet Peer Connects program will be conducted. The Peer will lead up to 4 group lung cancer screening orientations in community partner sites to reach around 40 lung cancer screening eligible Black Veterans. The Peer will provide one-to-one tailored support to up to 15 Veterans (coaching, goal-setting, navigation to access Veterans Affairs lung cancer screening). Then, the study team will evaluate program delivery through ethnographic observation and field notes, Peer activity logs, and weekly check-ins between the study team and Peer. Investigators will interview Veteran participants, community partners, and lung cancer screening clinical staff to explore feasibility and acceptability of the Vet Peer Connects program and solicit suggestions for improvement. Preliminary data on the outcomes of the Vet Peer Connects program will be collected by study team through administering surveys to assess change in Social Cognitive Theory constructs, and extracting lung cancer screening uptake and tobacco treatment 3 months post enrollment from VA's Corporate Data Warehouse. This work will inform a subsequent multi-site stepped-wedge trial to assess effectiveness, implementation, and cost of the Vet Peer Connects program in VA lung cancer screening sites and neighboring branches of the National Association for Black Veterans


Eligibility criteria: Inclusion Criteria:

* Self-identified Black Veterans
* Meet United States Preventive Services Task Force guidelines for lung cancer ( still smoking cigarettes or quit within past 15 years, greater than or equal to 20 pack-years total)
* Have not yet undergone lung cancer screening

Exclusion Criteria:

* Non-Black Veterans

Primary outcomes:
measure: Lung Cancer Screening Uptake
timeFrame: 3 months
Secondary outcomes:
measure: Tobacco cessation Treatment
timeFrame: 3 months
measure: Stigma Related to Smoking
timeFrame: 7 months
measure: Perceived support from peer
timeFrame: 7 months
measure: Lung Cancer Screening Knowledge
timeFrame: 7 months
measure: Lung Cancer Screening Fatalism
timeFrame: 7 months
measure: Trust in VA
timeFrame: 7 months
measure: Lung Cancer Self-efficacy
timeFrame: 7 months
measure: General Cancer Self-efficacy
timeFrame: 7 months
measure: Intention to engage in shared decision making
timeFrame: 7 months
measure: Motivation to quit smoking
timeFrame: 7 months
measure: Intention to undergo lung cancer screening
timeFrame: 7 months
Other outcomes:
Locations:
city: Boston
country: United States
facility: VA Boston Healthcare System
state: Massachusetts
Study officials:
References: