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A Community Health Intervention to Improve Lung Cancer Screening Uptake in Community Health Centers
Sponsor: Baystate Medical Center
Summary
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.
Key Details
Gender
All
Age Range
50 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2026-05-10
Completion Date
2028-08-01
Last Updated
2026-09-22
Healthy Volunteers
Yes
Conditions
Interventions
Community health worker delivered outreach, shared decision-making, tobacco treatment, and navigation
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
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
Participants will receive educational materials about lung cancer screening and usual lung cancer screening care through their primary care provider.
Locations (1)
Baystate Health
Springfield, Massachusetts, United States