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Tailored Patient Navigation to Improve the Uptake of Lung Cancer Screening in Tribal Communities in Western Washington State, SACRED LUNGS Trial
Sponsor: Fred Hutchinson Cancer Center
Summary
This clinical trial studies whether tailored patient navigation (PN) works to improve the uptake of lung cancer screening (LCS) in tribal communities in western Washington state. Lung cancer is the leading cause of cancer death in the United States among American Indian (AI) and Alaska Native (AN) people, and the incidence of lung cancer is higher in this population in the Northern and Southern Plains, Alaska, and Pacific Coast regions. In Washington state, AI/AN people also have twice the rate of commercial cigarette smoking than the overall population. LCS with annual low-dose chest computed tomography (CT) can reduce lung cancer death and is recommended in people 50-80 years of age with current or recent (within 15 years) tobacco use and a 20 pack-year or greater smoking history. Despite this, AI and AN people are less likely to receive LCS which may be due to barriers they face making it difficult to receive LCS. PN services are designed to guide a patient through the healthcare system and reduce barriers to timely screening, follow-up, diagnosis, treatment, and supportive care. The PN services in this trial have been tailored for the tribal communities in western Washington state. The services are designed to help participants overcome the unique barriers that their tribal communities face and improve the uptake of LCS.
Official title: Strengthening Awareness and Community Resources for Early Detection of Lung Cancer Through Navigation Guided Screening Trial (SACRED LUNGS Aims 1.2-3)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
237
Start Date
2026-06-01
Completion Date
2029-04-30
Last Updated
2026-04-08
Healthy Volunteers
Yes
Conditions
Interventions
Patient Navigation
Receive tailored PN activities
Educational Intervention
Receive LCS educational handout
Best Practice
Receive enhanced usual care
Interview
Ancillary studies
Survey Administration
Ancillary studies
Electronic Health Record Review
Ancillary studies
Locations (2)
Muckleshoot Tribal Clinic
Auburn, Washington, United States
South Puget Intertribal Planning Agency (SPIPA)
Shelton, Washington, United States