Community Health Worker Program for Lung Cancer Screening

Age: 18+

Sex: Any

Trial Phase: Phase < 1

Sponsor: Memorial Sloan Kettering Cancer Center

Disqualifiers: Household member participated, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

99 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of this study is to test if our Community Health Worker program can help at-risk NYC Chinese community members participate in shared decision making and lung cancer screening (if appropriate) and compare it to the help provided by written materials.

Research Team

Jennifer Leng, MD, MPH

Principal Investigator

Memorial Sloan Kettering Cancer Center

Eligibility Criteria

This trial is for Chinese community members in NYC who are at risk for lung cancer. It includes male professional drivers aged 50-80, fluent in Mandarin or Cantonese, with a history of heavy smoking. Healthcare providers and livery staff fluent in English or Mandarin can also participate. Participants must not plan to leave the New York area for extended periods during the study.

Inclusion Criteria

I am a male professional driver of Chinese descent, aged 50-80, who smokes or recently quit.

I am a health care provider or administrator, over 21, and speak English fluently.

I am a male, Mandarin-speaking Chinese livery driver aged 55-80, with a smoking history, living in New York.

Exclusion Criteria

Has a household member who has already participated (or agreed to participate)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-pilot

Refinement of adapted CHW intervention materials and assessment of feasibility

12 months

Multiple visits for workshops and assessments

Pilot

Pilot randomized controlled trial to assess the feasibility of the refined CHW model versus written materials

6 months

Multiple visits for intervention and control assessments

Follow-up

Participants are monitored for increased uptake in shared decision making and lung cancer screening

6 months

Treatment Details

Interventions

• Focus groups
• In-depth interviews
• Navigation
• Surveys

Trial Overview The study tests if a Community Health Worker program improves participation in lung cancer screening and decision-making compared to just providing written materials. The methods include surveys, navigation assistance, focus groups, and interviews among eligible participants.

Participant Groups

Group I: Pre-pilot Group Experimental Treatment 2 Interventions

Approximately 10 Chinese livery drivers who smoke or who quit smoking with the past 15 years and have a 30 pack-year history of smoking

Group II: Pilot RCT CHW Intervention Group Experimental Treatment 2 Interventions

Eligible NYC Chinese livery drivers will receive written materials and navigation for shared decision making (SDM) and lung cancer screening (LCS).

Group III: In-Depth Interview Group Experimental Treatment 1 Intervention

12-15 in-depth interviews with livery base management and staff, and with 12-15 primary care physicians (PCPs), clinic directors, hospital CFOs, heads of financial services and counseling, and heads of radiology facilities serving the Chinese community.

Group IV: Focus Group Experimental Treatment 1 Intervention

The investigators conducted a series of 4-6 focus groups with Chinese livery drivers who (currently, or in the past) smoke.

Group V: Pilot RCT Control Group Active Control 1 Intervention

Eligible NYC Chinese livery drivers will receive written materials only

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials

1,998

Recruited

602,000+