Educational Video for Lung Cancer Screening

Overseen By Amy Leader, DrPH, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Thomas Jefferson University

Disqualifiers: Non-African American, Non-Korean, Non-Chinese, others

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

Compensation: Varies

Number of Visits: 3

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether a specially made educational video can change perceptions of lung cancer and the importance of screening, particularly in resource-limited communities. Participants will watch a video and then join a focus group, take part in an interview, or complete a short test. The trial aims to boost lung cancer screening rates among African American, Korean, and Chinese adults with a history of smoking, lung cancer, or previous lung cancer screening. Individuals meeting these criteria may be suitable for the trial. As an unphased trial, this study provides a unique opportunity to contribute to research that could enhance lung cancer screening awareness and access in underserved communities.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this educational video is safe for participants?

A previous study found that educational videos tailored to different cultures effectively help people learn about lung cancer and screening. These videos fit the cultural needs of various communities, making the information more relatable and understandable. Research has shown that these videos can raise awareness about lung cancer and encourage more people, especially in underserved groups, to get screened. Importantly, no known risks or side effects exist from watching these videos, making this method very safe for participants. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it's exploring a new way to improve lung cancer screening awareness using a culturally tailored educational video. Unlike traditional methods that might not resonate with everyone, this video is designed to be more relatable and effective for diverse communities. By tailoring the content to specific cultural backgrounds, the video aims to increase understanding and encourage more people to participate in lung cancer screening, which could lead to earlier detection and better outcomes. This approach is not just about delivering information—it's about doing so in a way that truly connects with people.

What evidence suggests that this educational video is effective for increasing lung cancer screening awareness in vulnerable communities?

Research has shown that educational videos tailored for specific cultural groups can raise awareness about lung cancer and encourage screening in at-risk communities. This trial evaluates a culturally tailored educational video designed to connect with specific groups, such as African-Americans, who have the highest lung cancer rates in the U.S. Participants will either join a focus group to support video development, watch the video and undergo an interview for refinement, or watch the video and complete a pre- and post-video test. Studies have found that technology, like videos, helps people understand their lung cancer risk and motivates them to join screening programs. By using content that feels personal and relatable, these videos can empower people to take preventive steps, like getting screened, which can lead to early detection and better health outcomes. ^{1 4 6 7 8}

Who Is on the Research Team?

Amy R Leader, DrPH, MPH

Principal Investigator

Thomas Jefferson University

Are You a Good Fit for This Trial?

This trial is for African American, Korean, or Chinese adults who are current/former smokers aged 50-80 with a significant smoking history. It aims to educate these communities about lung cancer and screening. Children, non-community members, those without a smoking history or prior lung cancer diagnosis/screening are excluded.

Inclusion Criteria

I am African American, Korean, or Chinese, aged 50-80, and have a significant smoking history.

I am African American, Korean, or Chinese with a history of smoking or lung cancer.

Exclusion Criteria

I am not a child, and I am African American, Chinese, or Korean with a history of smoking, lung cancer, or have been screened for lung cancer.

I am not a child, I am of African American, Chinese, or Korean descent, I have a history of smoking, and I have not been diagnosed with lung cancer or undergone lung cancer screening.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Focus Group

Participants participate in a focus group over 1 hour in support of the development of a culturally tailored educational video

1 hour

1 visit (in-person)

Video and Interview

Participants watch a culturally tailored educational video and then immediately undergo an interview for video refinement

1 session

1 visit (in-person)

Video and Test

Participants watch a culturally tailored educational video and complete a brief test pre- and post-video

30 minutes

1 visit (in-person)

Follow-up

Participants are monitored for changes in knowledge and intentions regarding lung cancer screening

Up to 1 year

What Are the Treatments Tested in This Trial?

Interventions

• Culturally Tailored Educational Video

Trial Overview The study tests the effectiveness of a culturally tailored educational video in promoting understanding and participation in lung cancer screening among vulnerable populations. The intervention includes discussions, media materials, interviews, and tests to measure impact.

How Is the Trial Designed?

Group I: Arm III (Aim 3) (video, test) Experimental Treatment 2 Interventions

Participants watch a culturally tailored educational video over 3-5 minutes and complete a brief test pre- and post-video over 30 minutes on study.

Group II: Arm II (Aim 2) (video, interview) Experimental Treatment 2 Interventions

Participants watch a culturally tailored educational video over 3-5 minutes and then immediately undergo an interview in support of the refinement of a culturally tailored educational video on study.

Group III: Arm I (Aim 1) (focus group) Experimental Treatment 1 Intervention

Participants participate in a focus group over 1 hour in support of the development of a culturally tailored educational video on study.

Who Is Running the Clinical Trial?

Thomas Jefferson University

Lead Sponsor

Trials

475

Recruited

189,000+

Published Research Related to This Trial

A culturally sensitive educational video was developed to improve cervical cancer screening participation among Turkish- and Moroccan-Dutch women, who historically have lower screening rates and higher cancer incidence.

The video addresses key themes such as the importance of health care in Islam, the emotional aspects of screening, and the benefits of early detection, and its effectiveness will be evaluated in a randomized controlled trial.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The development of a culturally sensitive educational video: How to facilitate informed decisions on cervical cancer screening among Turkish- and Moroccan-Dutch women. Hamdiui, N., Bouman, MPA., Stein, ML., et al.[2022]

Cultural beliefs among the Navajo population, such as the taboo surrounding cancer discussions, contribute to late diagnoses, which can hinder early treatment opportunities.

To address these barriers, the creation of Navajo-language educational videos on breast cancer has proven effective in promoting early detection and treatment options, demonstrating the importance of culturally relevant health education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Breast cancer education for Native American women: creating culturally relevant communications. Robinson, F., Sandoval, N., Baldwin, J., et al.[2019]

In a study conducted at an urban Native American clinic, two culturally targeted promotion strategies for lung cancer screening resulted in low scheduling rates for shared decision-making visits, with only 8.5% of eligible patients participating.

Despite ordering lung cancer screening CT exams, only about 50% of those exams were completed, highlighting a significant gap that suggests the need for more effective interventions to encourage follow-through on screenings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Lung Cancer Screening Outreach Program in an Urban Native American Clinic. Robichaux, C., Anderson, M., Freese, R., et al.[2023]

This pilot study involving 28 newly diagnosed breast cancer patients found that personalized video education prior to their first oncology consultation is feasible and may enhance understanding of their specific diagnosis, particularly regarding tumor subtype.

While patients receiving personalized videos showed improvements in perceived understanding and decision-making, the overall differences between personalized video education and standard materials were not statistically significant, indicating the need for further research to optimize educational approaches.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study. Sulakvelidze, N., Burdick, B., Kaklamani, V., et al.[2020]

A colorectal cancer education video created in the Somali language significantly improved understanding of cancer risks (80% positive change) and benefits of screening (90% positive change) among 31 Somali men, indicating its effectiveness as an educational tool.

The study highlights the importance of culturally tailored health education, as 93% of participants found the video useful, suggesting it could enhance colorectal cancer screening in the Somali community.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Culturally Adapted Colorectal Cancer Education Video for the Somali Community in Minnesota: A Pilot Investigation. Nakajima, M., Haji, A., Mohamud, S., et al.[2022]

The culturally specific video significantly reduced anxiety about breast cancer treatment among 14 Navajo women and increased their interest in support groups immediately after viewing.

Six months later, the video encouraged women to seek more information about their treatment options, and healthcare providers noted that it improved patient communication and engagement in their care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Breast cancer education for Navajo women: a pilot study evaluating a culturally relevant video. Sanderson, PR., Teufel-Shone, NI., Baldwin, JA., et al.[2021]

Low-dose computed tomography (LDCT) screening is effective for detecting early-stage lung cancers in high-risk individuals, but its uptake is low due to insufficient awareness and understanding among both patients and healthcare providers.

Focus group feedback revealed that high-risk individuals prefer promotional materials that avoid stigmatization and clearly explain the risks and benefits of LDCT, while primary care providers emphasized the need for clear eligibility criteria and referral processes to improve screening discussions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of Promotional Materials To Promote Low-Dose Computed Tomography (LDCT) Screening to High-Risk Consumers and Health Care Providers. Hudson, JN., Quinn, GP., Wilson, LE., et al.[2022]

A personalized multimedia education tool, developed as an iPad application for preoperative teaching in lung cancer surgery, significantly improved patient satisfaction compared to standard education, with higher scores in clarity, supportiveness, and willingness to recommend the materials.

The study involved 48 patients and showed that while the multimedia tool enhanced satisfaction, it did not affect the length of clinic visits, indicating that innovative educational tools can be effectively integrated into preoperative care without increasing time demands.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Use of a Personalized Multimedia Education Platform Improves Preoperative Teaching for Lung Cancer Patients. Benson, J., Bhandari, P., Lui, N., et al.[2022]

The Cancer 101 digital videos, designed for individuals with limited health literacy, received positive feedback from participants, indicating they found the content clear and engaging, which may help improve understanding of cancer care.

Participants expressed a strong willingness to recommend the videos to others and showed interest in watching more modules, suggesting that these resources could effectively enhance cancer awareness and potentially increase screening rates in marginalized communities.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Development and Prototype Feedback of Digital Cancer 101 Videos to Enhance Cancer Education for Marginalized Communities With Limited Health Literacy. Valera, P., Acuna, N., Alzate-Duque, L., et al.[2021]

A video intervention designed to prepare patients psychologically for lung cancer screening (LCS) was found to be feasible and well-accepted, indicating its potential as a supportive tool in LCS programs.

Participants who received the video intervention experienced less psychological distress compared to the control group, who reported increased feelings of dejection after screening, highlighting the intervention's effectiveness in reducing anxiety associated with LCS.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Pilot study of a video intervention to reduce anxiety and promote preparedness for lung cancer screening. Raz, DJ., Nelson, RA., Kim, JY., et al.[2022]

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT06010355

Culturally Tailored Educational Video to Promote Lung ... A culturally tailored educational video may be an effective method to help people learn about lung cancer, susceptibility toward lung cancer and lung cancer ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12386249/

Effectiveness of Technology-Based Interventions in Promoting ... This study reviews how technology-based interventions have been designed and implemented to promote lung cancer screening (LCS), ...

3. ajpmfocus.org ajpmfocus.org/article/S2773-0654(25)00038-0/fulltext

Novel Platforms of Education to Engage Black and African ... This study aims to increase the uptake of lung cancer screening by employing novel platforms for patient-centered education and engagement.

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11780761/

A community-based approach to address lung cancer ... This paper reports the development and refinement of Witness Project Lung, a community-based initiative tailored to the specific needs of the Black community.

5. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0169500225005392

Empowering high-risk adults with digital tools for smoking ... This study tested efficacy of a digital intervention to improve smoking cessation and lung cancer screening adoption.

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9550761/

Impact of a Culturally Tailored Education Intervention for ... Culturally tailored health educational interventions are a promising approach to reducing disparities in cancer screening and outcomes among men of underserved ...

7. onclive.com onclive.com/view/dr-olazagasti-on-culturally-tailored-lung-cancer-screening-for-hispanic-head-and-neck-cancer-survivors

Dr Olazagasti on Culturally Tailored Lung Cancer ... The GUIAR study aims to evaluate the impact of a culturally tailored educational intervention on lung cancer screening uptake among Hispanic ...

8. withpower.com withpower.com/trial/phase-carcinoma-2-2023-4c529

Educational Video for Lung Cancer Screening A culturally tailored educational video may be an effective method to help people learn about lung cancer, susceptibility toward lung cancer and lung cancer ...