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

120 Participants Needed

Trial Summary

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 data supports the effectiveness of the treatment Culturally Tailored Educational Video for lung cancer screening?

Research on culturally tailored educational videos for other conditions, like breast cancer, shows they can reduce anxiety, encourage seeking more information, and improve communication with healthcare providers. Additionally, personalized multimedia education tools for lung cancer patients have been shown to increase satisfaction with care and understanding of medical information. ^{1 2 3 4 5}

Is the educational video for lung cancer screening safe for humans?

The educational video for lung cancer screening is generally safe for humans, as it is designed to reduce anxiety and improve understanding, without any physical interventions. ^{2 4 6 7 8}

How does the educational video for lung cancer screening differ from other treatments for lung cancer?

The educational video for lung cancer screening is unique because it focuses on providing culturally relevant information to help patients understand and make informed decisions about lung cancer screening, rather than directly treating the disease. This approach is different from traditional treatments like surgery or chemotherapy, as it aims to enhance patient knowledge and communication with healthcare providers. ^{1 4 6 9 10}

What is the purpose of this trial?

This clinical trial evaluates the impact of a culturally tailored educational video on the perceptions of lung cancer and lung cancer screening in vulnerable communities. Lung cancer is the most common cancer type. African-American communities have a higher rate than any other racial or ethnic group in the United States and accounts for the highest number of deaths among African-Americans. Lung cancer is in the top three causes of cancer death among Asian men and women. Research has shown that low-income, minority and immigrant individuals may be under resourced to make decisions about prevention programs and early detection measures for lung cancer. A culturally tailored educational video may be an effective method to help people learn about lung cancer, susceptibility toward lung cancer and lung cancer screening. This may increase lung cancer screening in vulnerable communities.

Research Team

Amy R Leader, DrPH, MPH

Principal Investigator

Thomas Jefferson University

Eligibility Criteria

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

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

Treatment Details

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.

Participant Groups

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+

Findings from Research

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]

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]

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]

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 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]

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]

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]

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]

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]

References

1. England pubmed.ncbi.nlm.nih.gov

Breast cancer education for Navajo women: a pilot study evaluating a culturally relevant video. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

Lung Cancer Screening Outreach Program in an Urban Native American Clinic. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Use of a Personalized Multimedia Education Platform Improves Preoperative Teaching for Lung Cancer Patients. [2022]

4. United States 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. [2021]

5. England pubmed.ncbi.nlm.nih.gov

Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study. [2020]

6. England 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. [2022]

7. England pubmed.ncbi.nlm.nih.gov

Pilot study of a video intervention to reduce anxiety and promote preparedness for lung cancer screening. [2022]

8. England 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. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Breast cancer education for Native American women: creating culturally relevant communications. [2019]

10. United States pubmed.ncbi.nlm.nih.gov

A Culturally Adapted Colorectal Cancer Education Video for the Somali Community in Minnesota: A Pilot Investigation. [2022]