Community Health Worker Program for Lung Cancer Screening

Recruiting in Palo Alto (17 mi)

Overseen byJennifer Leng, MD, MPH

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Phase < 1

Waitlist Available

Sponsor: Memorial Sloan Kettering Cancer Center

No Placebo Group

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.

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.

+2 more

Exclusion Criteria

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

Participant Groups

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.

5Treatment groups

Experimental Treatment

Active Control

Group I: Pre-pilot GroupExperimental Treatment2 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 GroupExperimental Treatment2 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 GroupExperimental Treatment1 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 GroupExperimental Treatment1 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 GroupActive Control1 Intervention

Eligible NYC Chinese livery drivers will receive written materials only