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OpenTrials
Completed

NCT Number: NCT06389981

Co-Design and Pilot Testing of Peer-led Community Outreach to Improve Equity, Veteran-Centeredness and Uptake of Lung Cancer Screening

Co-design will be implemented to develop an innovative, Veteran-centered intervention (Vet Peer Connects program) that meets the needs of Black Veterans.

Next, a feasibility pilot test of the Vet Peer Connects program will be conducted. The Peer will lead up to 4 group lung cancer screening orientations in community partner sites to reach around 40 lung cancer screening eligible Black Veterans. The Peer will provide one-to-one tailored support to up to 15 Veterans (coaching, goal-setting, navigation to access Veterans Affairs lung cancer screening). Then, the study team will evaluate program delivery through ethnographic observation and field notes, Peer activity logs, and weekly check-ins between the study team and Peer. Investigators will interview Veteran participants, community partners, and lung cancer screening clinical staff to explore feasibility and acceptability of the Vet Peer Connects program and solicit suggestions for improvement. Preliminary data on the outcomes of the Vet Peer Connects program will be collected by study team through administering surveys to assess change in Social Cognitive Theory constructs, and extracting lung cancer screening uptake and tobacco treatment 3 months post enrollment from VA's Corporate Data Warehouse. This work will inform a subsequent multi-site stepped-wedge trial to assess effectiveness, implementation, and cost of the Vet Peer Connects program in VA lung cancer screening sites and neighboring branches of the National Association for Black Veterans

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Key information

Conditions

Lung Cancer Lung Diseases Lung Neoplasms Neoplasms Neoplasms by Site Respiratory Tract Diseases Respiratory Tract Neoplasms Thoracic Neoplasms

Age range

50 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VA Boston Healthcare System

Boston, Massachusetts, 02130, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Self-identified Black Veterans
  • Meet United States Preventive Services Task Force guidelines for lung cancer ( still smoking cigarettes or quit within past 15 years, greater than or equal to 20 pack-years total)
  • Have not yet undergone lung cancer screening

Exclusion criteria

  • Non-Black Veterans

Treatment and study plan

Veterans peer connect Program

Other

To assess outcomes of the Peer-led program, the study team will collect information from Veteran pilot test participants via surveys and data abstraction on healthcare utilization (Lung cancer screening completion, tobacco treatment) from the Veterans Affairs Corporate Data Warehouse. Survey data will be collected at 3 timepoints: baseline, post-Peer-led orientation, and 3-months post-enrollment. Healthcare utilization data will be abstracted from the corporate data warehouse to reflect the 3-month post-enrollment timepoint. Finally, interviews will be conducted with a subset of participants.

Primary outcomes

  1. Lung Cancer Screening Uptake

    Time frame: 3 months

    Assessing electronic health record data to determine if screening has occurred

Secondary outcomes

  1. Tobacco cessation Treatment

    Time frame: 3 months

    Assessing electronic health record data to determine if tobacco treatment has been utilized

  2. Stigma Related to Smoking

    Time frame: 7 months

    Assess via qualitative interviews

  3. Perceived support from peer

    Time frame: 7 months

    Assess via qualitative interviews

  4. Lung Cancer Screening Knowledge

    Time frame: 7 months

    Knowledge of risks and benefits of lung cancer screening Scale 0-18, higher score means a better outcome

  5. Lung Cancer Screening Fatalism

    Time frame: 7 months

    Adapted Illness Perception Questionnaire. Scale 10-50, higher score means better outcome

  6. Trust in VA

    Time frame: 7 months

    Adapted Modified trust scale for Veterans Affairs health system New Scale 4-20, higher score means a better outcome

  7. Lung Cancer Self-efficacy

    Time frame: 7 months

    Lung cancer screening health belief self-efficacy scale Scale 9-36, higher score means a better outcome

  8. General Cancer Self-efficacy

    Time frame: 7 months

    New General Self-efficacy scale Scale 8-40, higher score means a better outcome

  9. Intention to engage in shared decision making

    Time frame: 7 months

    Preparation for Decision Making, scale 10-40, lower score means better outcome

  10. Motivation to quit smoking

    Time frame: 7 months

    Readiness to change smoking behavior, contemplation ladder, scale 1-10, higher score means a better outcome

  11. Intention to undergo lung cancer screening

    Time frame: 7 months

    Low Literacy Decisional Conflict Scale Scale 0-9, higher score means a better outcome

Sponsors and collaborators

Lead sponsor

VA Boston Healthcare System

Fed

Registry information

Acronym: VPC

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Apr 29, 2024
Registry last updated
Jul 18, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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