Informing the Adaptation of a CHW Model to Facilitate Lung Cancer Screening for the Chinese Community
1 other identifier
interventional
99
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1
Started Aug 2016
Longer than P75 for early_phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2016
CompletedFirst Submitted
Initial submission to the registry
September 21, 2016
CompletedFirst Posted
Study publicly available on registry
September 26, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 19, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 19, 2025
CompletedNovember 21, 2025
November 1, 2025
9.3 years
September 21, 2016
November 19, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
(Pre-Pilot Phase) Increased uptake in SDM and LCS
To determine whether participation in the interventions leads to increased completion of SDM and LCS with LDCT.
2 years
(Pilot Phase) Increased uptake in SDM and LCS
To determine whether participation in the interventions leads to increased completion of SDM and LCS with LDCT.
2 years
Study Arms (5)
Pilot RCT Control Group
ACTIVE COMPARATOREligible NYC Chinese livery drivers will receive written materials only
Pilot RCT CHW Intervention Group
EXPERIMENTALEligible NYC Chinese livery drivers will receive written materials and navigation for shared decision making (SDM) and lung cancer screening (LCS).
Focus Group
EXPERIMENTALThe investigators conducted a series of 4-6 focus groups with Chinese livery drivers who (currently, or in the past) smoke.
In-Depth Interview Group
EXPERIMENTAL12-15 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.
Pre-pilot Group
EXPERIMENTALApproximately 10 Chinese livery drivers who smoke or who quit smoking with the past 15 years and have a 30 pack-year history of smoking
Interventions
Intake surveys recorded demographics, workplace profile, financial profile, health care access, cancer screening behavior, medical history, etc. Exit surveys asked whether drivers received shared decision making (SDM) counseling, completed LCS (low-dose computed tomography \[LDCT\] scan), had barriers, felt satisfied, etc.
CHWs facilitated SDM and LCS for drivers, providing navigation ( finding a PCP, scheduling appointments, assisting with insurance, etc.), following up on results and next steps.
Gained drivers' perspectives on adapting the community health worker (CHW) model to facilitate lung cancer screening (LCS).
Interviews with Chinese livery bases elicited perspectives on adapting the CWH model for the drivers' occupational environment. Interviews with PCPs, clinic directors, etc. serving Chinese communities provided insight into adapting the CHW model within the health care context.
Eligibility Criteria
You may qualify if:
- Focus Group Participants:
- Of Chinese descent
- Non-U.S. born
- Fluent in Mandarin
- Livery driver
- Age 45-80
- Current or past (within 15 years) cigarette smoker (no specific pack year requirement)
- In Depth Interview Participants Livery Staff
- Of Chinese descent
- Non-U.S. born
- Fluent in Mandarin
- Livery base owner or employee
- Age ≥ 21
- Health Care Providers and Administrators:
- Primary care physician, clinic director, hospital administrator, or radiology facility or department administrator
- +24 more criteria
You may not qualify if:
- Has a household member who has already participated (or agreed to participate).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Leng, MD, MPH
Memorial Sloan Kettering Cancer Center
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 21, 2016
First Posted
September 26, 2016
Study Start
August 1, 2016
Primary Completion
November 19, 2025
Study Completion
November 19, 2025
Last Updated
November 21, 2025
Record last verified: 2025-11