NCT07490860

Brief Summary

This clinical trial develops and studies whether a restorative justice-based lung cancer screening (LCS) decision-making support intervention tailored for Black individuals increases LCS among Black community members. Lung cancer remains the leading cause of cancer deaths among Black men and women. LCS with yearly low-dose chest computed tomography (CT) is recommended for people with current or recent tobacco use (within 15 years) who are aged 50-80 with at least a 20 pack-year smoking history. LCS lowers lung cancer death by 20%; however, data shows that LCS completion remains low among minority groups in the United States. The restorative justice-based LCS decision-making support intervention in this trial has been specifically tailored to meet the needs of Black individuals. It is designed to reduce racial unfairness by promoting trust, shared understanding, and empowerment in clinical decision making while addressing the social and historical circumstances of health inequalities. This may be an effective way to increase LCS among Black community members.

Trial Health

63
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
57

participants targeted

Target at P25-P50 for not_applicable

Timeline
6mo left

Started Jul 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

First Submitted

Initial submission to the registry

March 10, 2026

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 24, 2026

Completed
3 months until next milestone

Study Start

First participant enrolled

July 1, 2026

Expected
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

May 22, 2026

Status Verified

March 1, 2026

Enrollment Period

6 months

First QC Date

March 10, 2026

Last Update Submit

May 20, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Intervention acceptability

    Assessed using the Acceptability of Intervention Measure (AIM). The AIM will be summarized and presented as a range of scores from 1 (low acceptability/appropriateness) to 5 (high acceptability/appropriateness).

    At post-intervention (Day 1)

  • Lung cancer screening knowledge

    Will be assessed using the Lung Cancer Screening Knowledge 7 question score. Pre- and post-intervention responses will be compared via Chochran-Mantel-Haenszel and Friedman tests.

    At pre- and post-intervention (both on Day 1)

Secondary Outcomes (6)

  • Readiness to screen

    At pre- and post-intervention (both on Day 1)

  • Medical mistrust

    At pre- and post-intervention (both on Day 1)

  • Perceived smoking-related stigma

    At pre- and post-intervention (both on Day 1)

  • Shared decision-making (SDM) process

    At post-intervention (Day 1)

  • Completion of chest computed tomography (CT)

    Up to 90 days post-intervention

  • +1 more secondary outcomes

Study Arms (2)

Aim 1: Community advisory board (CAB) meetings

NO INTERVENTION

Participants attend CAB meetings over 60 minutes on study in support of the co-development and adaptation of the restorative justice-based LCS decision-making support intervention.

Aim 2: Lung cancer screening (LCS) decision-making support session (intervention)

EXPERIMENTAL

Participants attend an in-person restorative justice-based LCS decision-making support session over 2-3 hours on study.

Other: Educational InterventionOther: Survey AdministrationOther: InterviewOther: Electronic Health Record Review

Interventions

Attend LCS decision-making support session

Aim 2: Lung cancer screening (LCS) decision-making support session (intervention)

Ancillary studies

Aim 2: Lung cancer screening (LCS) decision-making support session (intervention)

Ancillary studies

Aim 2: Lung cancer screening (LCS) decision-making support session (intervention)

Ancillary studies

Aim 2: Lung cancer screening (LCS) decision-making support session (intervention)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • AIM 1: At least 18 years of age
  • AIM 1: Individuals who represent LCS-eligible patients, serve as members of Black/African American (AA)-serving community-based organizations (CBOs), and represent key providers, public health, nursing, and medical staff stakeholders
  • AIM 2: Identify as Black or African American
  • AIM 2: Between ages 50-77
  • AIM 2: Self-reported 20-pack year smoking history
  • AIM 2: Ongoing commercial tobacco use within the past 15 years
  • AIM 2: Proficiency in the English language

You may not qualify if:

  • AIM 1: Under 18 years of age
  • AIM 1: Non-English speaking community advisory board (CAB) members
  • AIM 1: Inability to read written English
  • AIM 2: Has a documented chest CT within the past one year
  • AIM 2: Personal history of lung cancer or symptoms associated with lung cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, 98109, United States

Location

MeSH Terms

Conditions

Lung Neoplasms

Interventions

Early Intervention, EducationalInterviews as Topic

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Child Health ServicesCommunity Health ServicesHealth ServicesHealth Care Facilities Workforce and ServicesPreventive Health ServicesData CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Matthew Triplette, MD, MPH

    Fred Hutch/University of Washington Cancer Consortium

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Matthew Triplette, MD, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 10, 2026

First Posted

March 24, 2026

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

May 22, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations