A Community Health Worker Intervention to Improve Lung Cancer Screening Uptake in Community Health Centers

Summary

Lung cancer screening (LCS) can reduce lung cancer-related mortality by 20%, but only 5-10% of eligible individuals have received an initial LCS. The goal of this study is to partner with community stakeholders to jointly develop and pilot test a multi-component community health worker-delivered intervention targeting key barriers to improve LCS and tobacco treatment utilization. The proposed activities will lay the groundwork for a subsequent R01 grant, conducting a fully powered randomized clinical trial to establish CHWs as an evidence-based practice that will facilitate access to screening and tobacco treatment, to reduce lung cancer mortality.

Eligibility

Inclusion Criteria:

* Adults between the age of 50 and 80.
* Potentially eligible for LCS according to the Electronic Health Record smoking history.
* Receive their primary care at Mason Square, High Street, or Brightwood community health centers.
* English- or Spanish- speaking.

Exclusion Criteria:

* Not eligible for lung cancer screening based on age (age \< 50 or \> 80 years) or smoking history (has not smoked more than 20 pack-years of tobacco cigarettes or quit more than 15 years ago).
* Have received a lung cancer screen in the past.

Conditions3

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