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
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
3
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.
VA Boston Healthcare System
Boston, Massachusetts, United States
Lung Cancer Screening Uptake
Assessing electronic health record data to determine if screening has occurred
Time frame: 3 months
Tobacco cessation Treatment
Assessing electronic health record data to determine if tobacco treatment has been utilized
Time frame: 3 months
Stigma Related to Smoking
Assess via qualitative interviews
Time frame: 7 months
Perceived support from peer
Assess via qualitative interviews
Time frame: 7 months
Lung Cancer Screening Knowledge
Knowledge of risks and benefits of lung cancer screening Scale 0-18, higher score means a better outcome
Time frame: 7 months
Lung Cancer Screening Fatalism
Adapted Illness Perception Questionnaire. Scale 10-50, higher score means better outcome
Time frame: 7 months
Trust in VA
Adapted Modified trust scale for Veterans Affairs health system New Scale 4-20, higher score means a better outcome
Time frame: 7 months
Lung Cancer Self-efficacy
Lung cancer screening health belief self-efficacy scale Scale 9-36, higher score means a better outcome
Time frame: 7 months
General Cancer Self-efficacy
New General Self-efficacy scale Scale 8-40, higher score means a better outcome
Time frame: 7 months
Intention to engage in shared decision making
Preparation for Decision Making, scale 10-40, lower score means better outcome
Time frame: 7 months
Motivation to quit smoking
Readiness to change smoking behavior, contemplation ladder, scale 1-10, higher score means a better outcome
Time frame: 7 months
Intention to undergo lung cancer screening
Low Literacy Decisional Conflict Scale Scale 0-9, higher score means a better outcome
Time frame: 7 months
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