N/A
N=97
Assessing Social Determinants of Health to Increase Cancer Screening
Lung Cancer
Bottom Line
View on ClinicalTrials.gov: NCT06052449 ↗Enrolled (actual)
97
Serious AEs
0.0%
Results posted
Mar 2026
Primary outcome: Primary: Lung Cancer Screening Uptake — 1; 5 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Social determinants of health screening assessment and referral process (Behavioral); Current practice - Community-based lunch cancer screening (LungTalk) (Behavioral)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- All
- Sponsor
- Hackensack Meridian Health
- Primary completion
- Aug 2025
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Lung Cancer Screening Uptake |
1; 5 | — |
| SECONDARY Health Literacy |
10; 10 | — |
| SECONDARY Health Literacy |
10; 10 | — |
| SECONDARY Medical Mistrust |
10; 5 | — |
| SECONDARY Medical Mistrust |
10; 5 | — |
| SECONDARY Perceived Smoking-Related Stigma |
21; 20 | — |
| SECONDARY Perceived Smoking-Related Stigma |
21; 20 | — |
| SECONDARY Lung Cancer Fatalism |
1; 2 | — |
| SECONDARY Lung Cancer Fatalism |
1; 2 | — |
| SECONDARY Knowledge of Lung Cancer and Lung Screening |
5; 3 | — |
| SECONDARY Knowledge of Lung Cancer and Lung Screening |
5; 3 | — |
| SECONDARY Perceived Barriers to Lung Cancer Screening Scale |
31.5; 31.5 | — |
| SECONDARY Perceived Barriers to Lung Cancer Screening Scale |
31.5; 31.5 | — |
| SECONDARY Stage of Adoption for Decision-Making About Lung Screening |
27; 34 | — |
| SECONDARY Stage of Adoption for Decision-Making About Lung Screening |
27; 34 | — |
Summary
A multilevel lung screening intervention that pairs Social Determinants of Health (SDoH) screening and referral with a tailored health communication and decision support tool for lung screening has the potential to significantly impact lung screening uptake among at-risk individuals in the community, particularly among those who face barriers related to SDoH. In addition, findings will advance the understanding of effective strategies for improving lung screening and prevention efforts in non-traditional settings, with the ultimate goal of reducing the burden of lung cancer. As ways to support the realization of the public health benefit of lung cancer screening are considered, multiple strategies and venues to reach, and intervene, with screening-eligible is key.
The goal of this study is to compare the effectiveness of a community-based lung screening educational tool paired with a social determinants of health (SDoH) screening assessment and referral process compared to a community-based lung cancer screening (LCS) educational tool alone as part of community outreach activities to improve (a) LCS rates (primary outcome); (b) intention to screen; and (c) individual-level potential drivers of LCS (health literacy, mistrust, stigma, fatalism, knowledge, health beliefs). It is hypothesized that providing SDoH screening and referral will result in higher levels of LCS, forward movement of intention to screen, and improved individual-level drivers of LCS.
Eligibility Criteria
Inclusion Criteria
- Aged 50 years to 80 years
- Currently smoke or quit smoking within the past 15 years
- 20 pack-year smoking history
- Has never had lung cancer screening
- Able to provide informed consent
- Able to speak and understand English
Exclusion Criteria
- Diagnosed with lung cancer
- Has a history of having a lung cancer screening scan
- Unable to speak and understand English
Data sourced from ClinicalTrials.gov (NCT06052449). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.