RecruitingNot ApplicableNCT07165691

TELEhealth Shared Decision-making COaching for Lung Cancer Screening in Primary Care (TELESCOPE) for Hispanics

Sponsor

Rutgers, The State University of New Jersey

Enrollment

91 participants

Start Date

Sep 11, 2025

Study Type

INTERVENTIONAL

Conditions

Lung Neoplasms

Summary

Aim 1: Culturally adapt the TELESCOPE intervention for Hispanics. Using iterative qualitative feedback from a study-specific Community Advisory Board, focus groups, and interviews with community members, the investigators will culturally adapt the TELESCOPE intervention for Hispanics at high risk for lung cancer. Aim 2: Assess the feasibility, acceptability, and implementation potential of the culturally adapted TELESCOPE intervention delivered by bilingual patient navigators for Hispanics. Hypothesis 1: The investigators expect a recruitment rate of ≥60%, ≥90% of Hispanic participants will complete the 1-week follow-up assessments, ≥80% of the key intervention components will be delivered with 80% fidelity by the patient navigators, and ≥90% of participants and clinicians will agree or completely agree that the intervention was feasible and acceptable. Aim 3: Explore the impact of a culturally adapted TELESCOPE intervention delivered by bilingual patient navigators vs enhanced usual care (EUC) on the initial uptake of low-dose computed tomography (LDCT) and quality of the shared decision-making (SDM) process. Hypothesis 2: The investigators expect that an adapted TELESCOPE intervention will result in higher uptake of LDCT and higher SDM quality for lung cancer screening (LCS) compared to EUC.

Eligibility

Min Age: 50 YearsMax Age: 77 Years

Inclusion Criteria26

Aim 1 (Cultural Adaptation):
To be eligible, patients must:
Identify as Hispanic and/or Latino(a)
Able to read and speak in English or Spanish
Be 50 to 77 years of age
Be a current or former smoker
Have at least a 20-pack-year smoking history
Aims 2-3 (Pilot Randomized Controlled Trial)
To be eligible, patients must:
Identify as Hispanic or Latino(a)
Able to speak and read in English or Spanish
Be 50 to 77 years of age
Be a current or former smoker having quit within the past 15 years
Have at least a 20 pack-year smoking history
Be scheduled for a non-acute care visit at one of the study sites.
Not coughing up blood in the last two weeks
Interviews
Providers completing the semi-structured interviews will be:
A practicing primary care clinician or a clinic director (n=20), nursing director, or clinic practice administrator at one of the participating sites, or a TELESCOPE study patient navigator and nurse navigator
Age 18 or older
Fluent in English
Online surveys
Providers completing online PRISM construct surveys will be:
A practicing primary care provider at one of the participating sites or a TELESCOPE study navigator
Age 18 or older
Fluent in English

Exclusion Criteria12

For the cluster randomized trial, excluded will be patients who:
Do not speak English
Are not Hispanic or Latino(a)
Have a history of lung cancer
Had a CT scan in the past 12 months
Has been coughing up blood in the last two weeks
Have health conditions that make them poor candidates for curative treatment as determined by the primary care provider,
Are unable to provide informed consent Interviews
Providers/administrators will be excluded if they:
Are unable to provide informed consent Online surveys
Are unable to provide informed consent
Women who are pregnant.

Interventions

BEHAVIORALTELESCOPE, Remote Decision Coaching with Navigation Intervention

The TELESCOPE intervention involves three complementary components: 1) decision aid and coaching for LCS, 2) referral of current smokers to evidence-based smoking cessation services, and 3) for participants interested in screening, navigation to complete LCS and diagnostic testing and oncology care as needed