Trial Outcomes & Findings for Assessing Social Determinants of Health to Increase Cancer Screening (NCT NCT06052449)
NCT ID: NCT06052449
Last Updated: 2026-03-11
Results Overview
Number of participants in the two groups that get screened (have a computed tomography (CT or CAT) scan)
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
101 participants
Primary outcome timeframe
1 months post intervention
Results posted on
2026-03-11
Participant Flow
We initially had 101 participants enroll in the study. Only 97 were randomized to the study arms, as the remaining 4 participants were lost to follow-up after failing to complete the baseline survey upon enrollment.
Participant milestones
| Measure |
Community-based Lung Cancer Screening (LungTalk)
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Overall Study
STARTED
|
46
|
51
|
|
Overall Study
COMPLETED
|
38
|
38
|
|
Overall Study
NOT COMPLETED
|
8
|
13
|
Reasons for withdrawal
| Measure |
Community-based Lung Cancer Screening (LungTalk)
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
8
|
13
|
Baseline Characteristics
Assessing Social Determinants of Health to Increase Cancer Screening
Baseline characteristics by cohort
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
Total
n=97 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
0 Participants
n=18 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
38 Participants
n=9 Participants
|
46 Participants
n=9 Participants
|
84 Participants
n=18 Participants
|
|
Age, Categorical
>=65 years
|
8 Participants
n=9 Participants
|
5 Participants
n=9 Participants
|
13 Participants
n=18 Participants
|
|
Age, Continuous
|
57.7 years
STANDARD_DEVIATION 6.4 • n=9 Participants
|
55.8 years
STANDARD_DEVIATION 5.9 • n=9 Participants
|
56.7 years
STANDARD_DEVIATION 6.2 • n=18 Participants
|
|
Sex: Female, Male
Female
|
22 Participants
n=9 Participants
|
25 Participants
n=9 Participants
|
47 Participants
n=18 Participants
|
|
Sex: Female, Male
Male
|
24 Participants
n=9 Participants
|
26 Participants
n=9 Participants
|
50 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
3 Participants
n=9 Participants
|
1 Participants
n=9 Participants
|
4 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
42 Participants
n=9 Participants
|
50 Participants
n=9 Participants
|
92 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
1 Participants
n=18 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
1 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
1 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
0 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Black or African American
|
14 Participants
n=9 Participants
|
20 Participants
n=9 Participants
|
34 Participants
n=18 Participants
|
|
Race (NIH/OMB)
White
|
29 Participants
n=9 Participants
|
30 Participants
n=9 Participants
|
59 Participants
n=18 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=9 Participants
|
0 Participants
n=9 Participants
|
0 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=9 Participants
|
1 Participants
n=9 Participants
|
2 Participants
n=18 Participants
|
|
Region of Enrollment
United States
|
46 participants
n=9 Participants
|
51 participants
n=9 Participants
|
97 participants
n=18 Participants
|
PRIMARY outcome
Timeframe: 1 months post interventionPopulation: The number of participants who had a lung scan (low dose CAT scan) to screen for lung cancer since joining this study (captured at 1 month post survey completion).
Number of participants in the two groups that get screened (have a computed tomography (CT or CAT) scan)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Lung Cancer Screening Uptake
|
1 Participants
|
5 Participants
|
SECONDARY outcome
Timeframe: BaselineHealth Literacy will be measured using the 3-item health literacy scale ranging from 0 (low health literacy level) to 12 (high health literacy level)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Health Literacy
|
11 score on a scale
Interval 7.75 to 12.0
|
11 score on a scale
Interval 6.0 to 12.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Health Literacy will be measured using the 3-item health literacy scale ranging from 0 (low health literacy level) to 12 (high health literacy level)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Health Literacy
|
10 score on a scale
Interval 8.0 to 12.0
|
10 score on a scale
Interval 5.0 to 12.0
|
SECONDARY outcome
Timeframe: BaselineMedical Mistrust will be measured with 5 items ranging from 5 (low mistrust) to 25 (high mistrust)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Medical Mistrust
|
11 score on a scale
Interval 5.0 to 15.0
|
11 score on a scale
Interval 5.0 to 13.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Medical Mistrust will be measured with 5 items ranging from 5 (low mistrust) to 25 (high mistrust)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Medical Mistrust
|
10 score on a scale
Interval 5.0 to 11.25
|
5 score on a scale
Interval 5.0 to 15.25
|
SECONDARY outcome
Timeframe: BaselinePerceived Smoking-Related Stigma will be measured using the 5-item smoking-related stigma subscale of the Cataldo Lung Cancer Stigma Scale ranging from 5 (low perceived stigma) to 25 (high perceived stigma)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Perceived Smoking-Related Stigma
|
20.5 score on a scale
Interval 17.0 to 24.0
|
21 score on a scale
Interval 16.0 to 22.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Perceived Smoking-Related Stigma will be measured using the 5-item smoking-related stigma subscale of the Cataldo Lung Cancer Stigma Scale ranging from 5 (low perceived stigma) to 25 (high perceived stigma)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Perceived Smoking-Related Stigma
|
21 score on a scale
Interval 18.0 to 22.0
|
20 score on a scale
Interval 16.0 to 23.5
|
SECONDARY outcome
Timeframe: BaselineLung Cancer Fatalism will be measured with 11 items ranging from 0 (no fatalism) to 11 (high fatalism)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Lung Cancer Fatalism
|
2 score on a scale
Interval 0.0 to 6.0
|
2 score on a scale
Interval 0.0 to 6.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Lung Cancer Fatalism will be measured with 11 items ranging from 0 (no fatalism) to 11 (high fatalism)
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Lung Cancer Fatalism
|
1 score on a scale
Interval 0.0 to 5.25
|
2 score on a scale
Interval 0.0 to 7.25
|
SECONDARY outcome
Timeframe: BaselineKnowledge of Lung Cancer and Lung Screening will be assessed with a 7-item multidimensional scale used in our preliminary studies adapted from literature specific to lung cancer. Several aspects will be assessed, including knowledge of lung cancer, risk, and screening. Range of scores is 0 (no knowledge) to 7 (high level of knowledge).
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Knowledge of Lung Cancer and Lung Screening
|
4 score on a scale
Interval 3.0 to 5.0
|
4 score on a scale
Interval 3.0 to 5.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 97 participants who responded to this scale at 1 month post-intervention.
Knowledge of Lung Cancer and Lung Screening will be assessed with a 7-item multidimensional scale used in our preliminary studies adapted from literature specific to lung cancer. Several aspects will be assessed, including knowledge of lung cancer, risk, and screening. Range of scores is 0 (no knowledge) to 7 (high level of knowledge).
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Knowledge of Lung Cancer and Lung Screening
|
5 score on a scale
Interval 2.0 to 7.0
|
3 score on a scale
Interval 0.0 to 6.0
|
SECONDARY outcome
Timeframe: BaselinePerceived Barriers to Lung Cancer Screening Scale will be used ranging from 17 (low perceived barriers to lung screening) to 68 (high perceived barriers to lung screening).
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Perceived Barriers to Lung Cancer Screening Scale
|
33.5 score on a scale
Interval 20.0 to 41.0
|
35 score on a scale
Interval 23.0 to 40.0
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Perceived Barriers to Lung Cancer Screening Scale will be used ranging from 17 (low perceived barriers to lung screening) to 68 (high perceived barriers to lung screening).
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Perceived Barriers to Lung Cancer Screening Scale
|
31.5 score on a scale
Interval 22.75 to 35.0
|
31.5 score on a scale
Interval 27.0 to 42.25
|
SECONDARY outcome
Timeframe: BaselineStage of Adoption for Decision-Making About Lung Screening will be assessed with an algorithm of questions used in our prior studies assessing the 7 stages (unaware, aware but unengaged, undecided, decided not to act, decided to act, action, and maintenance). This will allow us to assess intent if someone has "decided to act".
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=46 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=51 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Stage of Adoption for Decision-Making About Lung Screening
|
6 Participants
|
6 Participants
|
SECONDARY outcome
Timeframe: 1 months post interventionPopulation: The analysis population comprises 76 participants who responded at 1 month post-intervention.
Stage of Adoption for Decision-Making About Lung Screening will be assessed with an algorithm of questions used in our prior studies assessing the 7 stages (unaware, aware but unengaged, undecided, decided not to act, decided to act, action, and maintenance). This will allow us to assess intent if someone has "decided to act".
Outcome measures
| Measure |
Community-based Lung Cancer Screening (LungTalk)
n=38 Participants
Participants will receive the tailored health intervention "LungTalk". LungTalk is a 10-15-minute-long computer-tailored health communication and decision-making tool that is theoretically grounded in the Conceptual Model on Lung Cancer Screening Participation. LungTalk: LungTalk is a 10-15 minute long computer-tailored health communication and decision-making tool.
|
Social Determinants of Health Screening (LungTalk + SDoH)
n=38 Participants
Participants will receive a social determinants of health screening (SDoH) assessment and referral process in addition to the community-based lung cancer screening educational tool, "LungTalk".
|
|---|---|---|
|
Stage of Adoption for Decision-Making About Lung Screening
|
27 Participants
|
34 Participants
|
Adverse Events
Community-based Lung Cancer Screening (LungTalk)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Social Determinants of Health Screening (LungTalk + SDoH)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Ana Guadalupe Vielma
Hackensack Meridian Health - Center for Discovery and Innovation
Phone: 2018803100
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place