The Black Health Block Quit and Screen Project

Knowledge Clinical Trial

Official title:

The Black Health Block Quit and Screen Project

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06350643
• Other study ID #: 287064
• Secondary ID: P50MD017319-03S1
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 2024
• Est. completion date: December 2024

Study information

• Verified date: March 2024
• Source: University of Arkansas
• Contact: Mignonne Guy, PhD
• Phone: 804-828-1731
• Email: mguy[@]vcu.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Black Health Block Quit and Screen Project seeks to engage Black health care providers in helping Black smokers quit tobacco use, including menthol cigarettes and flavored cigars, and screen for lung cancer early as strategies to reduce multiple chronic disease disparities.

The goal of this clinical trial is to test the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition. Participants will complete the training modules and complete pre- and post-tests to assess these outcomes.

Description:

This clinical trial tests the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition.

In partnership with the National Medical Association, investigators will recruit 300 healthcare providers who provide clinical services to Black individuals who smoke smoke. Interested providers will be screened; if eligible, the will complete informed consent. Providers who complete the online consent and agree to enroll in the training study will be individually randomized to one of 2 conditions: The Black Health Block Culturally Tailored + the HDLCS or Black Health Block Culturally Tailored control condition alone. After randomization, providers will complete a pre-test assessing their knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography. Providers will then complete an online training. Providers will then complete a post-test assessing their 1) knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography and 2) preferences for the online materials and satisfaction with the training. Feasibility will be assessed using data on provider interest in the training and training reach.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 300
• Est. completion date: December 2024
• Est. primary completion date: December 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 85 Years

Eligibility

Inclusion Criteria:

• Current National Medical Association (NMA) member

• Serves a Black patient clientele who smokes

• At least 20% of time (1 day per week) devoted to clinical care

• Currently screens clients for tobacco use in the clinic

• Have the capacity to refer smokers to a patient navigator

• Willing to provide informed consent

• Will provide contact email, address and phone.

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Attitudes
• Knowledge

Intervention

Other:
• Black Health Block Culturally Tailored training
This online course will be developed for healthcare providers and will fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by Health Disparities and Lung Cancer Screening (HDLCS) training.
• Health Disparities and Lung Cancer Screening training
The Health Disparities and Lung Cancer Screening training is an online course that covers disparities in lung cancer and smoking, patient barriers to lung cancer screening, and provider resources for addressing common barriers.

Locations

Country	Name	City	State
United States	Virginia Commonwealth Univesity	Richmond	Virginia

Sponsors (5)

Lead Sponsor	Collaborator
University of Arkansas	Coalition for a Tobacco Free Arkansas, National Institute on Minority Health and Health Disparities (NIMHD), National Medical Association, Virginia Commonwealth University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Familiarity with treatment guidelines for tobacco and nicotine treatment	Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Weaver et al. 2012 Provider Attitudes and Perceptions about smoking cessation	These questions assessed providers perceptions about the benefits of smoking cessation and the benefits of providers advising patients to quit smoking.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Weaver et al. 2012 Provider Perceptions about provider barriers to providing smoking cessation interventions to patients	Perceptions about provider barriers to addressing smoking cessation with patient were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Provider Perceptions about patient barriers to smoking cessation	Perceptions about patient barriers to smoking cessation were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Behavioral intentions to screen and advise patients about smoking cessation	A set of questions based on the Theory of Planned Behavior assessed provider's intention to screen patients for tobacco use and provide them interventions and referrals for treatment.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Familiarity with lung cancer screening guidelines	Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Knowledge about low dose computed tomography for lung cancer screening	Familiarity with treatment guidelines was assessed using an modified question from the questions published by Kota et al. 2022, Carter-Bawa et al. 2022, and the National Cancer Institute National Survey of Primary Care Physicians' Recommendations & Practices for Breast, Cervical, Lung, & Colorectal Cancer Screening.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Perceptions about shared decision-making for low dose computed tomography for lung cancer screening	Questions were modified from the questions published by Forcino et al. in 2018.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Perceptions about provider barriers to referring patients to low dose computed tomography for lung cancer screening	Questions were modified from questions published by Coughlin et al. 2020.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Provider Perceptions about patient barriers to get screened for lung cancer	Perceptions about patient barriers to getting screened for lung cancer were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Primary	Behavioral intentions to advise patients to get screened for lung cancer via low dose computed tomography	A set of questions based on the Theory of Planned Behavior assessed provider's intention to advise patients who smoke to get screened for lung cancer via low dose computed tomography.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Secondary	Diversity of enrolled healthcare providers	Study process tracking metrics will be used to assess the demographic, training, and clinical practice characteristics of providers who enroll in the training.	This is pre-post design. This outcome will be measured during the pre-test immediately before participants complete the 30-60 minute online training.
Secondary	Retention: Percent of providers complete the training after enrolling	Study process tracking metrics will be used to assess retention of providers who enroll in the training.	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Secondary	Adherence to completing training modules: Percent of modules completed	Study process tracking metrics and training completion data will be used to assess the percent of training modules completed (i.e., the number of modules completed divided by the total available modules).	This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Secondary	Preferences regarding training	Questions will assess provider feedback on the online training module.	This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.
Secondary	Satisfaction with training	Questions will assess provider satisfaction on the online training module.	This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.