RecruitingObservational

Building on Trust: Navigating Preventive Lung, Breast, and Prostate Cancer Screenings at Community Resource Spots

NCT ID: NCT07231159Sponsor: AdventHealthLast updated: 2025-11-17

Summary

To evaluate a community-based outreach initiative for screening, diagnosis, and treatment of breast, lung, and prostate cancers in underserved adults using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) implementation science framework.

Arms & interventions

Behavioralreferral for definitive diagnosis based on their cancer screening results
Need for radiological diagnosis
BehavioralEngagement
Engage in stakeholder focus groups to provide feedback about program operations

Outcome measures

Primary

The categorization of the RE-AIM model dimensions of Reach, Effectiveness, Adoption, Implementation, and Maintenance,
Reach will assess the percentage and characteristics of patients screened or excluded, as well as participant versus non-participant profiles. Effectiveness will measure the proportion of positive screens referred for confirmatory diagnostics and compare screening rates to Healthy People 2030 goals. Adoption will track provider education on breast, lung, and prostate cancer screening guidelines, uptake of screening practices, and staff engagement with navigation programs. Implementation will evaluate referrals to navigation, screening rates, and for positive screens: referral time, diagnostic barriers, treatment uptake, and clinical trial screening. Maintenance will examine primary outcomes at three months, progress toward HP2030 goals, attrition rates, and differences by patient characteristics.
Time frame: From enrollment to the end of the 3 month follow-up for a total of 12 months

Secondary

PROMIS Global Health (HR-QoL) scale
Time frame: From enrollment to the end of the 3 month follow-up for a total of 12 months
Patient Satisfaction with Logistical Aspects of Navigation Scale (PSN-L)
Time frame: From enrollment to the end of the 3 month follow-up for a total of 12 months

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: Yes

Inclusion Criteria: 1. Adult aged 18 or older 2. Seeking care at a CRS or emergency department 3. Meets criteria for lung, breast, and/or prostate cancer screening, as outlined below: 1. Lung cancer: Adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years 2. Breast cancer: Women aged 40 to 74 years 3. Prostate cancer: Men aged 55 to 69 years 4. Receives a positive screening result for lung, breast, and/or prostate cancer at a study site Exclusion Criteria: 1. Displays behavior disruptive to other patients or staff 2. Refusal to accept screening for breast, lung, and/or prostate cancers

Study locations (1)

Adventhealth

Orlando, Florida, 32804

Recruiting

References

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