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Co-design will be implemented to develop an innovative, Veteran-centered intervention (Vet Peer Connects program) that meets the needs of Black Veterans.
Next, a feasibility pilot test of the Vet Peer Connects program will be conducted. The Peer will lead up to 4 group lung cancer screening orientations in community partner sites to reach around 40 lung cancer screening eligible Black Veterans. The Peer will provide one-to-one tailored support to up to 15 Veterans (coaching, goal-setting, navigation to access Veterans Affairs lung cancer screening). Then, the study team will evaluate program delivery through ethnographic observation and field notes, Peer activity logs, and weekly check-ins between the study team and Peer. Investigators will interview Veteran participants, community partners, and lung cancer screening clinical staff to explore feasibility and acceptability of the Vet Peer Connects program and solicit suggestions for improvement. Preliminary data on the outcomes of the Vet Peer Connects program will be collected by study team through administering surveys to assess change in Social Cognitive Theory constructs, and extracting lung cancer screening uptake and tobacco treatment 3 months post enrollment from VA's Corporate Data Warehouse. This work will inform a subsequent multi-site stepped-wedge trial to assess effectiveness, implementation, and cost of the Vet Peer Connects program in VA lung cancer screening sites and neighboring branches of the National Association for Black Veterans
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peer led intervention | Experimental | The peer-led program will be pilot tested enrolling 40 self-identified lung cancer screening eligible Black Veterans. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Veterans peer connect Program | Other | To assess outcomes of the Peer-led program, the study team will collect information from Veteran pilot test participants via surveys and data abstraction on healthcare utilization (Lung cancer screening completion, tobacco treatment) from the Veterans Affairs Corporate Data Warehouse. Survey data will be collected at 3 timepoints: baseline, post-Peer-led orientation, and 3-months post-enrollment. Healthcare utilization data will be abstracted from the corporate data warehouse to reflect the 3-month post-enrollment timepoint. Finally, interviews will be conducted with a subset of participants. |
| Measure | Description | Time Frame |
|---|---|---|
| Lung Cancer Screening Uptake | Assessing electronic health record data to determine if screening has occurred | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tobacco cessation Treatment | Assessing electronic health record data to determine if tobacco treatment has been utilized | 3 months |
| Stigma Related to Smoking | Assess via qualitative interviews |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Boston Healthcare System | Boston | Massachusetts | 02130 | United States |
Datasets meeting VA standards for disclosure to the public will be made available within 1 year of publication. Prior to distribution, a local privacy officer will certify that all datasets contains no protected health information. Final data sets will be maintained locally until enterprise-level resources become available for long-term storage and access. Guidance on request and distribution processes will be provided by office of research and development. Those requesting data will be asked to sign a Letter of Agreement.
Within 1 year of publication
Those requesting data will be asked to sign a Letter of Agreement.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 8, 2026 | |
| Reset | Jun 4, 2026 | |
| Release | Jun 5, 2026 | |
| Reset | Jul 1, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 8, 2026 | Jun 4, 2026 | |||
| Jun 5, 2026 |
| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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|
| 7 months |
| Perceived support from peer | Assess via qualitative interviews | 7 months |
| Lung Cancer Screening Knowledge | Knowledge of risks and benefits of lung cancer screening Scale 0-18, higher score means a better outcome | 7 months |
| Lung Cancer Screening Fatalism | Adapted Illness Perception Questionnaire. Scale 10-50, higher score means better outcome | 7 months |
| Trust in VA | Adapted Modified trust scale for Veterans Affairs health system New Scale 4-20, higher score means a better outcome | 7 months |
| Lung Cancer Self-efficacy | Lung cancer screening health belief self-efficacy scale Scale 9-36, higher score means a better outcome | 7 months |
| General Cancer Self-efficacy | New General Self-efficacy scale Scale 8-40, higher score means a better outcome | 7 months |
| Intention to engage in shared decision making | Preparation for Decision Making, scale 10-40, lower score means better outcome | 7 months |
| Motivation to quit smoking | Readiness to change smoking behavior, contemplation ladder, scale 1-10, higher score means a better outcome | 7 months |
| Intention to undergo lung cancer screening | Low Literacy Decisional Conflict Scale Scale 0-9, higher score means a better outcome | 7 months |
| Jul 1, 2026 |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |