Lung Cancer Screening Navigation for Homeless People
Lung Cancer, Tobacco Use, Homelessness

About this trial
This is an interventional screening trial for Lung Cancer focused on measuring lung cancer screening, tobacco use, homeless persons, smoking, low-dose computed tomography
Eligibility Criteria
Inclusion Criteria:
- Currently or formerly homeless
- Have a 30 pack-year smoking history and have smoked within the past 15 years
- Have a Boston Health Care for the Homeless (BHCHP) primary care provider (PCP)
- Proficient in English, assessed with items asking about native language and self-reported comfort communicating in English among non-native speakers
Exclusion Criteria:
- Prior chest computed tomography (CT) imaging in the past 12 months
- Personal history of lung cancer, or current presentation with symptoms concerning for lung cancer (e.g. hemoptysis or unexplained weight loss of >15 lbs. in the past year)
- PCP is the principal investigator
- Inability to provide informed consent, assessed with knowledge questions about the material presented during the informed consent process that individuals must correctly answer before providing informed consent to participate
Sites / Locations
- Boston Health Care for the Homeless Program
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual care without patient navigation
Usual care with patient navigation
Participants assigned to this arm will be given basic educational materials on general lung health and referred back to their primary care provider (PCP) for management as per usual practice.
Participants assigned to this arm will be informed about lung cancer screening (LCS), provided educational materials on LCS and patient navigation, and offered access to an LCS navigator who will partner with participants and primary care providers (PCPs) to facilitate low-dose computed tomography (LDCT) completion and follow-up.