Lung CancerHOPESNCT05784922
Health Opportunities and Promoters of Equitable Screening for Lung Cancer
An observational study of Lung Cancer and Smoking Behaviors, run by Massachusetts General Hospital at 1 site in United States.
Trial summary
The goal of this clinical trial is to promote lung cancer screening (LCS) uptake among Hispanic current and former smokers. The main questions it aims to answer are: What barriers do current and former Hispanic smokers face in the identification and documentation of their smoking status? How can digital delivery of an… Read more about this study
- Who is it for?
- Ages 50 to 80 years
- Conditions the study is for
- Lung Cancer, Smoking Behaviors, Diagnosis
- What is being tested?
- Educational Lung Cancer Screening (LCS) Video
- How many people
- 2,000 participants
- Where
- 1 siteUnited States
- Study dates
- 3 Feb 2023to 31 Jan 2028
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Investigators chose to restrict eligibility to adults aged 50-80 with no personal history of lung cancer to meet the United States Preventive Services Task Force Guidelines for lung cancer screening. As the primary aim of this study is to address the disparities in lung cancer screening rates and outcomes for Hispanic individuals, only Hispanic-identifying patients will be eligible for participation. Further grants stemming from this project will include community-based outreach efforts to extend the testing and dissemination of this intervention to other underrepresented groups.
Who may be able to join
- Must be 50-80 years old
- Are a current or former smoker (quit within 15 years, or a cumulative smoking status of > 20 pack-years)
- Not currently enrolled in Lung Cancer Screening
- Must speak English or Spanish
Who cannot join
- Has a clinical cognitive inability to provide informed consent for participation in the study or complete a brief survey
- Currently diagnosed with lung cancer
- Currently enrolled in lung cancer screening
- Have participated in the focus groups discussions from Aim 1
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
Elyse Park, PhD, 617-724-7792, epark@mgh.harvard.edu
Efren Flores, MD
About this study
Official title: Health Opportunities and Promoters of Equitable Screening for Lung Cancer (HOPES for Lung Cancer)
The goal of this clinical trial is to promote lung cancer screening (LCS) uptake among Hispanic current and former smokers. The main questions it aims to answer are:
- What barriers do current and former Hispanic smokers face in the identification and documentation of their smoking status?
- How can digital delivery of an educational video promote LCS uptake among current and former Hispanic smokers?
Participants will receive an educational video about lung cancer screening and complete brief, self-reported surveys afterwards.
Read the detailed description
Lung cancer remains the leading cause of cancer-specific mortality in the US, and Hispanics experience worse lung cancer outcomes and die at higher rates due to advanced stage at presentation. Lung cancer screening (LCS) can save many lives through early lung cancer detection among Hispanic current and former smokers.
Still, without increasing efforts to improve smoking status disclosure and documentation and tailored interventions to promote LCS uptake among Hispanic current and former smokers, this underserved population will continue to demonstrate disparities in lung cancer survival. Based on prior research experience, Dr. Flores has adapted the NIMHD research framework by incorporating elements from Ford's evidence-based theoretical model to guide the following proposed study aims:
- To elucidate barriers and facilitators to consistent identification and documentation of smoking status to promote LCS uptake among Hispanic current and former smokers; 2) To assess feasibility, acceptability, and reach of the digital delivery of an educational video to promote LCS uptake among Hispanic current and former smokers; 3) To explore the effect of the digital delivery of the educational video to increase interest, intent, and scheduling of LCS uptake among Hispanic current and former smokers.
Impact: The successful completion of this research will serve as a foundation for developing novel interventions to overcome disparities and advance equity in lung cancer outcomes among Hispanics and other vulnerable populations.
- Conditions
- Lung Cancer, Smoking Behaviors, Diagnosis
- Being tested
- Educational Lung Cancer Screening (LCS) Video
- Keywords
- lung cancer screening, Hispanic outreach, educational intervention, digital health, smoking documentation, smoking history, health equity
- Medical subject headings
- Lung Neoplasms, Smoking, Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Educational Lung Cancer Screening (LCS) VideoOther
An educational video on lung cancer screening tailored to Hispanic current and former smokers.
| Study group | Role | What they receive |
|---|---|---|
| Digital Outreach: Patient Gateway | Participants who list "Patient Gateway" as the preferred mode of contact in the electronic health record (EHR) system. Patient Gateway is an online patient portal that gives patients access to securely message their Mass General Brigham provider, request routine appointments, prescriptions and referral authorizations as well as view test results that were processed at a Mass General Brigham facility. Participants will receive the digital educational lung cancer screening video via their patient gateway account. Receives: Other: Educational Lung Cancer Screening (LCS) Video | |
| Digital Outreach: Text | Participants who list "Text" as the preferred mode of contact in the electronic health record (EHR) system. Participants will receive the digital educational lung cancer screening video via a text message sent directly to their cell phone. Receives: Other: Educational Lung Cancer Screening (LCS) Video | |
| Digital Outreach: Email | Participants who list "Email" as the preferred mode of contact in the electronic health record (EHR) system. Participants will receive the digital educational lung cancer screening video directly to the email they have listed. Receives: Other: Educational Lung Cancer Screening (LCS) Video |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participant outreach (contact) of digital link
Reach is defined as >20% of enrolled participants interacting with the digital delivery of the LCS educational video (i.e., partial or complete review of the LCS educational video).
Measured: Year 3
Secondary outcomes (3)
Participant interaction with digital link
Overall proportion of participants that click on the embedded link to the successfully digitally delivered LCS educational videos
Measured: Year 3
Participant attention of LCS video
Duration of viewing the LCS video (i.e., partial or complete)
Measured: Year 3
Survey completion
Overall proportion of survey completion by participants.
Measured: Year 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2023
- Study start3 Feb 2023
- Primary completion31 Jan 2028 (estimated)
- Study completion31 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Lung CancerStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Principal investigator, Efren J. Flores, M.D., Massachusetts General Hospital
- Investigators
- Efren Flores, MD, Principal investigator, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05784922
- Sponsor's protocol ID
- 1K08CA270430-01A1
- Acronym
- HOPES
- Status last verified
- Jun 2025
- First submitted
- 27 Feb 2023
- Last updated
- 14 Oct 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Narayan AK, Chowdhry DN, Fintelmann FJ, Little BP, Shepard JO, Flores EJ. Racial and Ethnic Disparities in Lung Cancer Screening Eligibility. Radiology. 2021 Dec;301(3):712-720. doi: 10.1148/radiol.2021204691. Epub 2021 Sep 21.
PubMed 34546133Percac-Lima S, Ashburner JM, Atlas SJ, Rigotti NA, Flores EJ, Kuchukhidze S, Park ER. Barriers to and Interest in Lung Cancer Screening Among Latino and Non-Latino Current and Former Smokers. J Immigr Minor Health. 2019 Dec;21(6):1313-1324. doi: 10.1007/s10903-019-00860-2.
PubMed 30701427Wang GX, Neil JM, Fintelmann FJ, Little BP, Narayan AK, Flores EJ. Guideline-Discordant Lung Cancer Screening: Emerging Demand and Provided Indications. J Am Coll Radiol. 2021 Mar;18(3 Pt A):395-405. doi: 10.1016/j.jacr.2020.08.005. Epub 2020 Sep 6.
PubMed 32905787Flores EJ, Park ER, Irwin KE. Improving Lung Cancer Screening Access for Individuals With Serious Mental Illness. J Am Coll Radiol. 2019 Apr;16(4 Pt B):596-600. doi: 10.1016/j.jacr.2018.12.045.
PubMed 30947893Irwin KE, Steffens EB, Yoon Y, Flores EJ, Knight HP, Pirl WF, Freudenreich O, Henderson DC, Park ER. Lung Cancer Screening Eligibility, Risk Perceptions, and Clinician Delivery of Tobacco Cessation Among Patients With Schizophrenia. Psychiatr Serv. 2019 Oct 1;70(10):927-934. doi: 10.1176/appi.ps.201900044. Epub 2019 Jul 30.
PubMed 31357921