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Background <p>Disparities in lung cancer outcomes persist among Black Americans, necessitating targeted interventions to address screening inequities. This paper reports the development and refinement of Witness Project<sup>®</sup> Lung, a community-based initiative tailored to the specific needs of the Black community, aiming to improve awareness and engagement with lung cancer screening.</p> Methods <p>Utilizing a user-centered design and guided by the original Witness Project<sup>®</sup> framework – an evidence-based lay health advisor intervention program originally developed to increase knowledge and awareness about breast cancer risk and screening in the Black community and later trans-created to the cervical and colorectal cancer screening contexts - Witness Project<sup>®</sup> Lung was developed and refined through qualitative input from key stakeholders in the Black faith community. Guided by the PEN-3 model and the Conceptual Model for Lung Cancer Screening Participation, the program underwent a rigorous development process to ensure cultural relevance and was pilot tested in the New York City metropolitan area in faith-based and community-based organizational sites in the Black community.</p> Results <p>Pilot testing conducted in New York and New Jersey demonstrated high acceptability, satisfaction, and increased knowledge among participants. The community-based approach, culturally sensitive messaging, and partnerships with faith-based organizations were critical to the refinements of Witness Project<sup>®</sup> to Witness Project<sup>®</sup> Lung. The program’s focus on addressing social determinants of health and its delivery by trained lay health advisors showcased feasibility and potential effectiveness. Witness Project<sup>®</sup> Lung presents a promising alternative to traditional health system-based interventions for improving lung screening rates among Black Americans.</p> Conclusions <p>The community-based, culturally tailored approach, coupled with the involvement of trusted community leaders, has the potential to reduce disparities in lung cancer outcomes. Further research is needed to assess the long-term impact and cost-effectiveness of Witness Project<sup>®</sup> Lung in promoting lung screening uptake and improving health outcomes within underserved populations.</p>

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A community-based approach to address lung cancer screening disparities in the black community using the Witness Project® framework: development and pilot trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月30日

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  • Lisa Carter-Bawa,
  • Jamie S. Ostroff,
  • Deborah O. Erwin,
  • Elan N. Shoulders,
  • Detric Johnson,
  • Mikhalya Brown,
  • Francis Valenzona,
  • Lina Jandorf

摘要

Background

Disparities in lung cancer outcomes persist among Black Americans, necessitating targeted interventions to address screening inequities. This paper reports the development and refinement of Witness Project® Lung, a community-based initiative tailored to the specific needs of the Black community, aiming to improve awareness and engagement with lung cancer screening.

Methods

Utilizing a user-centered design and guided by the original Witness Project® framework – an evidence-based lay health advisor intervention program originally developed to increase knowledge and awareness about breast cancer risk and screening in the Black community and later trans-created to the cervical and colorectal cancer screening contexts - Witness Project® Lung was developed and refined through qualitative input from key stakeholders in the Black faith community. Guided by the PEN-3 model and the Conceptual Model for Lung Cancer Screening Participation, the program underwent a rigorous development process to ensure cultural relevance and was pilot tested in the New York City metropolitan area in faith-based and community-based organizational sites in the Black community.

Results

Pilot testing conducted in New York and New Jersey demonstrated high acceptability, satisfaction, and increased knowledge among participants. The community-based approach, culturally sensitive messaging, and partnerships with faith-based organizations were critical to the refinements of Witness Project® to Witness Project® Lung. The program’s focus on addressing social determinants of health and its delivery by trained lay health advisors showcased feasibility and potential effectiveness. Witness Project® Lung presents a promising alternative to traditional health system-based interventions for improving lung screening rates among Black Americans.

Conclusions

The community-based, culturally tailored approach, coupled with the involvement of trusted community leaders, has the potential to reduce disparities in lung cancer outcomes. Further research is needed to assess the long-term impact and cost-effectiveness of Witness Project® Lung in promoting lung screening uptake and improving health outcomes within underserved populations.