Lay Health Worker Support for Lung Cancer

(EVLC Trial)

This trial aims to determine if extra support from a lay health worker, trained to assist but not a doctor, can enhance the quality of life for Veterans with lung cancer. Participants will either receive usual care or additional help from a lay health worker who aids in healthcare planning and symptom management. Veterans diagnosed with any stage of lung cancer and treated within the last year might be suitable for this study. As an unphased trial, this study provides Veterans a unique opportunity to receive additional support and potentially improve their quality of life.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that incorporating a Lay Health Worker (LHW) in cancer care is safe. Studies have found that LHWs can enhance patient satisfaction and improve both overall and mental health. Importantly, these studies did not identify any serious issues caused by LHWs. Instead, they found that LHWs assist in healthcare planning and symptom management. This evidence suggests that LHW support is well-received and does not introduce any known risks for patients.¹²³⁴⁵

Researchers are excited about the Lay Health Worker (LHW) intervention for lung cancer because it offers a unique, personalized approach to patient care. Unlike traditional treatments that focus on medical interventions like chemotherapy and radiation, this approach supplements usual care with one-on-one support from a trained lay health worker. This support includes helping patients manage symptoms, plan their healthcare, and discuss their care preferences and goals. This personalized attention could improve patient outcomes by addressing emotional and practical needs that often go unmet in standard care.

Studies have shown that support from lay health workers (LHWs) can greatly benefit cancer patients. In this trial, participants in the Intervention Lay Health Worker (LHW) arm will receive usual care with additional support from an LHW. Involving an LHW in care can lead to fewer emergency visits, better patient experiences, and improved end-of-life care. Research indicates that LHWs can increase patient satisfaction and reduce healthcare costs. They are especially helpful in providing extra support to low-income and minority cancer patients. These findings suggest that LHWs might improve the quality of life for lung cancer patients by assisting with healthcare planning, managing symptoms, and discussing care goals.²³⁶⁷⁸