Integrating Cancer Control Referrals and Navigators Into United Way 211 Missouri

Summary

The proposed study will:

1. estimate the prevalence of need for cancer screening and prevention in a population of 211 callers;
2. determine whether cancer communication interventions delivered through 211 can increase use of breast, cervical and colon cancer screening, HPV vaccination, smoking cessation and adoption of smoke free home policies;
3. determine how intensive an intervention is needed to bring about these changes; and
4. determine whether the effectiveness of these interventions is enhanced when callers' basic needs have been addressed. Connecting these systems - 211, clinical and community cancer control programs and navigation services - should benefit disadvantaged Americans. The proposed study will evaluate the effects of this approach to eliminating cancer disparities.

We hypothesize that the proportion of 211 callers who obtain a needed cancer control service will:

1. differ significantly by study group as follows: N \> T \> P \> CONTROL;
2. vary significantly across study groups based on the intervention dose callers receive; and
3. vary significantly across study groups based on whether callers' original need was resolved, the extent of their basic needs, and their perception of life as manageable and predictable (i.e., sense of coherence).

(Dissemination Aim): Determine costs to 211 and effects on quality of service by offering cancer control referrals.

Conditions

• Cancer

Interventions

BEHAVIORAL

Phone Referral

Participants receive phone referral to cancer control and prevention services.

BEHAVIORAL

Tailored Cancer Communication

Mailed material with messages tailored to participant's age, gender, race/ethnicity, whether he or she has kids in the home, reason for calling 211, and cancer control need.

BEHAVIORAL

Cancer Control Navigator

A cancer control navigator is assigned to each participant. This navigator helps the participant make and keep cancer control and prevention appointments, as well as providing resources and guidance to help address participant barriers to use of needed cancer control and prevention services. Intervention is phone-based.

Sponsors & Collaborators

• United Way Missouri

  collaborator UNKNOWN

• Washington University School of Medicine

  lead OTHER

Principal Investigators

• Matthew W Kreuter, PhD, MPH · Washington University School of Medicine

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2009-12-31

Primary Completion

2011-12-31

Completion

2011-12-31

Countries

• United States

Study Locations