Journal article
Use of Cancer Control Referrals by 2-1-1 Callers A Randomized Trial
American journal of preventive medicine, v 43(6), pp S425-S434
01 Dec 2012
PMID: 23157761
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Callers to 2-1-1 have greater need for and lesser use of cancer control services than other Americans. Integrating cancer risk assessment and referrals to preventive services into 2-1-1 systems is both feasible and acceptable to callers.
Purpose: To determine whether callers will act on these referrals.
Methods: In a randomized trial, 2-1-1 callers (n = 1200) received standard service and those with at least one cancer risk factor or need for screening were assigned to receive verbal referrals only, verbal referrals + a tailored reminder mailed to their home, or verbal referrals + a telephone health coach/navigator. All data were collected from June 2010 to March 2012 and analyzed in March and April 2012.
Results: At 1-month follow-up, callers in the navigator condition were more likely to report having contacted a cancer control referral than those receiving tailored reminders or verbal referrals only (34% vs 24% vs 18%, respectively; n=772, p<0.0001). Compared to verbal referrals only, navigators were particularly effective in getting 2-1-1 callers to contact providers for mammograms (OR=2.10, 95% CI=1.04, 4.22); Paps (OR=2.98, 95% CI=1.18, 7.54); and smoking cessation (OR=2.07, 95% CI=1.14, 3.74).
Conclusions: Given the extensive reach of 2-1-1s and the elevated risk profile of their callers, even modest response rates could have meaningful impact on population health if proactive health referrals were implemented nationally. (Am J Prev Med 2012;43(6S5):S425-S434) (C) 2012 American Journal of Preventive Medicine
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Details
- Title
- Use of Cancer Control Referrals by 2-1-1 Callers A Randomized Trial
- Creators
- Matthew W. Kreuter - Washington University in St. LouisKatherine S. Eddens - University of KentuckyKassandra I. Alcaraz - Washington University in St. LouisSuchitra Rath - Washington University in St. LouisChoi Lai - Washington University in St. LouisNikki Caito - Washington University in St. LouisRegina Greer - United WayNikisha Bridges - Washington University in St. LouisJason Q. Purnell - Washington University in St. LouisAnjanette Wells - Washington University in St. LouisQiang Fu - Saint Louis UniversityColleen Walsh - Washington University in St. LouisErin Eckstein - Washington University in St. LouisJulia Griffith - Washington Univ, Hlth Commun Res Lab, Brown Sch, St Louis, MO 63112 USAAlissa Nelson - Washington University in St. LouisCicely Paine - Washington University in St. LouisTiffany Aziz - Washington University in St. LouisAnne M. Roux - Washington University in St. Louis
- Publication Details
- American journal of preventive medicine, v 43(6), pp S425-S434
- Publisher
- Elsevier
- Number of pages
- 10
- Grant note
- P50-CA095815 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P50CA095815 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) National Cancer Institute (NCI); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) HHSN261201100469P / Office of Behavioral and Social Science Research (OBSSR) of the NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000311142200004
- Scopus ID
- 2-s2.0-84869418673
- Other Identifier
- 991021960101204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health