Abstract
Purpose: To evaluate the effectiveness of a telephone navigation intervention for increasing use of cancer control services among underserved 2-1-1 callers. Design: Randomized controlled trial. Setting: 2-1-1 call centers in Houston and Weslaco, Texas (located in the Rio Grande Valley near the Mexican border). Participants: 2-1-1 callers in need of Pap test, mammography, colorectal cancer screening, smoking cessation counseling, and/or HPV vaccination for a daughter (n = 1,554). A majority were low-income and described themselves as Black or Hispanic. Intervention: Participants were randomly assigned to receive either a cancer control referral for the needed service(s) with telephone navigation from a trained cancer control navigator (n = 995) or a referral only (n = 559). Measures: Uptake of each individual service and any needed service. Analysis: Assessed uptake in both groups using bivariate chi-square analyses and multivariable logistic regression analyses, adjusted for sociodemographic covariates. Both per-protocol and intent-to-treat approaches were used. Results: Both interventions increased cancer control behaviors. Referral with navigation intervention resulted in significantly greater completion of any needed service (OR = 1.38; p =.042), Pap test (OR = 1.56; p =.023), and smoking cessation counseling (OR = 2.66; p =.044), than referral-only condition. Other outcomes showed the same trend although the difference was not statistically significant: mammography (OR = 1.53; p =.106); colorectal cancer screening (OR = 1.80; p =.095); and HPV vaccination of a daughter (OR = 1.61; p =.331). Conclusion: Adding cancer control referrals and navigation to an informational service like the 2-1-1 program can increase overall participation in cancer control services.
Original language | English (US) |
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Pages (from-to) | 1083-1093 |
Number of pages | 11 |
Journal | American Journal of Health Promotion |
Volume | 36 |
Issue number | 7 |
DOIs | |
State | Published - Sep 2022 |
Externally published | Yes |
Keywords
- HPV vaccination
- cancer disparities
- cancer prevention and screening
- health promotion
- low income
- patient navigation
- population health
- racial minority groups
- social support
- tobacco control
ASJC Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health