Integrating Cancer Control Referrals and Navigators Into United Way 211 Missouri

NCT01027741 | Completed DMC

• 1 other identifier: 000708
• Study Type: interventional
• Target: 4,762
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study will:

1. 1.estimate the prevalence of need for cancer screening and prevention in a population of 211 callers;
2. 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. 3.determine how intensive an intervention is needed to bring about these changes; and
4. 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.
5. 5.differ significantly by study group as follows: N \> T \> P \> CONTROL;
6. 6.vary significantly across study groups based on the intervention dose callers receive; and
7. 7.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).

Conditions

Cancer

Outcome Measures

Primary Outcomes (1)

• Use of cancer screening and preventive services

  0ne and four months post-intervention

Secondary Outcomes (3)

• Resolution of a caller's original problem

  One month post-intervention

• Degree of unmet basic needs

  One and four months post-intervention

• Sense of coherence

  One and four months post-intervention

Study Arms (4)

Phone Referral

EXPERIMENTAL

Participants receive phone referral to cancer control and prevention services.

Behavioral: Phone Referral

Tailored Cancer Communication

EXPERIMENTAL

Participants will receive phone referral to cancer control and prevention services as well as tailored materials in the mail.

Behavioral: Phone Referral; Behavioral: Tailored Cancer Communication

Cancer Control Navigator

EXPERIMENTAL

Participants will receive phone referral to cancer control and prevention services as well as a personal cancer control navigator.

Behavioral: Phone Referral; Behavioral: Cancer Control Navigator

Control

NO INTERVENTION

Participants receive only recommendation to talk to health care professional.

Interventions

Phone Referral BEHAVIORAL

Participants receive phone referral to cancer control and prevention services.

Cancer Control Navigator; Phone Referral; Tailored Cancer Communication

Tailored Cancer Communication BEHAVIORAL

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.

Tailored Cancer Communication

Cancer Control Navigator BEHAVIORAL

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.

Cancer Control Navigator

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• caller to 211 who was randomly allocated to one of two study-specific information specialists
• resident of Missouri
• calling for unmet needs for self

You may not qualify if:

• calling on behalf of client or other person

Sponsors & Collaborators

• Washington University School of Medicine: lead
• United Way Missouri: collaborator

Study Sites (1)

Washington University in St. Louis

St Louis, Missouri, 63112, United States

Location

MeSH Terms

Conditions

Neoplasms

Study Officials

• Matthew W Kreuter, PhD, MPH

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 4, 2009
• First Posted: December 9, 2009
• Study Start: December 1, 2009
• Primary Completion: December 1, 2011
• Study Completion: December 1, 2011
• Last Updated: May 11, 2018

Record last verified: 2018-05

Locations

US (1)