Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Cecil G. Sheps Center for Health Service Research, University of North Carolina, Chapel Hill, NC, USA.
Am J Health Promot. 2022 Sep;36(7):1083-1093. doi: 10.1177/08901171211041276. Epub 2022 May 5.
To evaluate the effectiveness of a telephone navigation intervention for increasing use of cancer control services among underserved 2-1-1 callers.
Randomized controlled trial.
2-1-1 call centers in Houston and Weslaco, Texas (located in the Rio Grande Valley near the Mexican border).
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.
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).
Uptake of each individual service and any needed service.
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.
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).
Adding cancer control referrals and navigation to an informational service like the 2-1-1 program can increase overall participation in cancer control services.
评估电话导航干预措施在增加服务不足的 2-1-1 呼叫者使用癌症控制服务方面的有效性。
随机对照试验。
德克萨斯州休斯顿和韦斯拉科的 2-1-1 呼叫中心（位于靠近墨西哥边境的里奥格兰德河谷）。
需要巴氏试验、乳房 X 光检查、结直肠癌筛查、戒烟咨询和/或 HPV 疫苗接种的 2-1-1 呼叫者（n = 1,554）。大多数参与者收入较低，自称为黑人或西班牙裔。
参与者被随机分配接受癌症控制转介，以获得所需的服务，并由经过培训的癌症控制导航员提供电话导航（n = 995），或仅接受转介（n = 559）。
评估两组中每一项服务和任何所需服务的利用率。
使用双变量卡方分析和多变量逻辑回归分析，根据社会人口统计学协变量调整，评估两组中的利用率。使用意向治疗和符合方案分析。
两种干预措施都增加了癌症控制行为。与仅转诊组相比，转介加导航干预组显著增加了任何所需服务（OR = 1.38；p =.042）、巴氏试验（OR = 1.56；p =.023）和戒烟咨询（OR = 2.66；p =.044）的完成率。其他结果也显示出相同的趋势，尽管差异没有统计学意义：乳房 X 光检查（OR = 1.53；p =.106）；结直肠癌筛查（OR = 1.80；p =.095）；以及女儿 HPV 疫苗接种（OR = 1.61；p =.331）。
将癌症控制转介和导航添加到像 2-1-1 计划这样的信息服务中，可以提高癌症控制服务的总体参与率。
