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Use of cancer control referrals by 2-1-1 callers: a randomized trial.
Kreuter, Matthew W; Eddens, Katherine S; Alcaraz, Kassandra I; Rath, Suchitra; Lai, Choi; Caito, Nikki; Greer, Regina; Bridges, Nikisha; Purnell, Jason Q; Wells, Anjanette; Fu, Qiang; Walsh, Colleen; Eckstein, Erin; Griffith, Julia; Nelson, Alissa; Paine, Cicely; Aziz, Tiffany; Roux, Anne M.
Afiliação
  • Kreuter MW; Health Communication Research Laboratory, Brown School, Washington University in St Louis, Missouri 63112-1408, USA. mkreuter@gwbmail.wustl.edu
Am J Prev Med ; 43(6 Suppl 5): S425-34, 2012 Dec.
Article em En | MEDLINE | ID: mdl-23157761
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2012 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2012 Tipo de documento: Article