
Titre : | Evaluation of a 2-1-1 Telephone Navigation Program to Increase Cancer Control Behaviors: Results From a Randomized Controlled Trial (2022) |
Auteurs : | Maria E. Fernandez, Auteur ; Lara S. Savas, Auteur ; John S. Atkinson, Auteur ; Katherine Ball Ricks, Auteur |
Type de document : | Article : texte imprimé |
Dans : | American Journal of Health Promotion (Vol. 36, n°7, September 2022) |
Article en page(s) : | pp. 1083–1093 |
Langues: | Anglais |
Catégories : | |
Résumé : |
"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." |
Catalogueur : | RESOdoc |
Exemplaires (1)
Cote | Code-barres | Support | Localisation | Disponibilité |
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RESO A.19 | RE65682450 | Bulletin | RESOdoc | Consultation sur place Disponible |