Increasing Breast, Cervical, and Colorectal Cancer Screening and HPV Vaccination Among Underserved Texans

Study Overview
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Brief Summary
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This study involves a partnership between UTHealth School of Public Health and the Texas 2-1-1 service, which is a helpline connecting low-income and minority callers with a number of needed services. The purpose of this study is to evaluate the effectiveness of a prevention program in which a phone navigator intervention designed to connect 2-1-1 helpline callers to evidence-based screening and prevention services including mammography, Pap test screening, colorectal cancer screening, and HPV vaccination.

Official Title
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Increasing Breast, Cervical, and Colorectal Cancer Screening and HPV Vaccination Among Underserved Texans: A Collaboration With the United Way's 2-1-1 Program

Conditions
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Cancer Prevention

Intervention / Treatment
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* Behavioral: Cancer control navigation (CNN)
* Behavioral: General referral (usual care)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: callers to 2-1-1 consents to participate, English or Spanish speaking not in a crisis (e.g., disaster-related 2-1-1 call or personal crisis) Exclusion Criteria: not English or Spanish speaking in crisis (e.g., disaster-related call or personal crisis) calling on behalf of another client and not for self

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cancer control navigation (CNN) plus General referral (usual care)<br>Information Specialists at the 2-1-1 call center provide cancer control referrals specific to participant's screening or prevention needs. Additionally, Cancer Control Navigators (CNNs) housed at 2-1-1 call centers aid callers. CNNs receive electronic summary profiles of participants assigned to navigation. Navigators call the participant, build a collaborative relationship with them, identify their needs, work with them to identify barriers to services and coordinate solutions, and provide logistic (e.g., making appointments) and emotional support. Navigation services are provided by telephone only. | Behavioral: Cancer control navigation (CNN)<br>* Cancer Control Navigators (CNNs) housed at 2-1-1 call centers aid callers. CNNs receive electronic summary profiles of participants assigned to navigation. Navigators call the participant, build a collaborative relationship with them, identify their needs, work with them to identify barriers to services and coordinate solutions, and provide logistic (e.g., making appointments) and emotional support. Navigation services are provided by telephone only.<br>Behavioral: General referral (usual care)<br>* Information Specialists at the 2-1-1 call center provide cancer control referrals specific to participant's screening or prevention needs.<br>|
| Active Comparator: General referral (usual care)<br>Information Specialists at the 2-1-1 call center provide cancer control referrals specific to participant's screening or prevention needs. | Behavioral: General referral (usual care)<br>* Information Specialists at the 2-1-1 call center provide cancer control referrals specific to participant's screening or prevention needs.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants who complete needed cancer screening and prevention services | Cancer screening and prevention services include mammogram, Pap test, HPV vaccine, and/or colorectal cancer screening. | one month after referral | 
| Number of participants who complete needed cancer screening and prevention services | Cancer screening and prevention services include mammogram, Pap test, HPV vaccine, and/or colorectal cancer screening. | three months after referral |