Cancer Control Needs of 2-1-1 Callers in Missouri, North Carolina, Texas, and Washington

Purnell, Jason Q.; Kreuter, Matthew W.; Eddens, Katherine S.; Ribisl, Kurt M.; Hannon, Peggy A.; Williams, Rebecca S.; Fernández, María E.; Jobe, David; Gemmel, Susan; Morris, Marti; Fagin, Debbie

doi:10.1353/hpu.2012.0061

Cited by 26 publications

(28 citation statements)

References 29 publications

(34 reference statements)

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“…The 2-1-1 Helpline is a telephone-delivered referral program to help link callers to local and affordable programs and services to meet their basic needs (e.g., housing, health, or social services). Based on a pilot study conducted in 2011, we found that the majority (70%) of 2-1-1 callers needed at least one cancer prevention service [48]. Many are unaware of existing health services or experience financial and transportation barriers.…”

Section: Research-tested Intervention Approaches In Hispanic Communitiesmentioning

confidence: 99%

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Fernández

Savas

Lipizzi

et al. 2014

Gynecologic Oncology

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Purpose Hispanic women in Texas have among the highest rates of cervical cancer incidence and mortality in the country. Increasing regular Papanicolaou test screening and HPV vaccination are crucial to reduce the burden of cervical cancer among Hispanics. This paper presents lessons learned from community-based cervical cancer control programs in Texas and highlights effective intervention programs, methods and strategies. Methods We reviewed and summarized cervical cancer control efforts targeting Hispanic women in Texas, focusing on interventions developed by researchers at the University of Texas, School of Public Health. We identified commonalities across programs, highlighted effective methods, and summarized lessons learned to help guide future intervention efforts. Results Community-academic partnerships were fundamental in all steps of program development and implementation. Programs reviewed addressed psychosocial, cultural, and access barriers to cervical cancer control among low-income Hispanic women. Intervention approaches included lay health worker (LHW) and navigation models and used print media, interactive tailored media, photonovellas, client reminders, one-on-one and group education sessions. Conclusions Small media materials combined with LHW and navigation approaches were effective in delivering Pap test screening and HPV vaccination messages and in linking women to services. Common theoretical methods included in these approaches were modeling, verbal persuasion, and facilitating access. Adaptation of programs to an urban environment revealed that intensive navigation was needed to link women with multiple access barriers to health services. Collectively, this review reveals 1) the importance of using a systematic approach for planning and adapting cervical cancer control programs; 2) advantages of collaborative academic-community partnerships to develop feasible interventions with broad reach; 3) the use of small media and LHW approaches and the need for tailored phone navigation in urban settings; and 4) coordination and technical assistance of community-based efforts as a way to maximize resources.

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Section: Research-tested Intervention Approaches In Hispanic Communitiesmentioning

confidence: 99%

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Fernández

Savas

Lipizzi

et al. 2014

Gynecologic Oncology

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“…2-1-1 is a nationally designated three-digit telephone information and referral service that connects callers to local health and social services. 4 These callers represent individuals with many basic needs and who are at increased risk for cancer and other chronic diseases based on their high rates of unemployment, low levels of income and education, 5 and African American or Hispanic race/ethnicity.…”

Section: Resultsmentioning

confidence: 99%

Impact of the Cancer Prevention and Control Research Network: Accelerating the Translation of Research Into Practice

Ribisl

Fernández

Friedman

et al. 2017

American Journal of Preventive Medicine

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The Cancer Prevention and Control Research Network (CPCRN) is a thematic network dedicated to accelerating the adoption of evidence-based cancer prevention and control practices in communities by advancing dissemination and implementation science. Funded by the Centers for Disease Control and Prevention and National Cancer Institute, CPCRN has operated at two levels: Each participating Network Center conducts research projects with primarily local partners as well as multicenter collaborative research projects with state and national partners. Through multicenter collaboration, thematic networks leverage the expertise, resources, and partnerships of participating centers to conduct research projects collectively that might not be feasible individually. Although multicenter collaboration often is advocated, it is challenging to promote and assess. Using bibliometric network analysis and other graphical methods, this paper describes CPCRN’s multicenter publication progression from 2004 to 2014. Searching PubMed, Scopus, and Web of Science in 2014 identified 249 peer-reviewed CPCRN publications involving two or more centers out of 6,534 total. The research and public health impact of these multicenter collaborative projects initiated by CPCRN during that 10-year period were then examined. CPCRN established numerous workgroups around topics such as: 2-1-1, training and technical assistance, colorectal cancer control, federally qualified health centers, cancer survivorship, and human papillomavirus. The paper discusses the challenges that arise in promoting multicenter collaboration and the strategies that CPCRN uses to address those challenges. The lessons learned should broadly interest those seeking to promote multisite collaboration to address public health problems, such as cancer prevention and control.

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“…Future research can also assess the reliability of self-report in assessing whether participants contacted referrals. Although there is indication that cancer control needs among 2-1-1 callers are comparable across several states (Purnell et al, 2012), more research about characteristics of 2-1-1 callers at the national level would help determine the extent to which these findings may generalize to other populations.…”

Section: Discussionmentioning

confidence: 99%

“…The 2-1-1 system may also be a promising way of reaching underserved populations in order to reduce health disparities (Hall et al, 2012; Kreuter, 2012; Linnan, 2012). Callers to 2-1-1 have higher unmet cancer control needs compared to the general population; a survey of callers in four states found that over two-thirds had at least one unmet cancer control need (Purnell et al, 2012). Past work has shown that callers to 2-1-1 are generally receptive to answering questions about their health, and most are comfortable with receiving health information from 2-1-1 (Eddens et al, 2011).…”

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confidence: 99%

Promoting Health by Addressing Basic Needs

2015

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Members of vulnerable populations have heightened needs for health services. One advantage of integrating health risk assessment and referrals into social service assistance systems such as 2-1-1 is that such systems help callers resolve problems in other areas (e.g. housing). Callers to 2-1-1 in Missouri (N=1090) with at least one behavioral risk factor or cancer screening need were randomly assigned to one of three health referral interventions: verbal referrals only, verbal referrals + a tailored mailed reminder, or verbal referrals + telephone health navigator. After one month, we assessed whether the non-health problems that prompted the 2-1-1 call had been resolved. Logistic regression estimated effects of having the problem resolved on calling a health referral. Callers were predominantly female (85%) and had a high school education or less (61%); nearly half (47%) had incomes under $10,000. The most common service requests were for utility assistance (35%), home/family problems (23%), and rent/mortgage assistance (12%). At follow-up, 38% of callers reported that all problems prompting their 2-1-1 call had been resolved, and 24% reported calling a health referral. Resolving all problems prompting the 2-1-1 call was associated with a higher odds of contacting a health referral (OR = 1.44, 95% CI 1.02-2.05) compared to people whose problems were not resolved. Multifaceted interventions that help meet non-health-related needs and provide support in reaching health-related goals may promote health in vulnerable populations.

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Cancer Control Needs of 2-1-1 Callers in Missouri, North Carolina, Texas, and Washington

Cited by 26 publications

References 29 publications

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Impact of the Cancer Prevention and Control Research Network: Accelerating the Translation of Research Into Practice

Promoting Health by Addressing Basic Needs

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