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Integrating Cancer Control Referrals and Navigators Into United Way 211 Missouri

18 Years
Open (Enrolling)

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Trial Information

Integrating Cancer Control Referrals and Navigators Into United Way 211 Missouri

For Americans living in poverty, cancer prevention and screening is a lower priority than
meeting basic needs. When basic needs are addressed, the likelihood of engaging in these
preventive behaviors increases. Strategies to eliminate cancer disparities in disadvantaged
populations must recognize and address this fundamental challenge. We propose the first-ever
cancer communication research partnership with United Way 2-1-1, a telephone information and
referral system reaching millions of low-income and minority Americans every year and
connecting them to locally available resources that can meet their basic needs. By
proactively linking these callers to evidence-based cancer control services available for
free in their community, cancer disparities could be reduced.

The proposed study will:

1. estimate the prevalence of need for cancer screening and prevention in a population of
211 callers;

2. determine whether cancer communication interventions delivered through 211 can increase
use of breast, cervical and colon cancer screening, HPV vaccination, smoking cessation
and adoption of smoke free home policies;

3. determine how intensive an intervention is needed to bring about these changes; and

4. determine whether the effectiveness of these interventions is enhanced when callers'
basic needs have been addressed. Connecting these systems - 211, clinical and community
cancer control programs and navigation services - should benefit disadvantaged
Americans. The proposed study will evaluate the effects of this approach to eliminating
cancer disparities.


Study group assignment -- By random assignment they will then receive either:

- Tailored Cancer Communication to help them act on the cancer control referral they

- A Cancer Control Navigator to help them overcome obstacles to obtaining needed cancer
control services;

- Cancer Control Phone Referral Only; or,

- No intervention control

The study aims are to:

1. Estimate the prevalence of need for cancer screening and prevention in a population of
211 callers and compare these rates to population data from Missouri and the U.S.

2. Evaluate effects of Tailored Cancer Communication (T), Cancer Control Navigation (N),
Cancer Control Phone Referral Only (P) on use of cancer control services in a
randomized trial among 211 callers.

Inclusion Criteria:

- 18 years of age or older

- caller to 211 who was randomly allocated to one of two study-specific information

- resident of Missouri

- calling for unmet needs for self

Exclusion Criteria:

- calling on behalf of client or other person

Type of Study:


Study Design:

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention

Outcome Measure:

Use of cancer screening and preventive services

Outcome Time Frame:

0ne and four months post-intervention

Safety Issue:


Principal Investigator

Matthew W Kreuter, PhD, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

Washington University in St. Louis


United States: Institutional Review Board

Study ID:




Start Date:

December 2009

Completion Date:

December 2011

Related Keywords:

  • Cancer



Washington University in St. LouisSt. Louis, Missouri  63110