Integrating Cancer Control Referrals and Navigators Into United Way 211 Missouri

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. We hypothesize that the proportion of 211 callers who obtain a needed cancer control service will: 1. differ significantly by study group as follows: N \> T \> P \> CONTROL; 2. vary significantly across study groups based on the intervention dose callers receive; and 3. vary significantly across study groups based on whether callers' original need was resolved, the extent of their basic needs, and their perception of life as manageable and predictable (i.e., sense of coherence). (Dissemination Aim): Determine costs to 211 and effects on quality of service by offering cancer control referrals.

Sex

All

Minimum age

18 Years

Inclusion Criteria:

* 18 years of age or older
* caller to 211 who was randomly allocated to one of two study-specific information specialists
* resident of Missouri
* calling for unmet needs for self

Exclusion Criteria:

* calling on behalf of client or other person