Proactive screening for health needs in United Way's 2-1-1 information and referral service

Katherine S Eddens, Matthew W Kreuter, Katherine S Eddens, Matthew W Kreuter

Abstract

Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n=297), measuring their need for six cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1.

References

    1. 2-1-1 Alameda County. 2-1-1 Alameda County Monthly Narrative Report: April 2009. Eden I&R, Inc.; 2009.
    1. 2-1-1 Brevard. Service delivery report 2005–2006. 2006.
    1. 2-1-1 Idaho. 2-1-1 Idaho 2006 Call Data Summary Report. 2006.
    1. 2-1-1 Maine. 2-1-1 Maine Call Reports. 2007a. Top 211 Call Categories FY 2007.
    1. 2-1-1 Maine. 2-1-1 Maine Call Reports. 2007b. Year-to-Date Call Report FY 2007.
    1. 2-1-1 Orange County. 2-1-1 Connect, 4 May 2009. 2009.
    1. 2-1-1 United Way of Connecticut. 2-1-1 Data: 2006 Program Stats. 2006.
    1. 2-1-1 US. 2-1-1 US: Nationwide Status. 2010.
    1. Adams EK, Thorpe KE, Becker ER, Joski PJ, Flome J. Colorectal cancer screening, 1997–1999: role of income, insurance and policy. Preventive Medicine. 2004;38(5):551–557.
    1. American Cancer Society. Cancer facts and figures 2007. Atlanta, GA: American Cancer Society; 2007.
    1. Boyd C, Zhang-Salomons JY, Groome PA, Mackillop WJ. Associations between community income and cancer survival in Ontario, Canada, and the United States. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology. 1999;17(7):2244–2255. PMid:10561282.
    1. Bradbury BD, Brooks DR, Brawarsky P, Mucci LA. Test-retest reliability of colorectal testing questions on the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) Preventive Medicine. 2005;41(1):303–311.
    1. Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R. Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. Journal of the National Cancer Institute. 2001;93(22):1704–1713.
    1. Brownson RC, Eyler AA, King AC, Shyu YL, Brown DR, Homan SM. Reliability of information on physical activity and other chronic disease risk factors among US women aged 40 years or older. American Journal of Epidemiology. 1999. pp. 379–391. Retrieved from .
    1. Brownson RC, Jackson-Thompson J, Wilkerson JC, Kiani F. Reliability of information on chronic disease risk factors collected in the Missouri Behavioral Risk Factor Surveillance System. Epidemiology (Cambridge, Mass.) 1994. pp. 545–549. Retrieved from .
    1. Caplan LS, McQueen DV, Qualters JR, Leff M, Garrett C, Calonge N. Validity of women's self-reports of cancer screening test utilization in a managed care population. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology. 2003. pp. 1182–1187. Retrieved from .
    1. D. o. S. T. D. Prevention, editor. Centers for Disease Control and Prevention. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2006a. HPV Vaccine Information For Young Women. Retrieved from .
    1. Centers for Disease Control and Prevention. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2006b. National Youth Tobacco Survey Questionnaire (NYTS) Retrieved from .
    1. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2007.
    1. B. o. Supervisors, editor. County of Santa Cruz. County of Santa Cruz Board of Supervisors Support for Senate Bill 712 - 2-1-1 Call Services. County of Santa Cruz; 2009.
    1. Firstlink I. Neighbor to neighbor: Firstlink 2006 Annual Report. Columbus, Ohio: 2007.
    1. Garland SM, Hernandez-Avila M, Wheeler CM, Perez G, Harper DM, Leodolter S. Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases. The New England Journal of Medicine. 2007;356(19):1928–1943.
    1. Heimendinger J, O'Neill C, Marcus AC, Wolfe P, Julesburg K, Morra M. Multiple tailored messages are effective in increasing fruit and vegetable consumption among callers to the Cancer Information Service. Journal of Health Communication. 2005;10 Suppl 1:65–82.
    1. Humphrey LL, Helfand M, Chan BKS, Woolf SH. Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2002. pp. 347–360. Retrieved from .
    1. Indiana 2-1-1 Partnership. January 2006 – March 2007 Indiana 2-1-1 Partnership, Inc. 2007.
    1. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA: A Cancer Journal for Clinicians. 2007;57(1):43–66.
    1. Kincaid J, Fishburne R, Rogers R, Chissom B. Derivation of New Readability Formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel. 1975
    1. Mackillop WJ, Zhang-Salomons J, Boyd CJ, Groome PA. Associations between community income and cancer incidence in Canada and the United States. Cancer. 2000;89(4):901–912.
    1. MacKinnon JA, Duncan RC, Huang Y, Lee DJ, Fleming LE, Voti L. Detecting an association between socioeconomic status and late stage breast cancer using spatial analysis and area-based measures. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology. 2007. pp. 756–762. Retrieved from .
    1. Marcus AC, Heimendinger J, Wolfe P, Fairclough D, Rimer BK, Morra M. A randomized trial of a brief intervention to increase fruit and vegetable intake: a replication study among callers to the CIS. Preventive Medicine. 2001;33(3):204–216.
    1. Marcus AC, Heimendinger J, Wolfe P, Rimer BK, Morra M, Cox D. Increasing fruit and vegetable consumption among callers to the CIS: results from a randomized trial. Preventive Medicine. 1998;27(5 Pt 2):S16–S28.
    1. Marcus AC, Mason M, Wolfe P, Rimer BK, Lipkus I, Strecher V. The efficacy of tailored print materials in promoting colorectal cancer screening: results from a randomized trial involving callers to the National Cancer Institute's Cancer Information Service. Journal of Health Communication. 2005;10 Suppl 1:83–104.
    1. Marcus AC, Morra M, Rimer BK, Stricker M, Heimendinger J, Wolfe P. A feasibility test of a brief educational intervention to increase fruit and vegetable consumption among callers to the Cancer Information Service. Preventive Medicine. 1998;27(2):250–261.
    1. Mile High United Way. Mile High United Way 2-1-1: Year 2005 annual statistics.
    1. Mile High United Way. Mile High United Way 2-1-1 annual report: January 1, 2006 – December 31, 2006. 2007.
    1. Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS) Sozial- Und Präventivmedizin. 2001. pp. S3–S42. Retrieved from .
    1. New Jersey 2-1-1 Partnership. Who is using 2-1-1? 2007.
    1. O'Shea D, King C, Greenfield S, Shelton E, Sullivan L, Taber E. National benefit/cost analysis of three digit-accessed telephone information and referral services: University of Texas at Austin: Ray Marshall Center for the Study of Human Resources. 2004.
    1. Pignone M, Rich M, Teutsch SM, Berg AO, Lohr KN. Screening for colorectal cancer in adults at average risk: a summary of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2002. pp. 132–141. Retireved from .
    1. Rehkopf Smith, J. 2-1-1 offers hope and help: Oregon's network provides a lifeline of social services for the struggling. 2009. Retrieved from .
    1. Saxton M, Naumer C, Fisher K. 2-1-1 Information services: Outcomes assessment, benefit–cost analysis, and policy issues. Government Information Quarterly. 2007;24(1):186–215.
    1. Schootman M, Jeffe DB, Baker EA, Walker MS. Effect of area poverty rate on cancer screening across US communities. Journal of Epidemiology and Community Health. 2006;60(3):202–207.
    1. Schootman M, Jeffe DB, Reschke AH, Aft RL. Disparities related to socioeconomic status and access to medical care remain in the United States among women who never had a mammogram. Cancer Causes & Control: CCC. 2003;14(5):419–425.
    1. Singh GK, Miller BA, Hankey BF. Changing area socioeconomic patterns in U.S. cancer mortality, 1950–1998: Part II--Lung and colorectal cancers. Journal of the National Cancer Institute. 2002. pp. 916–925. Retireved from .
    1. SPSS. SPSS 16.0 Graduate Student Version. Chicago, IL: SPSS Inc; 2007.
    1. Stein AD, Lederman RI, Shea S. Reproducibility of the women's module of the Behavioral Risk Factor Surveillance System questionnaire. Annals of Epidemiology. 1996;6(1):47–52.
    1. Stone A. Calls flood cities' social service hotlines. USA Today. 2009. Apr 14, 2009 Retrieved from .
    1. Strecher VJ, Marcus A, Bishop K, Fleisher L, Stengle W, Levinson A. A randomized controlled trial of multiple tailored messages for smoking cessation among callers to the cancer information service. Journal of Health Communication. 2005;10 Suppl 1:105–118.
    1. U. S. Department of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1989.
    1. U. S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006.
    1. United Way for Southeastern Michigan. United Way for Southeastern Michigan 2-1-1 Monthly Report September 2006. 2006.
    1. United Way of Greater Houston. United Way of Greater Houston 2006 Annual report. Houston, Texas: United Way of Greater Houston; 2006. One organization caring for the big picture.
    1. United Way of Massachusetts Bay and Merrimack Valley. Three digit number provides answers for people in financial crisis: United Way of Massachusetts Bay and Merrimack Valley. 2009.
    1. United Way of Metro Atlanta. United Way of Metro Atlanta statistical report year end. Atlanta, Georgia: 2006.
    1. United Ways of Northeast Florida 2-1-1. United Ways of Northeast Florida 2-1-1 July monthly report to the community. 2007.
    1. United Ways of Vermont. Vermont 2-1-1 Monthly Statistical Reports. 2007.
    1. Virginia 2-1-1. Virginia 2-1-1 annual report: July 1, 2006–June 30, 2007. 2007.
    1. Voigt LF, Koepsell TD, Daling JR. Characteristics of telephone survey respondents according to willingness to participate. American Journal of Epidemiology. 2003;157(1):66–73.
    1. Wang J, Etter J-F. Administering an effective health intervention for smoking cessation online: the international users of Stop-Tabac. Preventive Medicine. 2004;39(5):962–968.
    1. Williams P. 2-1-1 Idaho Careline annual report: State fiscal year 2007 (July 2006 through June 2007) 2007
    1. Woolf SH. The accuracy and effectiveness of routine population screening with mammography, prostate-specific antigen, and prenatal ultrasound: A review of published scientific evidence. International Journal of Technology Assessment in Health Care. 2001;17(3):275–304.

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