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Kate Eddens Matthew W. Kreuter Health Communication Research Laboratory

Keeping clients healthy: Integrating proactive health screening and referral into 2-1-1 systems. Kate Eddens Matthew W. Kreuter Health Communication Research Laboratory Washington University in St. Louis.

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Kate Eddens Matthew W. Kreuter Health Communication Research Laboratory

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  1. Keeping clients healthy: Integrating proactive health screening and referral into 2-1-1 systems Kate Eddens Matthew W. Kreuter Health Communication Research Laboratory Washington University in St. Louis

  2. Eliminating health disparities by increasing the reach and effectiveness of cancer information in low-income and minority populations.

  3. - Integrating cancer communication into practice- System-level interventions- Real-world settings

  4. - 2-1-1- Food Stamps- Public Housing- Low-income Energy Assistance

  5. Why this approach?Three key points

  6. Why this approach?Three key points

  7. Why this approach?Three key points

  8. Today’s presentation 1. Our study results2. Activities nationally 3. Questions & discussion

  9. Study 1: Is it feasible?Kate Eddens, Matthew Kreuter, Kay Archer, Debbie Fagin

  10. Pilot studyNovember, 2007 – February, 2008

  11. - Mammography- Pap testing - Colonoscopy- HPV vaccine- Smoking- Smoke-free home policies

  12. Disparities associated with all of themEffective tests or interventions for allPrograms available that provide them for free Why these six?

  13. Mammograms Pap smears Colonoscopies HPV vaccination Smoking cessation Smoke free home policy

  14. Current cancer control needs of 2-1-1 callers Need at least one 85%Need two or more 54%Need three or more 30% Eddens K, Kreuter MW, Archer K. J of Social Services Research (under review).

  15. No health insurance 2-1-1 callers (n=297) vs. Missouri vs. U.S.

  16. Current cigarette smoker 2-1-1 callers (n=297) vs. Missouri vs. U.S.

  17. Has a smoke-free home policy 2-1-1 callers (n=297) vs. Missouri vs. U.S.

  18. Ever had a colonoscopy (ages ≥ 50) 2-1-1 callers (n=107) vs. Missouri vs. U.S.

  19. Pilot studyNovember, 2007 – February, 2008

  20. Telephone follow-up 2 weeks later • What did they think of the mailed referrals? • Did they make a call and/or schedule an appointment?

  21. Reactions to mailed referrals (n=39) Outcome % Recall getting referral 92% Recall getting mailing 54% Read all of mailing 41% Liked mailing a lot 62% Very easy to understand 67% Called referral agency 26% Made an appointment 13%

  22. Willingness to participateAmong 2-1-1 callers in pilot study

  23. Appropriateness of health questionsAmong 2-1-1 callers in pilot study

  24. How is call length affected? • Time to administer survey & provide referrals • Mean = 4:54 minutes • Enroll into study • Mean = 2:52 minutes

  25. Conclusions

  26. What do we still need to learn?

  27. Study 2: National prevalence studyJason Purnell, Kate Eddens, Matthew Kreuter2-1-1s of Missouri, King County, Houston, North CarolinaCancer Prevention and Control Research Network

  28. Administered in four 2-1-1 systems

  29. 2-1-1 callers vs. U.S. population - 2-1-1 callers (n = 1,413)- 2008 BRFSS (n = 415,194)

  30. Cancer needs of 2-1-1 callers (n=1,413) - Need at least one 72%- Need two or more 42%- Need three or more 17%

  31. No health insurance 2-1-1 callers vs. U.S. (p < .001)

  32. Current smokers 2-1-1 callers vs. U.S. (p < .001)

  33. Smoke-free home policy 2-1-1 callers vs. U.S. (p < .001)

  34. Ever had colonoscopy (50+) 2-1-1 callers vs. U.S. (p < .001)

  35. Up-to-date mammogram (women 40+) 2-1-1 callers vs. U.S. (p < .001)

  36. Up-to-date Pap test (women 18+) 2-1-1 callers vs. U.S. (p < .001)

  37. HPV vaccination (women 18-26) 2-1-1 callers vs. U.S.

  38. Study 3: Statewide intervention studyMatthew Kreuter, Kate Eddens, Nikki CaitoKassandra Alcaraz, Jason Purnell, Anjanette Wells,Debbie Fagin, Nikisha Bridges, Tiffany Aziz

  39. - Mammography- Pap testing - Colonoscopy- HPV vaccine- Smoking- Smoke-free home policies

  40. Mammograms Pap smears Colonoscopies HPV vaccination Smoking cessation Smoke free home policy

  41. Telephone follow-up 1 and 4 months later • Did they contact referrals? • Did they obtain needed services?

  42. Telephone follow-up 1 and 4 months later • Did they contact referrals? • Did they obtain needed services?

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