This randomized controlled, single-site study hopes to determine the effectiveness of a tailored phone call reminder to improve low-income patients' adherence to colposcopy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
This federally funded, free service connects callers with appropriate community services to help address their unmet basic needs.
Study participants will be asked to rate the amount of distress that they have experienced in the past week (scale of 0 to 10, 10=extreme distress) and indicate areas of concern including practical basic needs and family, emotional, spiritual, and physical problems. They will also be asked to rate the amount of distress (scale 0-10) that they attribute to their abnormal cervical cancer screen.
Adherence to colposcopy visit
Time frame: Within 6 weeks of study enrollment
Number and type of unmet basic needs as measured by Unmet Basic Needs Survey
-Questions asking participant about food security, housing, personal safety, neighborhood safety, sufficient money for necessities, childcare, and transportation. Scored bases on participant' self-perceived likelihood that their safety, housing, food, and financial needs would be met in the next month.
Time frame: At the time of enrollment; at least 2 weeks prior to colposcopy appointment
General distress scores as measured by NCCN Distress Thermometer
-Participant is asked to circle the number from 0-10 that best describes how much distress the participant has experienced in the past week. 0=no distress and 10=extreme distress.
Time frame: At the time of enrollment
Causes of distress as measured by NCCN Distress Problem List
-39 questions asking participant to answer yes or no to problems (practical, family, emotional, spiritual/religious, and physical) that they have experienced in the past week
Time frame: At the time of enrollment
Distress scores related to indications for colposcopy
-Score 0 (no distress) to 10 (severe distress)
Time frame: At the time of enrollment
Patient self-reported use of 2-1-1 services as measured by 2-1-1 Survey
Time frame: After or within 1 week after colposcopy visit (estimated to be 6 weeks)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
11-item survey with questions regarding safety, housing, food, and financial needs
This brief, 5-minute survey will be performed either in person or by phone after the participants arrive to their colposcopy appointment or after 6 weeks of their scheduled visit if they are nonadherent. The research team will ask patients regarding any changes in the status of their unmet basic needs (resolved, improved, worsened, or stayed the same) and how useful they found the 2-1-1 resource.
-Automated phone call two weeks before their colposcopy appointment