Mobile Technology, Cancer Prevention, and Health Status Among Diverse, Low-Income Adults

American journal of health promotion: AJHP (Impact Factor: 2.37). 11/2013; 28(6). DOI: 10.4278/ajhp.120816-ARB-396
Source: PubMed

ABSTRACT Abstract Purpose . Characterize mobile technology ownership, use, and relationship to self-reported cancer prevention behaviors and health status in a diverse, low-income sample of callers to 2-1-1. Design . Secondary analyses of cross-sectional survey data from a larger trial collected from June 2010 to December 2012. Setting . United Way Missouri 2-1-1 serves 99 of 114 counties and received 166,000 calls in 2011. Subjects . The respondents (baseline, n = 1898; 4 month, n = 1242) were predominantly female, non-Hispanic Black, younger than 50 years, with high-school education or less and annual income <$20,000. Measures . Cell phone ownership and use and its relationship to cancer prevention services and health status were assessed via telephone-based survey, using items adapted from previous research and the Behavioral Risk Factor Surveillance System. Smartphone ownership and use were also assessed. Analysis . Descriptive statistics and bivariate and multivariate associations between cell phone ownership and prevention and health status are reported. Results . Three-fourths (74%) of study participants owned a cell phone and 23% owned a smartphone. Text messaging was the most popular use. Ownership was significantly associated with good to excellent health status and presence of smoke-free home policies in multivariate models. Conclusion . Cell phone ownership is growing and has potential to deliver health information to low-income populations. With 16 million calls annually, the national 2-1-1 system may be a promising model and platform.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Innovative interventions are needed to connect underserved populations to cancer control services. With data from Missouri, North Carolina, Texas, and Washington this study a) estimated the cancer control needs of callers to 2-1-1, an information and referral system used by underserved populations, b) compared rates of need with state and national data, and c) examined receptiveness to needed referrals. From October 2009 to March 2010 callers' (N=1,408) cancer control needs were assessed in six areas: breast, cervical, and colorectal cancer screening, HPV vaccination, smoking, and smoke-free homes using Behavioral Risk Factor Surveillance System (BRFSS) survey items. Standardized estimates were compared with state and national rates. Nearly 70% of the sample had at least one cancer control need. Needs were greater for 2-1-1 callers than for state and national rates, and callers were receptive to referrals. 2-1-1 could be a key partner in efforts to reduce cancer disparities.
    Journal of Health Care for the Poor and Underserved 01/2012; 23(2):752-67. DOI:10.1353/hpu.2012.0061 · 1.10 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Callers to 2-1-1 have greater need for and lesser use of cancer control services than other Americans. Integrating cancer risk assessment and referrals to preventive services into 2-1-1 systems is both feasible and acceptable to callers. Purpose: To determine whether callers will act on these referrals. Methods: In a randomized trial, 2-1-1 callers (n=1200) received standard service and those with at least one cancer risk factor or need for screening were assigned to receive verbal referrals only, verbal referrals + a tailored reminder mailed to their home, or verbal referrals + a telephone health coach/navigator. All data were collected from June 2010 to March 2012 and analyzed in March and April 2012. Results: At 1-month follow-up, callers in the navigator condition were more likely to report having contacted a cancer control referral than those receiving tailored reminders or verbal referrals only (34% vs 24% vs 18%, respectively; n=772, p<0.0001). Compared to verbal referrals only, navigators were particularly effective in getting 2-1-1 callers to contact providers for mammograms (OR=2.10, 95% CI=1.04, 4.22); Paps (OR=2.98, 95% CI=1.18, 7.54); and smoking cessation (OR=2.07, 95% CI=1.14, 3.74). Conclusions: Given the extensive reach of 2-1-1s and the elevated risk profıle of their callers, even modest response rates could have meaningful impact on population health if proactive health referrals were implemented nationally.
    American Journal of Preventive Medicine 12/2012; 43(6):S425-S434. DOI:10.1016/j.amepre.2012.09.004 · 4.28 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to explore the role of mobile phone use for mutual support within social networks of Alcoholic Anonymous (AA). A sample of mobile phone owners and non-owners in AA was surveyed to assess their perceptions and uses of this technology. Mobile phone owners reported very positive perceptions of the technology as a resource for recovery and heavy use of the mobile phone for this purpose. Non-owners also reported positive perceptions of the mobile phone as a resource for recovery and that expense was the primary reason for not using a mobile phone in their recovery efforts. Heuristic, theoretical, and practical implications of the study are included in the discussion.
    Journal of Applied Communication Research 05/2006; 34(2):191-208. DOI:10.1080/00909880600574104 · 0.68 Impact Factor