Evaluating the NCI's Cancer Information Service Contact Centers: meeting and exceeding the expectations of the public.
ABSTRACT The National Cancer Institute's (NCI's) Cancer Information Service (CIS) provides cancer information to the public via 1-800-4-CANCER, a smoking quitline, and online. The 2003 National User Survey assessed satisfaction and outcomes among users contacting NCI's CIS by telephone and LiveHelp, an instant messaging service. Ninety-five percent of respondents were very satisfied/satisfied and 88% said their expectations had been met/exceeded. Users reported increased knowledge and self-efficacy. Most had discussed CIS information with a health professional or planned to do so. Of those who contacted CIS about smoking/tobacco use, 14% had quit and 35% cut back. The CIS provides a highly valued, effective service for patients and health professionals.
- SourceAvailable from: Kenrick Cato[Show abstract] [Hide abstract]
ABSTRACT: Purpose/Objectives: To describe the predictors of nurse actions in response to a mobile health decision-support system (mHealth DSS) for guideline-based screening and management of tobacco use.Design: Observational design focused on an experimental arm of a randomized, controlled trial.Setting: Acute and ambulatory care settings in the New York City metropolitan area.Sample: 14,115 patient encounters in which 185 RNs enrolled in advanced practice nurse (APN) training were prompted by an mHealth DSS to screen for tobacco use and select guideline-based treatment recommendations.Methods: Data were entered and stored during nurse documentation in the mHealth DSS and subsequently stored in the study database where they were retrieved for analysis using descriptive statistics and logistic regressions.Main Research Variables: Predictor variables included patient gender, patient race or ethnicity, patient payer source, APN specialty, and predominant payer source in clinical site. Dependent variables included the number of patient encounters in which the nurse screened for tobacco use, provided smoking cessation teaching and counseling, or referred patients for smoking cessation for patients who indicated a willingness to quit.Findings: Screening was more likely to occur in encounters where patients were female, African American, and received care from a nurse in the adult nurse practitioner specialty or in a clinical site in which the predominant payer source was Medicare, Medicaid, or State Children's Health Insurance Program. In encounters where the patient payer source was other, nurses were less likely to provide tobacco cessation teaching and counseling.Conclusions: mHealth DSS has the potential to affect nurse provision of guideline-based care. However, patient, nurse, and setting factors influence nurse actions in response to an mHealth DSS for tobacco cessation.Implications for Nursing: The combination of a reminder to screen and integration of guideline-based recommendations into the mHealth DSS may reduce racial or ethnic disparities to screening, as well as clinician barriers related to time, training, and familiarity with resources.Oncology Nursing Forum 03/2014; 41(2):145-52. DOI:10.1188/14.ONF.145-152 · 1.91 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: This study tested the feasibility of promoting 1-800-4-CANCER through partnerships with organizations serving African American and Hispanic communities. Small-media and client reminders about human papillomavirus vaccination were made available through local agents to 28 community organizations. Organizations ordered 79 932 resources and distributed them to young women and parents of girls-;African Americans in St Louis, Missouri, and Hispanics in the Lower Rio Grande Valley of Texas. Pre- to postintervention calls to 1-800-4-CANCER increased 38% in these communities, while declining 15% in comparison communities of Kansas City, Missouri, and El Paso, Texas (F = 8.6, P = .004) and 1.4% in the United States as a whole.Family & community health 01/2012; 35(1):15-30. DOI:10.1097/FCH.0b013e3182385d13 · 0.99 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: This paper considers the problem of finding a robust servomechanism controller which achieves exact asymptotic tracking and regulation for a given class of reference and disturbance signals, and arbitrarily good approximate asymptotic regulation for other classes of reference and disturbance input signals. Necessary and sufficient conditions for the existence of such a controller, and a characterization of controllers which accomplish this are given. An explicit algorithm for such controllers is also given; in particular, it is shown that the design of such a controller can always be accomplished by using the cheap control design method as used in  for the multivariable robust servomechanism problem. A degenerate type of robust servomechanism controller (called a high gain servomechanism controller) consisting of only static feedback gains, is also given, which has the property that it produces arbitrarily good approximate regulation for all tracking/disturbance signals; thus this controller shows that dynamics in the feedback controller are not essential for achieving good approximate error regulation. Some numerical examples are included to illustrate the results.Decision and Control, 1982 21st IEEE Conference on; 01/1983