Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model

The purpose of this study was to examine the impact of a pilot insurance company-based intervention guided by a Dynamic Communication Model to increase breast and colorectal cancer screening in Appalachian WV, a medically-underserved population with low screening rates. Our team and key informants d...

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Autores principales:	Kimberly Kelly, Brandon Dolly, Stephenie Kennedy, Elvonna Atkins, Michelle Coon, Kemi King, Yves Mbous, Shelly Rouse
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	appalachian region colorectal cancer breast cancer intervention insurance Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/09d974e242a04df997ea16e92c35ee0f
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spelling	oai:doaj.org-article:09d974e242a04df997ea16e92c35ee0f2021-11-30T21:43:02ZInsure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model10.4148/2572-1836.10282572-1836https://doaj.org/article/09d974e242a04df997ea16e92c35ee0f2019-03-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1028&context=hbrhttps://doaj.org/toc/2572-1836The purpose of this study was to examine the impact of a pilot insurance company-based intervention guided by a Dynamic Communication Model to increase breast and colorectal cancer screening in Appalachian WV, a medically-underserved population with low screening rates. Our team and key informants developed letters and a website to promote cancer screening, and these were mailed to patients needing screening (breast: n = 232; colorectal: n = 324). After 6 months, a sample of women (n = 22) and men (n = 27) continuing to need screening received telephonic case management counseling. Screening rates were assessed at baseline, 6 months, and 12 months. A final telephone interview was conducted at 12 months with a subset of participants. Key informants (n = 21) provided feedback on the letter/website, resulting in improved readability, organization, and informational content. The letter/website had minimal impact on screening (breast: n = 8; colon: <em>n</em> = 5). The final telephone interview of plan members (n = 12) found they liked the personalized approach and appreciated learning more about cancer, and that you need to “catch it early for good treatment.” All understood the counseling and believed the information was correct. Nearly all intended to get screened. Following counseling, screening numbers increased (total breast: n = 39; total colon: n = 18). Our theoretically-driven, case management counseling intervention was well received and has the potential to increase cancer screening rates, particularly in a rural, medically-underserved populations.Kimberly KellyBrandon DollyStephenie KennedyElvonna AtkinsMichelle CoonKemi KingYves MbousShelly RouseNew Prairie Pressarticleappalachian regioncolorectal cancerbreast cancerinterventioninsuranceSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	appalachian region colorectal cancer breast cancer intervention insurance Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	appalachian region colorectal cancer breast cancer intervention insurance Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Kimberly Kelly Brandon Dolly Stephenie Kennedy Elvonna Atkins Michelle Coon Kemi King Yves Mbous Shelly Rouse Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
description	The purpose of this study was to examine the impact of a pilot insurance company-based intervention guided by a Dynamic Communication Model to increase breast and colorectal cancer screening in Appalachian WV, a medically-underserved population with low screening rates. Our team and key informants developed letters and a website to promote cancer screening, and these were mailed to patients needing screening (breast: n = 232; colorectal: n = 324). After 6 months, a sample of women (n = 22) and men (n = 27) continuing to need screening received telephonic case management counseling. Screening rates were assessed at baseline, 6 months, and 12 months. A final telephone interview was conducted at 12 months with a subset of participants. Key informants (n = 21) provided feedback on the letter/website, resulting in improved readability, organization, and informational content. The letter/website had minimal impact on screening (breast: n = 8; colon: <em>n</em> = 5). The final telephone interview of plan members (n = 12) found they liked the personalized approach and appreciated learning more about cancer, and that you need to “catch it early for good treatment.” All understood the counseling and believed the information was correct. Nearly all intended to get screened. Following counseling, screening numbers increased (total breast: n = 39; total colon: n = 18). Our theoretically-driven, case management counseling intervention was well received and has the potential to increase cancer screening rates, particularly in a rural, medically-underserved populations.
format	article
author	Kimberly Kelly Brandon Dolly Stephenie Kennedy Elvonna Atkins Michelle Coon Kemi King Yves Mbous Shelly Rouse
author_facet	Kimberly Kelly Brandon Dolly Stephenie Kennedy Elvonna Atkins Michelle Coon Kemi King Yves Mbous Shelly Rouse
author_sort	Kimberly Kelly
title	Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
title_short	Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
title_full	Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
title_fullStr	Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
title_full_unstemmed	Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model
title_sort	insure me cancer free: an intervention utilizing a dynamic communication model
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/09d974e242a04df997ea16e92c35ee0f
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Insure Me Cancer Free: An Intervention Utilizing a Dynamic Communication Model

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