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Health Care Access Interventions for Taxi Drivers

N/A

Waitlist Available

Led By Francesca Gany, MD, MS

Research Sponsored by Memorial Sloan Kettering Cancer Center

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 12 months

Awards & highlights

No Placebo-Only Group

Summary

This trial is comparing the effectiveness of 3 different approaches to help taxi drivers go to important medical appointments and have a regular doctor. One approach is the usual health fair service and follow-up alone. The other two approaches add additional interventions of Navigation Case Management (NCM) or mobile text messaging (mTECH) and Taxi health Improvement Promoter (TIP). The trial will help researchers find out whether the different approaches are better, the same as, or worse than the usual approach.

Who is the study for?

This trial is for male taxi drivers aged 21-85 in NYC who speak English, Bengali, Urdu, Spanish, or French. They must own a cell phone capable of texting and lack a regular doctor. Participants should not have had an annual physical outside of work requirements within the last year and plan to stay in NYC for at least one more year.

What is being tested?

The study tests if adding Navigation Case Management (NCM), mobile text messaging (mTECH), and Taxi health Improvement Promoter (TIP) to usual follow-up improves healthcare access for taxi drivers. It aims to determine whether these interventions help drivers attend medical appointments and maintain regular healthcare.

What are the potential side effects?

Since this trial involves questionnaires and communication-based interventions rather than medications or invasive procedures, there are no direct medical side effects expected from participation.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 12 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~12 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Number of drivers that have a primary care provider (pcp)

Side effects data

From 2023 Phase 2 trial • 45 Patients • NCT02280356

73%

Urinary frequency

69%

Urinary urgency

58%

Erectile dysfunction

18%

Fatigue

16%

Urinary incontinence

13%

Urinary tract obstruction

13%

Urinary tract pain

11%

Rectal hemorrhage

11%

Renal and urinary disorders - Other, specify

Diarrhea

Proctitis

100%

80%

60%

40%

20%

Study treatment Arm

Radiation Therapy in Combination With Brachytherapy

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

3Treatment groups

Experimental Treatment

Active Control

Group I: Health Fair + Taxi Health Improvement PromotersExperimental Treatment1 Intervention

Health Fair standard services Follow-up call or further in-person assistance within one day for urgent follow-up, or call within two weeks for regular needs. Three call attempts. Taxi health Improvement Promoters (TIPs) * Weekly check-ins with each participant, in person or by phone, about scheduling of, and attendance at, primary care appointments along with other health or study questions Mosio Text Messaging Program * Send primary care provider recommendations to participant up to three times * Two pre-appointment reminders \& one post-appointment check-in * Twice weekly health promotion reminders after primary care appointment

Group II: Health Fair + Navigator Case ManagementExperimental Treatment1 Intervention

• Follow-up call or further in-person assistance within one day for urgent follow-up, or call within two weeks for regular needs. Three call attempts. Navigator Case Management by trained staff * Tailored assistance for any health needs a minimum of once a month 12 months. Assistance includes pre-appointment reminder calls, post-appointment follow up calls, and health promotion reminders. * NCM case management will continue follow-up at a minimum of once per month or as requested by the participant for the study duration and will consistently offer appointment reminders and follow-ups.

Group III: Health Fair Alone (Control)Active Control1 Intervention

No Follow Up Participant does not require referrals or assistance and was not advised to see a provider in the next three months. Regular follow-up call within two weeks of health fair by IHCD intern or staff. Participant has abnormal values, requires referrals or assistance or was advised to see a provider in the next three months. Up to 3 call attempts to get participant into needed care. Further contact only by participant request. Urgent follow-up call or in-person assistance within 1 day of health fair by IHCD intern or staff Participant advised to seek urgent care within one week. Three total call or in-person attempts to get participant into needed care. Further contact only by participant request The follow up call attempts may extend up to 3 months past the date of health fair to complete any needs the driver may have.

Treatment

First Studied

Drug Approval Stage

How many patients have taken this drug

questionnaires

2008

Completed Phase 2

~4390

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