756 Participants Needed

Health Care Access Interventions for Taxi Drivers

Age: 18+
Sex: Male
Trial Phase: Academic
Sponsor: Memorial Sloan Kettering Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The purpose of this study is to compare the effectiveness of providing the usual health fair service and follow-up alone plus additional interventions of Navigation Case Management (NCM) or mobile text messaging (mTECH) and Taxi health Improvement Promoter (TIP). The addition of NCM or mTECH and TIP to the usual follow-up could prove to be more effective in finding the best way to make sure taxi drivers go to important medical appointments and have a regular doctor to help with their health problems. This study will help researchers find out whether the different approaches are better, the same as, or worse than the usual approach.In the event that participants are unable to meet in person for biometric measurements, staff will accept their self-reported weight, blood pressure, and waist circumference over the phone. Staff may mail blood pressure machines (to participants who did not receive them at baseline), scales, and measuring tapes to participants to assist in the completion of self-reported biometric measures. Along with supplies, participants may also receive a letter asking for the confirmation of supply receipt.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on health care access rather than medication changes.

Is participating in health care access interventions for taxi drivers safe?

The research does not provide specific safety data for health care access interventions for taxi drivers, but it highlights the need for targeted health interventions due to their high risk of health issues like hypertension and exposure to air pollution.12345

How does the treatment 'Questionnaires' differ from other treatments for health care access in taxi drivers?

The treatment 'Questionnaires' is unique because it focuses on assessing and understanding the health status and health promotion practices of taxi drivers, who often have low insurance coverage and limited access to health care. Unlike traditional medical treatments, this approach aims to identify barriers to health care access and promote health awareness among this underserved population.13567

What data supports the effectiveness of the treatment Questionnaires for improving health care access for taxi drivers?

Research shows that interventions combining transportation support with other services like counseling and care coordination can improve health outcomes, such as better management of chronic diseases and increased health care access. This suggests that similar multi-component approaches, like using questionnaires to identify and address barriers, could be effective for taxi drivers.368910

Who Is on the Research Team?

Francesca M. Gany, MD, MS - MSK Internist

Francesca Gany, MD, MPH

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

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.

Inclusion Criteria

Garage/Enrollment Site Inclusion: Located in the NYC Borough of Manhattan, Queens, Brooklyn, or the Bronx and has a roster of at least 100 drivers or is a site frequented by drivers
I am a male taxi driver in NYC, aged 21-85, without a primary doctor and haven't had a physical in the last year.
I am a male taxi driver in NYC, aged 21-85, who cares about health and helping others.

Exclusion Criteria

I do not agree to host health screenings at my location.
Driver Exclusion: Part-time driver (drives fewer than 30 hours per week)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Health Fair

Participants attend a health fair to receive standard services and initial assessments

1 day
1 visit (in-person)

Intervention

Participants receive Navigation Case Management (NCM) or Taxi Health Improvement Promoters (TIP) interventions, including follow-up calls and health promotion reminders

12 months
Monthly check-ins (in-person or phone)

Follow-up

Participants are monitored for the establishment of a primary care provider and other health outcomes

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Questionnaires
Trial Overview 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.
How Is the Trial Designed?
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.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

SOUTH ASIAN COUNCIL FOR SOCIAL SERVICES

Collaborator

Trials
1
Recruited
760+

Citations

Step on it! Impact of a workplace New York City taxi driver health intervention to increase necessary health care access. [2022]
A Systematic Review of Interventions to Minimize Transportation Barriers Among People with Chronic Diseases. [2022]
Lurking in plain sight: Hypertension awareness and treatment among New York City taxi/for-hire vehicle drivers. [2023]
New York City Taxi Drivers' Knowledge and Perceptions of the Affordable Care Act. [2022]
Impact of Transportation Interventions on Health Care Outcomes: A Systematic Review. [2021]
Driving to better health: cancer and cardiovascular risk assessment among taxi cab operators in Chicago. [2022]
Perception and reality of particulate matter exposure in New York City taxi drivers. [2020]
Health assessment of taxi drivers in the city of Tshwane. [2018]
Discrimination and Health Among Taxi Drivers in New York and Toronto. [2020]
10.United Statespubmed.ncbi.nlm.nih.gov
Health Insurance and Primary Care Access for Taxi/FHV Drivers in New York City: Trends from 2015-2018. [2023]
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