Health Care Access Interventions for Taxi Drivers
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial seeks to determine the best way to help taxi drivers in New York City attend important medical appointments and maintain a regular doctor. Researchers are testing various methods: usual health fair services alone, those services plus Navigation Case Management (NCM), or those services plus Taxi Health Improvement Promoters (TIP). Male taxi drivers who haven't had an annual check-up in the past year and lack a primary care doctor may be suitable for this study. Participants will receive follow-up support and reminders, including completing questionnaires, to ensure they receive necessary healthcare. As an unphased trial, this study provides a unique opportunity for participants to contribute to innovative solutions for improving healthcare access.
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.
What prior data suggests that these interventions are safe for taxi drivers?
Research shows that the treatments studied in this trial, such as Navigator Case Management and Taxi Health Improvement Promoters, are generally safe and aim to improve healthcare access for taxi drivers. Previous studies have found that Navigator Case Management helps drivers secure better insurance coverage and visit their primary care doctors more regularly, enhancing their health management. No reports of negative effects have emerged from these interventions.
The Taxi Health Improvement Promoter approach includes regular check-ins and reminders about health appointments, which participants handle well. These interventions are designed to help drivers attend important medical appointments and maintain healthier habits.
This trial is in the "Not Applicable" phase, focusing on how these interventions work in real-life settings rather than testing a new drug or treatment for safety. Therefore, these interventions are considered low-risk, as they involve support and reminders instead of new medical therapies.12345Why are researchers excited about this trial?
Researchers are excited about these healthcare access interventions for taxi drivers because they offer proactive, personalized support that goes beyond the usual care options. The Health Fair + Navigator Case Management approach stands out by providing tailored monthly assistance, appointment reminders, and consistent follow-ups, ensuring that drivers stay engaged with their healthcare. Meanwhile, the Health Fair + Taxi Health Improvement Promoters arm adds weekly check-ins and text messaging for appointment scheduling and health promotion, which could significantly enhance engagement and adherence to medical advice. These strategies aim to address the unique challenges taxi drivers face in accessing healthcare, potentially leading to better health outcomes for this group.
What evidence suggests that this trial's interventions could be effective for improving healthcare access for taxi drivers?
This trial will compare different interventions to improve healthcare access for taxi drivers. Research has shown that adding Navigator Case Management (NCM), one of the interventions in this trial, to regular health fairs helps more people access healthcare. One study found that insurance coverage increased from 40% to 63%, and more drivers began visiting primary care doctors, rising from 52% to 60%. This indicates that extra support, such as appointment reminders and monthly check-ins, enables more taxi drivers to receive necessary healthcare.
Similarly, the Taxi Health Improvement Promoters (TIP) approach, another intervention in this trial, also aims to make healthcare more accessible for drivers. It includes regular check-ins and reminders to attend medical appointments. This method has been linked to better health for drivers, who often face health risks due to their sedentary jobs. Both NCM and TIP show promise in helping taxi drivers stay healthier by facilitating access to medical care.16789Who Is on the Research Team?
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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Health Fair
Participants attend a health fair to receive standard services and initial assessments
Intervention
Participants receive Navigation Case Management (NCM) or Taxi Health Improvement Promoters (TIP) interventions, including follow-up calls and health promotion reminders
Follow-up
Participants are monitored for the establishment of a primary care provider and other health outcomes
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?
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
• 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.
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
SOUTH ASIAN COUNCIL FOR SOCIAL SERVICES
Collaborator
Citations
Randomized Controlled Trial Examining Health Care Access ...
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 ...
Health Insurance and Primary Care Access for Taxi/FHV ...
The data revealed an increase in insurance coverage and primary care uptake across the four years, from 40% to 63% and 52% to 60%, respectively.
Step On It! Impact of a Workplace New York City Taxi Driver ...
Data collected included sociodemographics, employment, health care access and use, height, weight, blood pressure, and random plasma glucose.
Taxi Health Access Interventions for Linkages and Lifestyle (HAILL)
We have developed and implemented a multifaceted intervention, an occupationally tailored worksite screening health fair with case management, which has ...
Primary Care Uptake Interventions in Taxi, App-Based, and ...
All interventions increased healthcare access, with a positive trend in primary care uptake between arms 1 and 2. Health Fairs and Navigator case management ...
6.
researchgate.net
researchgate.net/publication/352875392_Cardiovascular_health_status_of_taxifor-hire_vehicle_drivers_in_the_United_States_A_systematic_reviewCardiovascular health status of taxi/for-hire vehicle drivers ...
Arm 1 received the Health Fair only. Arm 2 received the Health Fair and Navigator case management for up to 12 months. Arm 3 received the Health ...
Step On It! Impact of a Workplace New York City Taxi Driver ...
Objectives. We describe the impact of the Step On It! intervention to link taxi drivers, particularly South Asians, to health insurance ...
Cardiovascular Health of Taxi/FHV Drivers in the United States
This review sought to systematically investigate the literature given mounting evidence of poor taxi/FHV driver health.
Health and Safety Strategies of Urban Taxi Drivers - PMC
This study describes health and safety concerns and self-care strategies of San Francisco taxi drivers. Focus groups and a written cross-sectional survey ...
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