Interventions
cancer
CANCER
An interactive DVD, developed by study investigators (V.L.C. and S.M.R.), allowed users the ability to respond to prompts and receive personalized feedback to encourage uptake of needed screenings. Within each cancer screening unit, tailored messages, built on 2 decades of research,Participants were randomly assigned to the DVD, DVD/PN, and usual groups between November 26, 2018, and July 1, 2019. Women randomly assigned to the DVD/PN intervention group were mailed a DVD followed by a patient navigator telephone attempt within 4 weeks. Two licensed social workers who were residents of rural Ohio were trained as patient navigators by study investigators (E.D.P. and M.L.K.). Social workers were selected as navigators because they had the requisite knowledge and skills needed to counsel women regarding cancer screening. Navigators contacted participants, confirmed receipt of the DVD, promoted and fostered information provided by the DVD, and counseled women to overcome identified barriers to any screening tests that were needed. Additional follow-up calls were made, as necessary, with a mean of 3 content calls (range, 1-14 calls) successfully completed per woman. A trained research assistant assessed 10% of the calls for fidelity.