Taxi METERS: Measuring Effectiveness of Technology, Education, Referrals and Support

Study Summary

In our past work it was found that many drivers had high blood pressure, and lifestyles that led to being overweight and not having cancer screenings performed. The investigators are now adding to the Health Fairs' usual program different ways of following up with drivers who attend our Health Fairs. The investigators are doing this because they want to find the best way to help drivers manage high blood pressure, and reduce cancer risk, by maintaining a healthy weight and increasing colorectal cancer screening. Health screenings will be conducted by trained personnel, and a physician or nurse will provide a health consult in person or over the phone (via MSK-issued phone/video/audio devices). 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. \* If critically abnormal values are identified during the health fair, under the advisement of the clinician, the driver may be escorted by trained staff directly to a health care facility for immediate medical follow-up

Primary Outcome

The drop in BP from baseline will be estimated for each participant. The investigators will summarize the mean and 95% confidence interval (CI) for the drop in systolic and diastolic BP from baseline for each arm at the

Interventions

• OTHER CONTROL- Usual & Customary Health Fair Follow-up
• OTHER Health Fair + TECH [Text Messaging + Home Blood Pressure Monitoring]
• OTHER Heal th Fair + TECH [Text Messaging + Home Blood Pressure Monitoring] + Social Network Support (SNS)