Randomized Controlled Trial Examining Health Care Access Interventions for Taxi Drivers

Inclusion Criteria:

Garage Inclusion:

- Located in the NYC Borough of Manhattan, Queens, Brooklyn, or the Bronx

- Has a roster of at least 100 drivers

Driver Inclusion:

- Male

- Between 21 to 85 years of age (We are selecting participants older than three years
past the legal driving age of 18, as younger drivers tend to change jobs more often)

- Planning on remaining in NYC for at least 1 year, (with no vacations or trips to
exceed two months)

- Licensed taxi driver for at least three months

- Affillated with a NYC garage

- Speaks English, Bengali, Urdu, Spanish, or French

- Owns a cell phone that can receive text messages and is willing to receive text
messages for this study.

- Does not have a usual primary care provider(PCP) at baseline

- Has not seen a doctor for an annual physical within the last year not including annual
required physical for work at baseline

TIPs Inclusion:

- Between 21 to 85 years of age

- Male

- Planning on remaining in NYC for at least 1 year, (with no vacations or trips to
exceed one month)

- Licensed taxi driver for at least two years

- Affilliated with a NYC garage

- Speaks English, (English proficiency required for TIPs training)

- Willing and able to attend in person TIPs training sessions

- As per study team judgment, based upon the TIPs screening tool, is socially active
among fellow taxi drivers, cares about health issues, and wants to help others improve
their health

Exclusion Criteria:

Garage/Site Exclusion:

- Does not agree to holding screening health fairs on location (e.g. does not sign
enrollment form, or send email confirming agreement, or verbally agree to study team
management)

Driver Exclusion:

- Part-time driver (drives fewer than 30 hours per week) Although it is highly unlikely
for NYC taxi drivers to work for multiple garages at study baseline, drivers may
switch jobs and/or their garage base affiliation while participating in this study.
New jobs and/or garage base affiliations will be tracked during follow-up assessments
and noted for potential limitations with study retention and intervention
contamination. Drivers will be allowed to continue the study even if they are no
longer working with the initial garage base.