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Interventions to reach underscreened populations: a narrative review for planning cancer screening initiatives
Mavis Jones1, Brenda Ross, Alyssa Cloth
1, Toronto, Canada, mavis_jns@yahoo.com.
Objectives:
This review was conducted to support knowledge translation (KT) and implementation of interventions to increase participation in organized cancer screening programs in the province of Ontario, Canada.
Methods:
A rigorously designed literature search yielded over 900 references which were then subjected to exclusion criteria. The remainder was organized according to type of intervention, based on the categories applied in two authoritative systematic reviews and an analysis of the level of evidence. Emerging themes in the literature were then identified to provide a bridge between high-level evidence and on-the-ground practice.
Results:
We identify three promising types of KT interventions: community-based health education; lay or peer health education; and targeted or tailored interventions. Each is summarized with illustrative examples and a summary of key themes and considerations.
Conclusions:
The authors conclude with a summary the types and a decision tool designed to help KT and implementation teams select interventions which could be adapted to their own context.
Insights
This review identifies three effective knowledge translation (KT) interventions to boost participation in organized cancer screening programs. These include community-based, lay/peer, and targeted health education strategies.
Area of Science:
- Public Health
- Health Services Research
- Cancer Prevention
Background:
- Low participation rates in organized cancer screening programs remain a challenge.
- Effective knowledge translation (KT) and implementation strategies are crucial for improving public health outcomes.
- Ontario, Canada faces specific needs in cancer screening program engagement.
Purpose of the Study:
- To support knowledge translation and implementation of interventions aimed at increasing participation in organized cancer screening programs in Ontario, Canada.
- To identify and summarize evidence-based KT interventions for cancer screening.
- To provide guidance for selecting and adapting interventions for diverse contexts.
Main Methods:
- A comprehensive literature search identified over 900 references.
- References were screened using exclusion criteria and categorized by intervention type.
- Emerging themes were identified to bridge research evidence and practical application.
Main Results:
- Three promising KT intervention types were identified: community-based health education, lay or peer health education, and targeted or tailored interventions.
- Each intervention type is presented with examples, key themes, and considerations.
- The review synthesizes evidence to inform intervention selection.
Conclusions:
- Community-based, lay/peer, and targeted health education interventions show promise for increasing cancer screening participation.
- A decision tool is provided to assist KT and implementation teams in selecting appropriate interventions.
- Interventions can be adapted to specific local contexts for successful implementation.
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