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Cancer Prevention and Screening for People Experiencing Homelessness: Co-Designing the Health Navigator Model.

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International Journal of Integrated Care
|November 17, 2025
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Summary

A new Health Navigator Model (HNM) was co-designed to improve cancer prevention for people experiencing homelessness (PEH). This model uses health navigators to bridge healthcare access gaps and enhance cancer care for this vulnerable population.

Keywords:
cancer preventioncancer screeningco-designhomelessnesspatient empowermentpatient navigation

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Area of Science:

  • Public Health
  • Health Services Research
  • Cancer Prevention

Background:

  • People experiencing homelessness (PEH) face significant barriers to healthcare access, leading to higher cancer morbidity and mortality.
  • Existing integrated care interventions for cancer prevention among PEH are limited.

Purpose of the Study:

  • To co-design a tailored, integrated care intervention to improve cancer prevention for people experiencing homelessness.
  • To develop a Health Navigator Model (HNM) addressing specific needs and barriers faced by PEH.

Main Methods:

  • A qualitative, participatory approach involving seven focus groups with 15 PEH and 41 health and social care professionals across four European countries.
  • Thematic analysis of data using a framework based on ten core components of navigation interventions.

Main Results:

  • Consensus was reached on the Health Navigator Model (HNM), featuring health navigators to identify needs, raise awareness, coordinate care, and offer support.
  • A person-centred approach was established, emphasizing the critical role of comprehensive training and supervision for health navigators.

Conclusions:

  • The co-design process empowered PEH and professionals to shape an intervention addressing cancer prevention gaps.
  • The HNM provides a structured, consistent model to improve cancer care access for PEH.
  • Further implementation science research is required to assess the HNM's real-world effectiveness.