A Systematic Review on US-Based Community Health Navigator (CHN) Interventions for Cancer Screening Promotion—Comparing Community- Versus Clinic-Based Navigator Models
- 690 Downloads
This study synthesized lessons learned from US-based community and clinic health navigator (CHN) interventions on cancer screening promotion to identify characteristics of models and approaches for addressing cancer disparities. The combination terms “cancer screening” and “community health workers or navigators” or “patient navigators” were used in searching Medline, CINAHL, and PsycInfo. A total of 27 articles published during January 2005∼April 2014 were included. Two CHN models were identified: community-based (15 studies) and clinic/hospital-based (12 studies). While both models used the term “navigators,” most community-based programs referred them as community health workers/navigators/advisors, whereas clinic-based programs often called them patient navigators. Most community-based CHN interventions targeted specific racial/ethnic minority or rural groups, while clinic-based programs mostly targeted urban low income or mixed ethnic groups. Most community-based CHN programs outreached members from community networks, while clinic-based programs commonly worked with pre-identified in-service clients. Overall, regardless model type, CHNs had similar roles and responsibilities, and interventions demonstrated effective outcomes. Our review identified characteristics of CHN interventions with attention to different settings. Lessons learned have implication on the dissemination and implementation of CHN interventions for cancer screening promotion across setting and target groups.
KeywordsCancer screening Navigator Intervention Setting Review
Conflict of Interest
The authors declare there is no conflict of interest.
- 1.Centers for Disease Control and Prevention (2012) Cancer screening—United States, 2010. Morb Mortal Wkly Rep 61(3):41–45Google Scholar
- 2.Centers for Disease Control and Prevention (2011) Colorectal cancer screening—United States, 2002, 2004, 2006, and 2008. Morb Mortal Wkly Rep 60(1):42–46Google Scholar
- 3.Henley SJ, King JB, German RR, Richardson LC, Plescia M (2010) Surveillance of screening-detected cancers (colon and rectum, breast, and cervix)—United States, 2004–2006. Morb Mortal Wkly Rep 59(9):1–25Google Scholar
- 11.Nguyen TN, Tran JH, Kagawa-Singer M, Foo MA (2011) A qualitative assessment of community-based breast health navigation services for Southeast Asian women in southern California: recommendations for developing a navigator training curriculum. Am J Public Health 101(1):87–93CrossRefPubMedCentralPubMedGoogle Scholar
- 12.Watson-Johnson LC, Bhagatwala J, Reyes-Garcia C, Hinojosa A, Mason M, Meade CD, Luque JS (2012) Refinement of an educational toolkit to promote cervical cancer screening among Hispanic immigrant women in rural southern Georgia. J Health Care Poor Underserved 23(2012):1704–1711CrossRefPubMedCentralPubMedGoogle Scholar
- 23.Jandorf L, Cooperman JL, Stossel LM, Itzkowitz S, Thompson HS, Villagra C, Thelemaque LD, McGinn T, Winkel G, Valdimarsdottir H, Chelton RC, Redd W (2013) Implementation of culturally targeted patient navigation system for screening colonoscopy in a direct referral system. Health Educ Res 28(5):803–815CrossRefPubMedCentralPubMedGoogle Scholar
- 24.(OBSSR) OoBaSSR. National Institutes of Health (2013) Dissemination and implementation. http://obssr.od.nih.gov/scientific_areas/translation/dissemination_and_implementation/index.aspx. Accessed 27 Sep 2013.
- 25.(FIC) FIC. Frequently asked questions about implementation science (2013) National Institutes of Health. http://www.fic.nih.gov/News/Events/implementation-science/Pages/faqs.aspx Accessed 27 Sep 2013.
- 26.Garrad J (2003) Health sciences literature review made easy: the matrix method, 4th edn. Jones and Bartlett, BurlingtonGoogle Scholar
- 29.Fernández MEP, Gonzales AMSW, Tortolero-Luna GMDP, Williams JMPH, Saavedra-Embesi MMPH, Chan WP et al (2009) Effectiveness of Cultivando la Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health 99(5):936–943CrossRefPubMedCentralPubMedGoogle Scholar
- 41.Nguyen T-UN, Tran JH, Kagawa-Singer M, Foo MA (2011) A qualitative assessment of community-based breast health navigation services for Southeast Asian women in Southern California: recommendations for developing a navigator training curriculum. Am J Public Health 101(1):87–93CrossRefPubMedCentralPubMedGoogle Scholar