Skip to main content
Log in

Interventions to reach underscreened populations: a narrative review for planning cancer screening initiatives

  • Review
  • Published:
International Journal of Public Health

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Ahmed NUN, Haber GG, Semenya KAK, Hargreaves MKM (2010) Randomized controlled trial of mammography intervention in insured very low-income women. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol 19:1790–1798

    Article  Google Scholar 

  • Albada A, Dulmen S, Lindhout D et al (2012) A pre-visit tailored website enhances counselees’ realistic expectations and knowledge and fulfils information needs for breast cancer genetic counselling. Fam Cancer 11:85–95. doi:10.1007/s10689-011-9479-1

    Article  PubMed  Google Scholar 

  • Bencivenga M, DeRubis S, Leach P et al (2008) Community partnerships, food pantries, and an evidence-based intervention to increase mammography among rural women. J Rural Health Off J Am Rural Health Assoc Natl Rural Health Care Assoc 24:91–95

    Article  Google Scholar 

  • Brennan L, Castro S, Brownson RC et al (2011) Accelerating evidence reviews and broadening evidence standards to identify effective, promising, and emerging policy and environmental strategies for prevention of childhood obesity. Annu Rev Public Health 32:199–223

    Article  PubMed  Google Scholar 

  • Bronfenbrenner U (2005) Making human beings human: bioecological perspectives on human development. Sage, Thousand Oaks, CA

  • Brouwers MC, De Vito C, Bahirathan L et al (2011) Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline. Implement Sci IS 6:112. doi:10.1186/1748-5908-6-112

    Article  Google Scholar 

  • Brown SR, Nuno T, Joshweseoma L et al (2011) Impact of a community-based breast cancer screening program on Hopi women. Prev Med 52:390–393

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Brownson RCR, Haire-Joshu DD, Luke DAD (2006) Shaping the context of health: a review of environmental and policy approaches in the prevention of chronic diseases. Annu Rev Public Health 27:341–370

    Article  PubMed  Google Scholar 

  • Canadian Cancer Society’s Advisory Committee on Cancer Statistics (2013) Canadian Cancer Statistics 2013. Canadian Cancer Society, Toronto

    Google Scholar 

  • Carrieri V, Wuebker A (2013) Assessing inequalities in preventive care use in Europe. Health Policy 113:247–257

    Article  PubMed  Google Scholar 

  • Christopher S, Gidley AL, Letiecq B et al (2008) A cervical cancer community-based participatory research project in a Native American Community. Health Educ Behav 35:821–834. doi:10.1177/1090198107309457

    Article  PubMed  Google Scholar 

  • Clark CRC, Baril NN, Kunicki MM et al (2009) Addressing social determinants of health to improve access to early breast cancer detection: results of the Boston REACH 2010 breast and cervical cancer coalition women’s health demonstration project. J Womens Health 18:677–690

    Article  Google Scholar 

  • Engelman KKK, Cupertino APA, Daley CMC et al (2011) Engaging diverse underserved communities to bridge the mammography divide. BMC Public Health 11:47

    Article  PubMed Central  PubMed  Google Scholar 

  • English KCK, Fairbanks JJ, Finster CEC et al (2008) A socioecological approach to improving mammography rates in a tribal community. Health Educ Behav Off Publ Soc Public Health Educ 35:396–409

    Article  Google Scholar 

  • Erwin D, Thélémaque U, Saad-Harfouche F, Jandorf L (2012) Esperanza y Vida Intervention to Increase Breast and Cervical Cancer Screening by Latinas: what are the Crucial Factors in Outreach That Influence Behavior Change? Psycho Oncol 21:22

    Google Scholar 

  • Fernandez ME, DeBor M, Candreia M, Flores B (2010) Dissemination of a breast and cervical cancer early detection program through a network of community-based organizations. Health Promot Pract 11:654–664. doi:10.1177/1524839908325064

    Article  PubMed  Google Scholar 

  • Fouad MN, Partridge E, Dignan M et al (2010) Targeted intervention strategies to increase and maintain mammography utilization among African American Women. Am J Public Health 100:2526–2531

    Article  PubMed Central  PubMed  Google Scholar 

  • Glick SB, Clarke AR, Blanchard A, Whitaker AK (2012) Cervical cancer screening, diagnosis and treatment interventions for racial and ethnic minorities: a systematic review. J Gen Intern Med 27:1016–1032. doi:10.1007/s11606-012-2052-2

    Article  PubMed Central  PubMed  Google Scholar 

  • Honein-abouhaidar GN, Baxter NN, Moineddin R et al (2013) Trends and inequities in colorectal cancer screening participation in Ontario, Canada, 2005–2011. Cancer Epidemiol 37:946–956

    Article  PubMed  Google Scholar 

  • Hou S-I, Sealy D-A, Kabiru CW (2011) Closing the disparity gap: cancer screening interventions among Asians—a systematic literature review. Asian Pac J Cancer Prev APJCP 12:3133–3139

    Google Scholar 

  • Jandorf L, Ellison J, Shelton R et al (2012) Esperanza y Vida: a Culturally and Linguistically Customized Breast and Cervical Education Program for Diverse Latinas at Three Different United States Sites. J Health Commun 17:160

    Article  PubMed Central  PubMed  Google Scholar 

  • Jerant A, Kravitz RL, Fiscella K et al (2013) Effects of tailored knowledge enhancement on colorectal cancer screening preference across ethnic and language groups. Patient Educ Couns 90:103–110

    Article  PubMed Central  PubMed  Google Scholar 

  • Krebs P, Prochaska JO, Rossi JS (2010) A meta-analysis of computer-tailored interventions for health behavior change. Prev Med 51:214–221. doi:10.1016/j.ypmed.2010.06.004

    Article  PubMed Central  PubMed  Google Scholar 

  • Larkey LK, Herman PM, Roe DJ et al (2012) A cancer screening intervention for underserved Latina women by lay educators. J Womens Health 21:557–566

    Article  Google Scholar 

  • Layton B (2012) Effects of a web-based decision aid on African American men’s prostate screening knowledge and behavior. 3506316, Walden University

  • Martínez-Donate APA (2009) Using lay health advisors to promote breast and cervical cancer screening among Latinas: a review. WMJ Off Publ State Med Soc Wis 108:259–262

    Google Scholar 

  • Morrow JB, Dallo FJ, Julka M (2010) Community-based colorectal cancer screening trials with multi-ethnic groups: a systematic review. J Community Health 35:592–601. doi:10.1007/s10900-010-9247-4

    Article  PubMed  Google Scholar 

  • Ngoc Nguyen T-UT, Tanjasiri SPS, Kagawa-Singer MM et al (2008) Community health navigators for breast- and cervical-cancer screening among Cambodian and Laotian women: intervention strategies and relationship-building processes. Health Promot Pract 9:356–367

    Article  PubMed  Google Scholar 

  • Nguyen TTT, Le GG, Nguyen TT et al (2009) Breast cancer screening among Vietnamese Americans: a randomized controlled trial of lay health worker outreach. Am J Prev Med 37:306–313

    Article  PubMed Central  PubMed  Google Scholar 

  • Nguyen TT, Love MB, Liang C et al (2010) A pilot study of lay health worker outreach and colorectal cancer screening among Chinese Americans. J Cancer Educ 25:405–412

    Article  PubMed Central  PubMed  Google Scholar 

  • Ouedraogo S, Dabakuyo-Yonli T, Roussot A et al (2014) European transnational ecological deprivation index and participation in population-based breast cancer screening programmes in France. Prev Med 63:103–108

    Article  PubMed  Google Scholar 

  • Pruthi SS, Shmidt EE, Sherman MMM et al (2010) Promoting a breast cancer screening clinic for underserved women: a community collaboration. Ethn Dis 20:463–466

    PubMed  Google Scholar 

  • Rawl SM, Skinner CS, Perkins SM et al (2012) Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans. Health Educ Res 27:868–885. doi:10.1093/her/cys094

    Article  PubMed Central  PubMed  Google Scholar 

  • Razum O, Spallek J (2014) Addressing health-related interventions to immigrants: migrant-specific or diversity-sensitive? Int J Public Health 59:893–895. doi:10.1007/s00038-014-0584-4

    Article  PubMed  Google Scholar 

  • Rosenstock IM (1966) Why people use health services. Milbank Meml Fund Q Health Soc 44:91–124

    Google Scholar 

  • Saad-Harfouche FG, Jandorf L, Gage E et al (2011) Esperanza y Vida: training Lay Health Advisors and Cancer Survivors to Promote Breast and Cervical Cancer Screening in Latinas. J Community Health 36:219–227. doi:10.1007/s10900-010-9300-3

    Article  PubMed  Google Scholar 

  • Sabatino SA, Lawrence B, Elder R et al (2012) Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med 43:97–118. doi:10.1016/j.amepre.2012.04.009

    Article  PubMed  Google Scholar 

  • Sadler GRG, Ko CMC, Wu PP et al (2011) A cluster randomized controlled trial to increase breast cancer screening among African American women: the black cosmetologists promoting health program. J Natl Med Assoc 103:735–745

    PubMed Central  PubMed  Google Scholar 

  • Sadler GR, Beerman PR, Lee K et al (2012) Promoting breast cancer screening among Asian American women: the Asian grocery store-based cancer education program. J Cancer Educ 27:612–617. doi:10.1007/s13187-012-0419-z

    Article  PubMed Central  PubMed  Google Scholar 

  • Schoueri-Mychasiw N, Campbell S, Mai V (2013) Increasing screening mammography among immigrant and minority women in Canada: a review of past interventions. J Immigr Minor Health 15:149–158

    Article  PubMed  Google Scholar 

  • Simoni JM, Franks JC, Lehavot K, Yard SS (2011) Peer interventions to promote health: conceptual considerations. Am J Orthopsychiatry 81:351–359. doi:10.1111/j.1939-0025.2011.01103.x

    Article  PubMed Central  PubMed  Google Scholar 

  • Spadea TT, Bellini SS, Kunst AA et al (2010) The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: a review. Prev Med 50:159–164

    Article  PubMed  Google Scholar 

  • Sudarsan NR, Jandorf L, Erwin DO (2011) Multi-site implementation of health education programs for Latinas. J Community Health 36:193–203. doi:10.1007/s10900-010-9297-7

    Article  PubMed  Google Scholar 

  • Treloar C, Gray R, Brener L et al (2014) “I can’t do this, it’s too much”: building social inclusion in cancer diagnosis and treatment experiences of Aboriginal people, their carers and health workers. Int J Public Health 59:373–379. doi:10.1007/s00038-013-0466-1

    Article  PubMed  Google Scholar 

  • Tumiel-Berhalter LM, Kahn L, Watkins R et al (2011) The implementation of good for the neighborhood: a participatory community health program model in four minority underserved communities. J Community Health 36:669–674. doi:10.1007/s10900-011-9358-6

    Article  PubMed  Google Scholar 

  • Vernon SW, Bartholomew LK, Mcqueen A et al (2011) A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: sometimes more is just the same. Ann Behav Med 41:284–299. doi:10.1007/s12160-010-9258-5

    Article  PubMed Central  PubMed  Google Scholar 

  • Weinstein ND (1988) The precaution adoption process. Health Psychol Off J Div Health Psychol Am Psychol Assoc 7:355–386

    CAS  Google Scholar 

  • Wells KJ, Luque JS, Miladinovic B et al (2011) Do community health worker interventions improve rates of screening mammography in the United States? A systematic review. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol 20:1580–1598. doi:10.1158/1055-9965.EPI-11-0276

    Article  Google Scholar 

Download references

Acknowledgments

The work to develop this literature was made possible through funding from the Cancer Care Ontario Screening Program. The authors gratefully acknowledge the assistance of colleagues at Cancer Care Ontario who provided feedback at various stages of the project. The authors would like to thank the anonymous reviewers whose suggestions greatly improved this paper.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mavis Jones.

Additional information

This review is part of the section ‘Knowledge synthesis, translation and exchange’.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jones, M., Ross, B., Cloth, A. et al. Interventions to reach underscreened populations: a narrative review for planning cancer screening initiatives. Int J Public Health 60, 437–447 (2015). https://doi.org/10.1007/s00038-015-0666-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-015-0666-y

Keywords

Navigation