Are community-based health worker interventions an effective approach for early diagnosis of cancer? A systematic review and meta-analysis

Psycho-oncology
Sarah BellhouseDavid P French

Abstract

This systematic review aimed to assess the effectiveness of community-based health worker (CBHW) interventions for early detection of cancer. Secondary aims were to consider the extent that interventions were based on theory, and potential moderators including behaviour change techniques (BCTs). Six databases were searched for randomized controlled trials. Random-effects meta-analyses were applied to 30 eligible studies with a cancer screening outcome. Participation in CBHW interventions was associated with increased receipt of screening (OR = 1.901, 95% CI: 1.60-2.26, P < 0.001) for breast, cervical, and bowel cancer. Larger effect sizes were observed in participants previously non-adherent with recommended schedules of cancer screening. Twenty-five out of 30 studies were conducted with ethnic minority groups. Only 15 (45%) studies explicitly reported a theoretical foundation for intervention. The number of BCTs used by CBHWs had a trend level association with observed effect size (P = 0.08). Study quality was generally poor, and common limitations were inadequate blinding and reliance on self-reported outcomes. Community-based health worker interventions are an effective resource for increasing uptake of all 3 types of cancer...Continue Reading

References

Jan 1, 1984·Health Education Quarterly·N K Janz, M H Becker
Aug 1, 1995·American Journal of Public Health·A WitmerE H O'Neil
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Jul 4, 1998·American Journal of Preventive Medicine·A M NavarroM C Campo
Sep 13, 2000·American Journal of Public Health·N DuanS Carson
May 2, 2002·Journal of the National Cancer Institute·Victoria M TaylorBeti Thompson
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Nov 15, 2002·Cancer Detection and Prevention·Victoria M TaylorBeti Thompson
Jul 10, 2003·Journal of General Internal Medicine·Tram K LamThien-Nhien Luong
Aug 7, 2004·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Jennifer B HunterAnna R Giuliano
Jan 28, 2005·The Cochrane Database of Systematic Reviews·S A LewinM Patrick
Jun 30, 2006·Contemporary Clinical Trials·Rebecca DerSimonian, Raghu Kacker
Sep 7, 2006·Journal of the National Cancer Institute·Electra PaskettKatherine Reeves
Oct 24, 2007·American Journal of Preventive Medicine·Scott D RhodesFred R Bloom
Sep 10, 2008·Cancer·Kristen J WellsUNKNOWN Patient Navigation Research Program
Mar 5, 2009·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Michael B PotterJudith M E Walsh
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Sep 22, 2009·American Journal of Preventive Medicine·Tung T NguyenStephen J McPhee
Sep 22, 2009·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J J OttA B Miller
Nov 10, 2009·American Journal of Preventive Medicine·Matthew J O'BrienSteven C Larson
Dec 17, 2009·Preventive Medicine·Idris GuessousUNKNOWN National Colorectal Cancer Roundtable Screening Among the 65 Plus Task Group
Dec 17, 2009·The Diabetes Educator·Susan M SwiderSteven Rothschild
Jan 9, 2010·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Kathleen M RussellElectra D Paskett
Jan 13, 2010·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Susan Michie, Andrew Prestwich
Jan 1, 2008·Progress in Community Health Partnerships : Research, Education, and Action·Lina JandorfDeborah O Erwin
Jan 1, 2007·Progress in Community Health Partnerships : Research, Education, and Action·M Christopher Gibbons, Nadra C Tyus
Jun 16, 2010·American Journal of Preventive Medicine·Judith M E WalshRena J Pasick
Jul 8, 2010·Journal of General Internal Medicine·Matthew J O'BrienJudy A Shea
Aug 14, 2010·Medical Care·Meera ViswanathanDaniel E Jonas
Aug 21, 2010·American Journal of Public Health·Victoria M TaylorScott Ramsey
Mar 25, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Electra D PaskettJill M Oliveri
Jun 10, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Kristen J WellsAmbuj Kumar
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Oct 12, 2012·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Georgia Robins SadlerWennie Huang
Mar 21, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Susan MichieCaroline E Wood

❮ Previous
Next ❯

Citations

Mar 14, 2020·The Cochrane Database of Systematic Reviews·Chalong CheewakriangkraiPisake Lumbiganon
May 3, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Damiya E WhitakerSanya A Springfield
Apr 8, 2021·Journal of General Internal Medicine·Rogério Meireles PintoW Galhego-Garcia
Oct 5, 2021·Human Resources for Health·Helen W LiDebra K Litzelman
Nov 2, 2019·International Journal of Nursing Studies·Marina Rodríguez-GómezVicenta Escribà-Agüir

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Disparities

Cancer disparities refers to differences in cancer outcomes (e.g., number of cancer cases, related health complications) across population groups.