Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review
Patients with mental illnesses adhere to organized cancer screening programs less frequently than the general population. This systematic review aims to examine the literature to identify studies that evaluate interventions designed to increase cancer screening adherence in people with mental disord...
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| Format: | Article |
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MDPI AG
2025-01-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/15/1/47 |
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| author | Paolo Lombardo Ilaria Mussetto Valentina Baccolini Enrico Di Rosa Alessandra Sinopoli |
| author_facet | Paolo Lombardo Ilaria Mussetto Valentina Baccolini Enrico Di Rosa Alessandra Sinopoli |
| author_sort | Paolo Lombardo |
| collection | DOAJ |
| description | Patients with mental illnesses adhere to organized cancer screening programs less frequently than the general population. This systematic review aims to examine the literature to identify studies that evaluate interventions designed to increase cancer screening adherence in people with mental disorders. The review protocol was registered (CRD42024510431) and Pubmed and Scopus were searched up to January 2024. Breast, colorectal, or cervical cancer screening were considered. We adhered to the PROSPERO guidelines. Study quality was assessed. Overall, six articles were included: two RCT studies, two before–after studies, and two cohort studies. Four interventions were conducted in the USA, one in Canada, and one in Japan. Two studies evaluated all three cancer screening programs, two studies evaluated breast cancer screenings, and two studies evaluated colorectal cancer screenings. The proposed interventions included patient navigation, case management, and support from staff members along with educational modules, decision counselling sessions, and enhanced primary care. The most consistent improvements in screening adherence were observed in breast and colorectal cancer screenings compared to usual care, particularly through interventions like patient navigation (colorectal cancer: 47.1% vs. 11.8%, <i>p</i> < 0.001) and case management. Further evaluations of interventions and their costs are still needed. |
| format | Article |
| id | doaj-art-2d78c117763845f1b68fd7b7b9010ba9 |
| institution | Kabale University |
| issn | 2076-328X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj-art-2d78c117763845f1b68fd7b7b9010ba92025-01-24T13:22:43ZengMDPI AGBehavioral Sciences2076-328X2025-01-011514710.3390/bs15010047Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic ReviewPaolo Lombardo0Ilaria Mussetto1Valentina Baccolini2Enrico Di Rosa3Alessandra Sinopoli4Department of Public Health and Infectious Disease, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyDepartment of Public Health and Infectious Disease, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyDepartment of Public Health and Infectious Disease, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyDepartment of Prevention, Local Health Authority Roma 1, Borgo Santo Spirito, 3, 00193 Rome, ItalyDepartment of Prevention, Local Health Authority Roma 1, Borgo Santo Spirito, 3, 00193 Rome, ItalyPatients with mental illnesses adhere to organized cancer screening programs less frequently than the general population. This systematic review aims to examine the literature to identify studies that evaluate interventions designed to increase cancer screening adherence in people with mental disorders. The review protocol was registered (CRD42024510431) and Pubmed and Scopus were searched up to January 2024. Breast, colorectal, or cervical cancer screening were considered. We adhered to the PROSPERO guidelines. Study quality was assessed. Overall, six articles were included: two RCT studies, two before–after studies, and two cohort studies. Four interventions were conducted in the USA, one in Canada, and one in Japan. Two studies evaluated all three cancer screening programs, two studies evaluated breast cancer screenings, and two studies evaluated colorectal cancer screenings. The proposed interventions included patient navigation, case management, and support from staff members along with educational modules, decision counselling sessions, and enhanced primary care. The most consistent improvements in screening adherence were observed in breast and colorectal cancer screenings compared to usual care, particularly through interventions like patient navigation (colorectal cancer: 47.1% vs. 11.8%, <i>p</i> < 0.001) and case management. Further evaluations of interventions and their costs are still needed.https://www.mdpi.com/2076-328X/15/1/47screening programoncological screeningscreening uptakeRCTpsychiatricmental illness |
| spellingShingle | Paolo Lombardo Ilaria Mussetto Valentina Baccolini Enrico Di Rosa Alessandra Sinopoli Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review Behavioral Sciences screening program oncological screening screening uptake RCT psychiatric mental illness |
| title | Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review |
| title_full | Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review |
| title_fullStr | Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review |
| title_full_unstemmed | Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review |
| title_short | Bridging the Gap: Interventions to Increase Cancer Screening Adherence in Individuals with Mental Disorders—A Systematic Review |
| title_sort | bridging the gap interventions to increase cancer screening adherence in individuals with mental disorders a systematic review |
| topic | screening program oncological screening screening uptake RCT psychiatric mental illness |
| url | https://www.mdpi.com/2076-328X/15/1/47 |
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