Clinical and psychosocial constructs for breast, cervical, and colorectal cancer screening participation: A systematic review

Lemmo, Daniela; Martino, Maria Luisa; Vallone, Federica; Donizzetti, Anna Rosa; Freda, Maria Francesca; Palumbo, Francesco; Lorenzo, Elvira; D’Argenzio, Angelo; Caso, Daniela

doi:10.1016/j.ijchp.2022.100354

Cited by 8 publications

(14 citation statements)

References 60 publications

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“…It should be noted that proposed interventions should be culturally relevant to its recipients 12,13,42 . Moreover, they should be competent enough as to meet the expectations of susceptible females and clear the misconceptions of the general population with regard to screening services 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, while low levels of education are expected to be associated with unsatisfactory screening behaviors, higher levels of education may also exhibit such an association through augmenting confidence; thus, lowering perceived susceptibility. Ironically, lower levels of education could result in high perceived susceptibility and therefore, higher rates of participation in screening 41,42 …”

Section: Discussionmentioning

confidence: 99%

“…Ironically, lower levels of education could result in high perceived susceptibility and therefore, higher rates of participation in screening. 41,42 This implies that the overall impact of any predictor construct needs to be interpreted within its own methodological context and that of its population characteristics. However, considering the state of the literature, we advocate for the examination of predictors of cancer screening using methods that offer more interpretations than those offered by traditional statistical models, specifically structural equation modeling.…”

Section: Methodological Implicationsmentioning

confidence: 99%

“…8 It should be noted that proposed interventions should be culturally relevant to its recipients. 12,13,42 Moreover, they should be competent enough as to meet the expectations of susceptible females and clear the misconceptions of the general population with regard to screening services. 10 Furthermore, attempted interventions should be informed by health behavior theories as such theories focus the intervention on empirically proven factors influencing screening uptake while also providing a range of reliable outcome measures for effect evaluation.…”

Section: Developing Interventionsmentioning

confidence: 99%

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Factors affecting cervical screening using the health belief model during the last decade: A systematic review and meta‐analysis

Al‐Ani,

Hammouri,

Sultan

et al. 2023

Psycho-Oncology

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AimsTo examine the utility of the health belief model (HBM) and other socioeconomic factors in shaping cervical screening behaviors. Also, to provide recommendations on improving screening uptake.MethodologyA systematic literature search was conducted using the PubMed/MEDLINE, Cochrane/CENTRAL, and Web of Science databases for articles reporting on the factors associated with cervical screening using the HBM within the period from January of 2002 to January of 2023. Effect sizes for the various HBM constructs were pre‐determined using the log odds ratio (logOR) and expressed with their confidence intervals. All reporting was in line with the PRISMA guidelines.ResultsA total of 21 studies were included in the final analysis comprised of 15,365 participants. Our pooled analysis demonstrated that perceived susceptibility (OR: 1.40, 95% CI, 1.03–1.89), perceived benefits (OR: 1.30; 95% CI, 1.13–1.50), and self‐efficacy (OR: 1.11; 95% CI, 1.05–1.17) were significantly associated with both the uptake of and intention to adopt preventive measures against cervical cancer. Conversely, women with higher perceptions of barriers were less likely to adopt any measure for cervical cancer screening or prevention (OR: 0.72; 95% CI, 0.57–0.91). In terms of sociodemographic effectors, older age (OR: 1.09; 95% CI, 1.01–1.19), graduate/post‐graduate education (OR: 2.80; 95% CI, 1.46–5.37), higher knowledge of cervical cancer (OR: 2.21; 95% CI, 1.27–3.84), and being married (OR: 3.89; 95% CI, 1.38–10.92) were all associated with altering preventive behaviors and intentions toward cervical cancer.ConclusionThis review delineates the most important and effective cognitive components that should be targeted within interventions aiming to promote cervical cancer prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodological Implicationsmentioning

confidence: 99%

Section: Developing Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Factors affecting cervical screening using the health belief model during the last decade: A systematic review and meta‐analysis

Al‐Ani,

Hammouri,

Sultan

et al. 2023

Psycho-Oncology

View full text Add to dashboard Cite

show abstract

“…In particular, various studies have explored the psychosocial factors that influence the rate of participation in cancer screening programs. As demonstrated in recent reviews, the main theoretical models adopted by the literature for examining and improving engagement in cancer screening can be classified into behavioral, functioning and process, and health-cultural models (Lemmo, Martino, Donizzetti, et al, 2022; Lemmo, Martino, Vallone, et al, 2022; Vallone et al, 2022). On the one hand, a large stream of studies in this field attribute a key role to intention and behavior linked to preventive choices (e.g., theory of planned behavior; Ajzen, 1991).…”

Section: Introductionmentioning

confidence: 99%

Emotions and Narrative Reappraisal Strategies of Users of Breast Cancer Screening: Reconstructing the Past, Passing Through the Present, and Predicting Emotions

Martino,

Lemmo,

Donizzetti

et al. 2023

Qual Health Res

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Emotional forecasting, meaning how a person anticipates feeling as a consequence of their choices, drives healthcare decision-making. Research, however, suggests that people often do not fully anticipate or otherwise grasp the future emotional impacts of their decisions. Emotional reappraisal strategies, such as putting emotions into words and sharing emotions with others, may mitigate potential undesirable effects of emotions on decision-making. The use of such strategies is important for consequential decisions, such as obtaining timely mammography screening for breast cancer, whereby earlier diagnosis may impact the success of treatment. In this study, we explored the use of emotional reappraisal strategies for decision-making regarding breast cancer screening attendance among women aged 50–69 years. Data were collected through semi-structured interviews following mammography with a reflexive thematic methodological approach employed for analysis. Results shed light on how participants’ emotional response narratives were reconstructed before the mammography, felt during the mammography, and forecasted while awaiting the results. Future research should consider how individuals experience and manage their emotions as they access breast screening services.

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Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection

Scaglioni,

Capasso,

Bianchi

et al. 2024

Int.J. Behav. Med.

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Background Disgust, embarrassment, and fear can hinder the attendance of colorectal cancer (CRC) screening. However, individuals can respond to these emotions differently. The present study tested whether reappraising a negative stimulus versus avoiding a negative stimulus is associated with age; whether these two emotion regulation strategies (reappraisal and situation selection) moderate the effects of disgust, embarrassment and fear on CRC screening intention; and the efficacy of a message based on participants’ preferred emotion regulation strategy. Methods We recruited 483 Italian participants (aged 40–84 years) through snowball sampling. Participants were randomly assigned to one of four conditions differing for a message promoting CRC screening with an affective lever, a cognitive lever, both levers or none. Key variables included emotion regulation strategies, emotional barriers and intention to get screened. Results The preference for reappraisal over situation selection increased with age. Reappraisal neutralized the effect of disgust on CRC screening intention. The combined message with both affective and cognitive levers increased CRC screening intention (b = 0.27, β = 0.11, SE = 0.13 p = .049), whereas reading the message based only on the affective (b = 0.16, β = 0.06, SE = 0.14 p = .258) or the cognitive (b = 0.22, β = 0.09, SE = 0.14 p = .107) lever was not effective. Conclusions Communication campaigns should support the activation of a reappraisal strategy of emotion control, and messages promoting CRC screening should highlight both the instrumental (i.e., early detection) and affective (i.e., peace of mind) benefits of attendance.

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Clinical and psychosocial constructs for breast, cervical, and colorectal cancer screening participation: A systematic review

Cited by 8 publications

References 60 publications

Factors affecting cervical screening using the health belief model during the last decade: A systematic review and meta‐analysis

Factors affecting cervical screening using the health belief model during the last decade: A systematic review and meta‐analysis

Emotions and Narrative Reappraisal Strategies of Users of Breast Cancer Screening: Reconstructing the Past, Passing Through the Present, and Predicting Emotions

Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection

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