Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

Mema, Silvina C.; Yang, Huanming; Elnitsky, Sherry; Jiang, Zhichang; Vaska, Marcus; Xu, Linan

doi:10.9778/cmajo.20170055

Cited by 13 publications

(12 citation statements)

References 7 publications

(7 reference statements)

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“…The Ministry of Health in New Zealand 22 also suggested the use of community workers to distribute and collect kits for rural and remote communities, however, this may not be appropriate in rural and remote areas given the extensive distance between communities. Mema et al 45 suggested the integration of bowel screening services with existing mobile mammography. In this study, women who were already able to access mobile breast screening services also had the option of completing bowel and cervical screening, which was effective in increasing access and participation 45 .…”

Section: Discussionmentioning

confidence: 99%

“…In this study, women who were already able to access mobile breast screening services also had the option of completing bowel and cervical screening, which was effective in increasing access and participation. 45 However, this strategy is associated with a high resource demand for trained health care workers, and logistical barriers such as transportation. Cancer Council Victoria 30 suggested health clinics offer flexible and out-of-hours appointments, transportation assistance, and group transportation for participation in screening services.…”

Section: Abilitymentioning

confidence: 99%

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Strategies to address barriers and improve bowel cancer screening participation in Indigenous populations, particularly in rural and remote communities: A scoping review

Ireland

Hendrie

Ledwith

et al. 2022

Health Prom J of Aust

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Background Participation in bowel cancer screening programs is low in Indigenous1 Australian populations, particularly in rural and remote communities. There is growing evidence of strategies to increase screening rates amongst Indigenous Australians, however, there are limited strategies specific to rural and remote communities. Objective This review aims to identify strategies that may increase bowel cancer screening rates amongst Indigenous populations, particularly in rural and remote communities. Methodology A literature search was undertaken which included peer‐reviewed qualitative and quantitative articles of any study design, and grey literature. Evidence from New Zealand, Canada, United Kingdom, and Australia were included, and descriptive numerical and thematic analyses were conducted. The identified strategies were categorised using the National Cancer Policy Board's organisational framework. Results Nineteen strategies were identified from 23 included articles. The most frequently used strategies were recommendation from a general practitioner, culturally appropriate education resources, and nonresponder follow up. Four strategies were specific to rural and remote communities including alternative distribution of kits and mobile screening. Thirteen strategies aim to address the Knowledge category of the framework, four address Attitudes, four address Ability, and six address Reinforcement. So What?: Several strategies are available to increase bowel cancer screening in Indigenous populations, with very few strategies specifically relating to rural and remote communities. Multiple strategies may maximise the likelihood of participation in screening amongst Indigenous Australians. Implementation may require system‐level and local‐level changes.

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Section: Discussionmentioning

confidence: 99%

Section: Abilitymentioning

confidence: 99%

Strategies to address barriers and improve bowel cancer screening participation in Indigenous populations, particularly in rural and remote communities: A scoping review

Ireland

Hendrie

Ledwith

et al. 2022

Health Prom J of Aust

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“…Mobile SCS are a feasible option to reach people who inject drugs in smaller communities for a number of reasons. Firstly, mobile health services have been effective in increasing participation in primary and secondary prevention services such as immunizations [14], cancer screening [15], and harm reduction [16]. Secondly, mobile injection services have been successfully piloted in Copenhagen, Demark; Berlin, Germany; and Barcelona, Spain [17].…”

Section: Discussionmentioning

confidence: 99%

Mobile supervised consumption services in Rural British Columbia: lessons learned

et al. 2019

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BackgroundIn 2016, a public health emergency was declared in British Columbia due to an unprecedented number of illicit drug overdose deaths. Injection drug use was implicated in approximately one third of overdose deaths. An innovative delivery model using mobile supervised consumption services (SCS) was piloted in a rural health authority in BC with the goals of preventing overdose deaths, reducing public drug use, and connecting clients to health services.MethodsTwo mobile SCS created from retrofitted recreational vehicles were used to serve the populations of two mid-sized cities: Kelowna and Kamloops. Service utilization was tracked, and surveys and interviews were completed to capture clients’, service providers’, and community stakeholders’ attitudes towards the mobile SCS.ResultsOver 90% of surveyed clients reported positive experiences in terms of access to services and physical safety of the mobile SCS. However, hours of operation met the needs of less than half of clients. Service providers were generally dissatisfied with the size of the space on the mobile SCS, noting constraints in the ability to respond to overdose events and meaningfully engage with clients in private conversations. Additional challenges included frequent operational interruptions as well as poor temperature control inside the mobile units. Winter weather conditions resulted in cancelled shifts and disrupted services. Among community members, there was variable support of the mobile SCS.ConclusionsOverall, the mobile SCS were a viable alternative to a permanent site but presented many challenges that undermined the continuity and quality of the service. A mobile site may be best suited to temporarily provide services while bridging towards a permanent location. A needs assessment should guide the stop locations, hours of operation, and scope of services provided. Finally, the importance of community engagement for successful implementation should not be overlooked.

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“…The key of the success for a high adherence rate to counselling may be due to several factors: (i) by providing a more intimate, welcoming and less intimidating environment, the MHC put patients at the heart of the process, bringing healthcare into community spaces familiar to patients, allowing them to feel the sense of a more complete involvement and self-efficacy [11,43]; (ii) all services provided were completely free; (iii) opening hours were broader than primary care 'traditional' facilities; (iv) the counselling was offered on the same occasion of biometric screeningthe two services were provided in two adjacent wagons. Where practicable, it makes sense to integrate the provision of multiple services to enhance participation [48].…”

Section: Table 3 Distribution Of Newly Diagnosed and Uncontrolled Conmentioning

confidence: 99%

The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment

Bertoncello

Cocchio

Fonzo

et al. 2020

Int J Equity Health

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Background: Mobile health clinics (MHCs) are recognized to facilitate access to healthcare services, especially in disadvantaged populations. Notwithstanding that in Europe a wide-ranging background in mobile screening units for cancer is shared, evidences about MHCs targeting also at other non-communicable diseases (NCDs) in universal health coverage systems are scarce. The aim of this study was to describe the population attracted with a MHC initiative and to assess the potential of this tool in prevention and control of NCDs. Methods: Our MHC was set up in a railway wagon. Standard body measurements, finger-stick glucose, total cholesterol and blood pressure were recorded. Participants were asked about smoking, physical activity, diet, compliance to national cancer screening programmes and ongoing pharmacological treatment. One-to-one counselling was then provided. Results: Participants (n = 839) showed a higher prevalence of overweight/obesity, insufficient intake of vegetables, sedentary lifestyle, and a lower compliance to cancer screening compared with reference population. Our initiative attracted groups at higher risk, such as foreigners, men and people aged from 50 to 69. The proportion of newly diagnosed or uncontrolled disease exceeded 40% of participants for both hypertension and hypercholesterolemia (7% for diabetes). Adherence rate to counselling was 99.4%. Conclusions: The MHC was effective in attracting hard-to-reach groups and individuals who may have otherwise gone undiagnosed. MHCs can play a complementary role also in universal coverage health systems, raising selfawareness of unreached population and making access to primary health care easier.

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Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

Cited by 13 publications

References 7 publications

Strategies to address barriers and improve bowel cancer screening participation in Indigenous populations, particularly in rural and remote communities: A scoping review

Strategies to address barriers and improve bowel cancer screening participation in Indigenous populations, particularly in rural and remote communities: A scoping review

Mobile supervised consumption services in Rural British Columbia: lessons learned

The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment

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