The global role, impact, and limitations of Community Health Workers (CHWs) in breast cancer screening: a scoping review and recommendations to promote health equity for all

Hand, Taylor; Rosseau, Natalie; Stiles, Christina E; Sheih, Tianna; Ghandakly, Elizabeth; Oluwasanu, Mojisola; Olopade, Olufunmilayo I.

doi:10.1080/16549716.2021.1883336

Cited by 25 publications

(23 citation statements)

References 39 publications

(34 reference statements)

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“…CHWs can play a number of important roles in early BC detection initiatives in LMICs (Hand et al 2021). These roles include raising awareness, taking histories, performing CBE, making referrals and following up patients (O'Donovan et al 2020).…”

Section: Future Interventions For Breast Cancermentioning

confidence: 99%

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Rademaker

Bhandary

Harder

2021

J Public Health (Berl.)

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Aim Breast and cervical cancers have emerged as major global health challenges and disproportionately affect women in low- and middle-income countries, including Nepal. This scoping review aimed to map the knowledge, attitudes and screening practices for these cancers among Nepali women to improve cancer outcomes and reduce inequality. Methods Five electronic databases (CINAHL, Embase, Global Health, PsycINFO and PubMed), grey literature, and reference and citation lists were searched for articles published in English up to June 2021. Articles were screened against inclusion/exclusion criteria, and data from eligible studies were extracted. Results were summarised narratively. Results The search yielded 615 articles, 38 of which were included in this scoping review (27 cervical cancer, 10 breast cancer, 1 both cancers). Levels of knowledge regarding breast and cervical varied widely. The main knowledge gaps were misconceptions about symptoms and risk factors, and poor understanding of screening behaviours. Screening practices were mostly inadequate due to socio-cultural, geographical or financial barriers. Positive attitudes towards cervical screening were associated with higher education and increased knowledge of screening modalities. Higher levels of knowledge, (health) literacy and participation in awareness campaigns facilitated breast cancer screening. Conclusion Knowledge and screening practices for breast and cervical cancer among Nepali women were poor and highlight the need for awareness and education programmes. Future research should explore community health worker-led awareness and screening interventions for cervical cancer, and programmes to increase the practice of breast self-examination and clinical breast examinations to support early diagnosis of breast cancer.

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Section: Future Interventions For Breast Cancermentioning

confidence: 99%

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Rademaker

Bhandary

Harder

2021

J Public Health (Berl.)

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“…Promotoras provide health education, patient navigation assistance, and deliver medical services. Promotora programs have emerged as models to address many conditions, including diabetes, cardiovascular disease, cancer screening, and mental health conditions in Latin‐American communities 2–7 . Previous promotora interventions have shown improvement in health‐related behavior, knowledge, patient satisfaction, and quality of life 2–7 .…”

Section: Introductionmentioning

confidence: 99%

“…Promotora programs have emerged as models to address many conditions, including diabetes, cardiovascular disease, cancer screening, and mental health conditions in Latin-American communities. [2][3][4][5][6][7] Previous promotora interventions have shown improvement in health-related behavior, knowledge, patient satisfaction, and quality of life. [2][3][4][5][6][7] In the United States, communities have turned to CHWs to improve population health.…”

mentioning

confidence: 99%

“…[2][3][4][5][6][7] Previous promotora interventions have shown improvement in health-related behavior, knowledge, patient satisfaction, and quality of life. [2][3][4][5][6][7] In the United States, communities have turned to CHWs to improve population health. In Texas, promotora certification requires completion of 160 hours of education or at least 1000 h of CHW experience.There are limited studies investigating the role of promotoras for dermatologic disease.…”

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confidence: 99%

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Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers

Joseph

Chen

Youssef

et al. 2022

Pediatric Dermatology

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Community health workers (CHWs), or promotoras de salud, play important roles in health care education and advocacy in the Latin-American community and are effective due to their understanding of their communities' culture, language, and challenges. 1 Promotoras provide health education, patient navigation assistance, and deliver medical services. Promotora programs have emerged as models to address many conditions, including diabetes, cardiovascular disease, cancer screening, and mental health conditions in Latin-American communities. [2][3][4][5][6][7] Previous promotora interventions have shown improvement in health-related behavior, knowledge, patient satisfaction, and quality of life. [2][3][4][5][6][7] In the United States, communities have turned to CHWs to improve population health. In Texas, promotora certification requires completion of 160 hours of education or at least 1000 h of CHW experience.There are limited studies investigating the role of promotoras for dermatologic disease. Latin-American patients may have more

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“…In order to address the psychosocial burden observed in BC patients, innovative interventions are needed, especially taking into account the most vulnerable populations [ 18 ]. To this aim, eHealth (i.e., healthcare services provided electronically) is a growing field, which is transforming health promotion and healthcare delivery, and which provides a new opportunity to reach and engage with communities [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

A Digital Cancer Ecosystem to Deliver Health and Psychosocial Education as Preventive Intervention

Ciria‐Suarez

Costas

Flix-Valle

et al. 2022

Cancers

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Health education and psychosocial interventions prevent emotional distress, and the latter has been shown to have an impact on survival. In turn, digital health education interventions may help promote equity by reaching a higher number of cancer patients, both because they avoid journeys to the hospital, by and having a better efficiency. A total of 234 women recently diagnosed with breast cancer in a comprehensive cancer center used the digital ecosystem ICOnnecta’t from March 2019 to March 2021. ICOnnecta’t consists of four care levels, provided to patients according to their level of distress. The second level of this intervention consists of an educational campus, which was analyzed to track users’ interests and their information-seeking behavior. Overall, 99 out of 234 women (42.3%) used the educational campus. There were no significant differences in sociodemographic and clinical variables between the campus users and non-users. Among users, the median number of resources utilized per user was four (interquartile range: 2–9). Emotional and medical resources were the contents most frequently viewed and the audiovisual format the most consulted (p < 0.01). Resources were used mainly within the first three months from enrolment. Users who were guided to visit the virtual campus were more active than spontaneous users. Offering an early holistic health educational platform inside a digital cancer ecosystem, with health professionals involved, can reach more patients, promoting equity in the access of cancer information and prevention, from the very beginning of the disease.

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The global role, impact, and limitations of Community Health Workers (CHWs) in breast cancer screening: a scoping review and recommendations to promote health equity for all

Cited by 25 publications

References 39 publications

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers

A Digital Cancer Ecosystem to Deliver Health and Psychosocial Education as Preventive Intervention

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