Evidence-based Interventions for Cancer Screening Access among People with Physical and/or Sensory Disability: a Systematic Review of the Evidence

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Abstract

People with physical and/or sensory disability have lower uptake of breast, cervical, and colorectal cancer screeningthan those without disability. This systematic review aims to identify evidence-based interventions designed to positivelyinfluence cancer screening participation for people with physical and/or sensory disability. Databases were searched forpeer-reviewed studies reporting interventions targeting breast, cervical, and/or colorectal cancer screening for people withphysical and/or sensory disability. A qualitative review of the results formed a narrative synthesis. Fifteen studies pub-lished between 1995–2022 from the USA, Turkey and Saudi Arabia were included in the review, involving people whowere d/Deaf (n=10), people with physical disability (n=4), and people with cognitive, hearing, vision or physical dis-ability (n=1). The interventions included cancer and cancer screening education (n=13) and environmental interventionsthat modified healthcare facilities (n=2). Most educational interventions increased cancer screening knowledge but onlysome increased screening participation. The environmental interventions showed promising but non-significant effects onscreening participation. Despite critical gaps in the literature, this review provides a foundation to develop interventionsneeded to improve cancer screening participation among people with physical and/or sensory disability.

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