A systematic review of interventions to improve breast cancer screening health behaviours

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Title: A systematic review of interventions to improve breast cancer screening health behaviours
Authors: Acharya, A
Sounderajah, V
Ashrafian, H
Darzi, A
Judah, G
Item Type: Journal Article
Abstract: Whilst breast cancer screening has been implemented in many countries, uptake is often suboptimal. Consequently, several interventions targeting non-attendance behaviour have been developed. This systematic review aims to appraise the successes of interventions, identifying and comparing the specific techniques they use to modify health behaviours. A literature search (PROSPERO CRD42020212090) between January 2005 and December 2020 using PubMed, Medline, PsycInfo, EMBASE and Google Scholar was conducted. Studies which investigated patient-facing interventions to increase attendance at breast cancer screening appointments were included. Details regarding the intervention delivery, theoretical background, and contents were extracted, as was quantitative data on the impact on attendance rates, compared to control measures. Interventions were also coded using the Behavioural Change Techniques (BCT) Taxonomy. In total fifty-four studies, detailing eighty interventions, met the inclusion criteria. Only 50% of interventions reported a significant impact on screening attendance. Thirty-two different BCTs were used, with 'prompts/cues' the most commonly incorporated (77.5%), however techniques from the group 'covert learning' had the greatest pooled effect size 0.12 (95% CI 0.05-0.19, P < 0·01, I2 = 91.5%). 'Problem solving' was used in the highest proportion of interventions that significantly increased screening attendance (69.0%). 70% of the interventions were developed using behavioural theories. These results show interventions aimed at increasing screening uptake are often unsuccessful. Commonly used approaches which focus upon explaining the consequences of not attending mammograms were often ineffective. Problem solving, however, has shown promise. These techniques should be investigated further, as should emerging technologies which can enable interventions to be feasibly translated at a population-level.
Issue Date: 1-Dec-2021
Date of Acceptance: 3-Oct-2021
URI: http://hdl.handle.net/10044/1/92669
DOI: 10.1016/j.ypmed.2021.106828
ISSN: 0091-7435
Publisher: Elsevier
Journal / Book Title: Preventive Medicine
Volume: 153
Copyright Statement: © 2021 Published by Elsevier Inc. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Behaviour change techniques
Breast cancer
Health behaviour
Mass screening
Behaviour change techniques
Breast cancer
Health behaviour
Mass screening
1106 Human Movement and Sports Sciences
1117 Public Health and Health Services
Public Health
Publication Status: Published
Conference Place: United States
Embargo Date: 2022-10-04
Article Number: ARTN 106828
Online Publication Date: 2021-10-05
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation



This item is licensed under a Creative Commons License Creative Commons