Scholarlink

Aim <p>In-person patient–provider communication positively influences adherence to breast cancer screenings. This systematic review aims to examine the role of healthcare providers and family caregivers in the breast cancer screening and treatment decision process; identify communication barriers experienced by female patients at risk or diagnosed with breast cancer when speaking with a provider; and discuss effective implementation strategies to improve screening and treatment adherence rates for breast cancer.</p> Methods <p>The Arksey and O’Malley York framework methodology was used to guide this systematic review. The Joanna Briggs Institute (JBI) recommendations for the extraction, analysis, and presentation of results in systematic reviews were also referenced.</p> Results <p>The most frequently cited barriers (<i>n</i> = 16) fell into the “communication challenges” category, followed by “cultural, religious, and language issues” (<i>n</i> = 13), “social determinants of health” (<i>n</i> = 12), “insufficient provider training” (<i>n</i> = 5), “misconceptions and negative assumptions about providers” (<i>n</i> = 5), “prejudice and discrimination towards patients” (<i>n</i>=5), “age of patient” (<i>n</i> = 4), “mistrust between patients and providers” (<i>n</i> = 3), “fear and lack of knowledge about mammography” (<i>n</i> = 3), “gender differences” (<i>n</i> = 2), “cost and lack of insurance challenges” (<i>n</i> = 2), and “time constraints” (<i>n</i> = 1) (Table <InternalRef RefID="Tab2">2</InternalRef>). Eight Expert Recommendations for Implementing Change (ERIC) domains were represented. The most frequently reported ERIC strategy was “intervene with patients/consumers to enhance uptake and adherence” (#53), appearing 28 times across all 12 studies (100%).</p> Conclusion <p>Efforts to reduce financial barriers, improve health literacy, and increase access to social support services will be crucial in addressing the broader social determinants of health that affect breast cancer screening rates in underserved populations.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The role of patient–provider communication and social support in improving adherence to breast cancer screening and treatment guidelines among United States underserved communities: A systematic review

  • 期刊论文

  • 发表日期：

    2025年6月10日

查看全文
  • Jennifer Mendonca,
  • Madison Etzel,
  • Nada Eldawy,
  • Austin Lent,
  • Samantha Jimenez,
  • Paige Brinzo,
  • Sahar Kaleem,
  • Adrienne Dean,
  • Sara Burgoa,
  • Tiffany Follin,
  • Maria Mejia,
  • Panagiota Kitsantas,
  • Lea Sacca

摘要

Aim

In-person patient–provider communication positively influences adherence to breast cancer screenings. This systematic review aims to examine the role of healthcare providers and family caregivers in the breast cancer screening and treatment decision process; identify communication barriers experienced by female patients at risk or diagnosed with breast cancer when speaking with a provider; and discuss effective implementation strategies to improve screening and treatment adherence rates for breast cancer.

Methods

The Arksey and O’Malley York framework methodology was used to guide this systematic review. The Joanna Briggs Institute (JBI) recommendations for the extraction, analysis, and presentation of results in systematic reviews were also referenced.

Results

The most frequently cited barriers (n = 16) fell into the “communication challenges” category, followed by “cultural, religious, and language issues” (n = 13), “social determinants of health” (n = 12), “insufficient provider training” (n = 5), “misconceptions and negative assumptions about providers” (n = 5), “prejudice and discrimination towards patients” (n=5), “age of patient” (n = 4), “mistrust between patients and providers” (n = 3), “fear and lack of knowledge about mammography” (n = 3), “gender differences” (n = 2), “cost and lack of insurance challenges” (n = 2), and “time constraints” (n = 1) (Table 2). Eight Expert Recommendations for Implementing Change (ERIC) domains were represented. The most frequently reported ERIC strategy was “intervene with patients/consumers to enhance uptake and adherence” (#53), appearing 28 times across all 12 studies (100%).

Conclusion

Efforts to reduce financial barriers, improve health literacy, and increase access to social support services will be crucial in addressing the broader social determinants of health that affect breast cancer screening rates in underserved populations.