Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries

Background: The context of an intervention may influence its effectiveness and success in meeting the needs of the targeted population. Implementation science frameworks have been developed, but previous literature in this field has been mixed. This paper aimed to assess the implementation success o...

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Main Authors: Annie Bygrave, Kate Whittaker, Sanchia Aranda AM
Format: Article
Language:English
Published: SAGE Publishing 2020-11-01
Series:Journal of Public Health Research
Subjects:
Online Access:https://www.jphres.org/index.php/jphres/article/view/1713
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author Annie Bygrave
Kate Whittaker
Sanchia Aranda AM
author_facet Annie Bygrave
Kate Whittaker
Sanchia Aranda AM
author_sort Annie Bygrave
collection DOAJ
description Background: The context of an intervention may influence its effectiveness and success in meeting the needs of the targeted population. Implementation science frameworks have been developed, but previous literature in this field has been mixed. This paper aimed to assess the implementation success of interventions, identified from a systematic review, that reduced inequalities in cancer screening between people in low and high socioeconomic groups. Design and Methods: The implementation framework by Proctor et al. was utilised to assess the potential success of 6 studies reporting on 7 interventions in the “real-world” environment. A standardised rating system to identify the overall implementation success of each intervention was established. Results: Four interventions (57%) demonstrated high potential to be implemented successfully. Interventions included enhanced reminder letters and GP-endorsed screening invitations, containing evidence on the acceptability, from participants and stakeholders, appropriateness and direct cost of the intervention.   Conclusion: While some interventions reduced socioeconomic inequalities in cancer screening participation, there have been missed opportunities to integrate the experiences of the targeted population into design and evaluation components. This has limited the potential for transferability of outcomes to other settings.
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spelling doaj.art-6ccd55d9f583401ab3e46d26a471906d2023-01-03T09:10:56ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362020-11-019410.4081/jphr.2020.1713Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countriesAnnie Bygrave0Kate Whittaker1Sanchia Aranda AM2Cancer Council Australia, SydneyCancer Council Australia, SydneyCancer Council Australia, Sydney; Department of Nursing, University of MelbourneBackground: The context of an intervention may influence its effectiveness and success in meeting the needs of the targeted population. Implementation science frameworks have been developed, but previous literature in this field has been mixed. This paper aimed to assess the implementation success of interventions, identified from a systematic review, that reduced inequalities in cancer screening between people in low and high socioeconomic groups. Design and Methods: The implementation framework by Proctor et al. was utilised to assess the potential success of 6 studies reporting on 7 interventions in the “real-world” environment. A standardised rating system to identify the overall implementation success of each intervention was established. Results: Four interventions (57%) demonstrated high potential to be implemented successfully. Interventions included enhanced reminder letters and GP-endorsed screening invitations, containing evidence on the acceptability, from participants and stakeholders, appropriateness and direct cost of the intervention.   Conclusion: While some interventions reduced socioeconomic inequalities in cancer screening participation, there have been missed opportunities to integrate the experiences of the targeted population into design and evaluation components. This has limited the potential for transferability of outcomes to other settings.https://www.jphres.org/index.php/jphres/article/view/1713Cancer screeninghigh-incomeimplementationinterventionlow socioeconomic
spellingShingle Annie Bygrave
Kate Whittaker
Sanchia Aranda AM
Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
Journal of Public Health Research
Cancer screening
high-income
implementation
intervention
low socioeconomic
title Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
title_full Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
title_fullStr Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
title_full_unstemmed Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
title_short Assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high-income countries
title_sort assessing the implementation of interventions addressing socioeconomic inequalities in cancer screening in high income countries
topic Cancer screening
high-income
implementation
intervention
low socioeconomic
url https://www.jphres.org/index.php/jphres/article/view/1713
work_keys_str_mv AT anniebygrave assessingtheimplementationofinterventionsaddressingsocioeconomicinequalitiesincancerscreeninginhighincomecountries
AT katewhittaker assessingtheimplementationofinterventionsaddressingsocioeconomicinequalitiesincancerscreeninginhighincomecountries
AT sanchiaarandaam assessingtheimplementationofinterventionsaddressingsocioeconomicinequalitiesincancerscreeninginhighincomecountries