mHealth Interventions to Improve Cancer Screening and Early Detection: Scoping Review of Reviews

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Abstract

Background

Cancer screening provision in resource-constrained settings tends to be opportunistic, and uptake tends to be low, leading to delayed presentation and treatment and poor survival.

Objective

The aim of this study was to identify, review, map, and summarize findings from different types of literature reviews on the use of mobile health (mHealth) technologies to improve the uptake of cancer screening.

Methods

The review methodology was guided by the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Ovid MEDLINE, PyscINFO, and Embase were searched from inception to May 2021. The eligible criteria included reviews that focused on studies of interventions that used mobile phone devices to promote and deliver cancer screening and described the effectiveness or implementation of mHealth intervention outcomes. Key data fields such as study aims, types of cancer, mHealth formats, and outcomes were extracted, and the data were analyzed to address the objective of the review.

Results

Our initial search identified 1981 titles, of which 12 (0.61%) reviews met the inclusion criteria (systematic reviews: n=6, 50%; scoping reviews: n=4, 33%; rapid reviews: n=1, 8%; narrative reviews: n=1, 8%). Most (57/67, 85%) of the interventions targeted breast and cervical cancer awareness and screening uptake. The most commonly used mHealth technologies for increasing cancer screening uptake were SMS text messages and telephone calls. Overall, mHealth interventions increased knowledge about screening and had high acceptance among participants. The likelihood of achieving improved uptake-related outcomes increased when interventions used >1 mode of communication (telephone reminders, physical invitation letters, and educational pamphlets) together with mHealth.

Conclusions

mHealth interventions increase cancer screening uptake, although multiple modes used in combination seem to be more effective.

Related collections

Most cited references 81

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Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries

Ahmedin Jemal, Lindsey A Torre, Rebecca Siegel … (2018)

This article provides a status report on the global burden of cancer worldwide using the GLOBOCAN 2018 estimates of cancer incidence and mortality produced by the International Agency for Research on Cancer, with a focus on geographic variability across 20 world regions. There will be an estimated 18.1 million new cancer cases (17.0 million excluding nonmelanoma skin cancer) and 9.6 million cancer deaths (9.5 million excluding nonmelanoma skin cancer) in 2018. In both sexes combined, lung cancer is the most commonly diagnosed cancer (11.6% of the total cases) and the leading cause of cancer death (18.4% of the total cancer deaths), closely followed by female breast cancer (11.6%), prostate cancer (7.1%), and colorectal cancer (6.1%) for incidence and colorectal cancer (9.2%), stomach cancer (8.2%), and liver cancer (8.2%) for mortality. Lung cancer is the most frequent cancer and the leading cause of cancer death among males, followed by prostate and colorectal cancer (for incidence) and liver and stomach cancer (for mortality). Among females, breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death, followed by colorectal and lung cancer (for incidence), and vice versa (for mortality); cervical cancer ranks fourth for both incidence and mortality. The most frequently diagnosed cancer and the leading cause of cancer death, however, substantially vary across countries and within each country depending on the degree of economic development and associated social and life style factors. It is noteworthy that high-quality cancer registry data, the basis for planning and implementing evidence-based cancer control programs, are not available in most low- and middle-income countries. The Global Initiative for Cancer Registry Development is an international partnership that supports better estimation, as well as the collection and use of local data, to prioritize and evaluate national cancer control efforts. CA: A Cancer Journal for Clinicians 2018;0:1-31. © 2018 American Cancer Society.

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PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

Adrian Aldcroft, Chantelle Garritty, Simon Lewin … (2018)

Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.

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Scoping studies: towards a methodological framework

Lisa O'Malley, Hilary Arksey (2005)

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Author and article information

Contributors

Désirée Schliemann:

ORCID: https://orcid.org/0000-0002-8746-3002

Centre for Public HealthQueen’s University BelfastInstitute of Clinical Science, Block BRoyal Victoria HospitalBelfast, BT12 6BAUnited Kingdom44 02890245133d.schliemann@qub.ac.uk

Journal

Journal ID (nlm-ta): J Med Internet Res

Journal ID (iso-abbrev): J Med Internet Res

Journal ID (publisher-id): JMIR

Title: Journal of Medical Internet Research

Publisher: JMIR Publications (Toronto, Canada )

ISSN (Print): 1439-4456

ISSN (Electronic): 1438-8871

Publication date Collection: August 2022

Publication date (Electronic): 15 August 2022

Volume: 24

Issue: 8

Electronic Location Identifier: e36316

Affiliations

[1 ] Centre for Public Health Queen’s University Belfast Belfast United Kingdom

[2 ] South East Asia Community Observatory (SEACO) Monash University Malaysia Subang Jaya Malaysia

[3 ] Global Public Health Jeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia Subang Jaya Malaysia

[4 ] Department of Surgery, Faculty of Medicine University Malaya Cancer Research Institute University of Malaya Kuala Lumpur Malaysia

Author notes

Corresponding Author: Désirée Schliemann d.schliemann@ 123456qub.ac.uk

Author information

Désirée Schliemann https://orcid.org/0000-0002-8746-3002

Min Min Tan https://orcid.org/0000-0002-9123-3445

Wilfred Mok Kok Hoe https://orcid.org/0000-0003-2694-8871

Devi Mohan https://orcid.org/0000-0002-0898-2729

Nur Aishah Taib https://orcid.org/0000-0001-8419-0478

Michael Donnelly https://orcid.org/0000-0001-8380-7413

Tin Tin Su https://orcid.org/0000-0003-0387-6406

Article

Publisher ID: v24i8e36316

DOI: 10.2196/36316

PMC ID: 9425170

PubMed ID: 35969450

SO-VID: e66fb6cc-ac99-4526-8bbe-eeb304f6b5fa

Copyright © ©Désirée Schliemann, Min Min Tan, Wilfred Mok Kok Hoe, Devi Mohan, Nur Aishah Taib, Michael Donnelly, Tin Tin Su. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 15.08.2022.

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.

History

Date received : 13 January 2022

Date revision requested : 7 March 2022

Date revision received : 14 June 2022

Date accepted : 16 June 2022

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