Evidence-Based Interventions for Cancer Screening Access Among People with Physical Disability: A Systematic Review of the Evidence.

Background: People with physical disability have lower uptake of breast, cervical, andcolorectal cancer screening compared to those without physical disability.Objective: This systematic review aims to identify interventions designed to improve orpositively influence cancer screening participation for people with physical disability.Methods: Databases were searched for peer-reviewed studies reporting interventionstargeting breast, cervical, and/or colorectal cancer screening for people with physicaldisability (including people with mobility, and/or sensory disability). Study characteristics,intervention details, and outcomes were extracted and analysed narratively.Results: Fifteen studies were included. The study sample populations included people whowere d/Deaf (n=10), people with mobility disability (n=4), and people with cognitive,hearing, vision or mobility disability (n=1). The studies utilised educational interventionsabout cancer and cancer screening (n=13) and environmental interventions that modifiedhealthcare facilities (n=2). Most of the educational interventions increased cancer screeningknowledge but had mixed results on screening participation. The environmental interventionsshowed promising but inconclusive effects on screening participation.Conclusion: This review highlights critical gaps, particularly, a lack of interventions toaddress cancer screening barriers encountered by people with physical disability. Effortsshould focus on the development of interventions to improve cancer screening participationamong people with a physical disability.