Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review

Dongyu Zhang; Shailesh Advani; Jo Waller; Ana-Paula Cupertino; Alejandra Hurtado-de-Mendoza; Anthony Chicaiza; Peter J Rohloff; Tomi F Akinyemiju; Eduardo Gharzouzi; Megan J Huchko; Joaquin Barnoya; Dejana Braithwaite

doi:10.1200/JGO.19.00201

Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review

Dongyu Zhang, Shailesh Advani, Jo Waller, Ana-Paula Cupertino, Alejandra Hurtado-de-Mendoza, Anthony Chicaiza, Peter J Rohloff, Tomi F Akinyemiju, Eduardo Gharzouzi, Megan J Huchko, Joaquin Barnoya, Dejana Braithwaite

Comprehensive Cancer Centre

Georgetown University School of Medicine
John Theurer Cancer Center
Center for Research in Indigenous Health
Department of Ophthalmology, National University of Singapore and National University Health System, Singapore 119228, Singapore; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117597, Singapore; Singapore Eye Research Institute, Singapore National Eye Centre, Singapore 168751, Singapore; Centre for Quantitative Medicine, Office of Clinical Sciences, Duke-National University of Singapore Graduate Medical School, Singapore 169857, Singapore.
Integra Cancer Institute
Duke Cancer Institute
Unidad de Cirugia Cardiovascular de Guatemala

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

Abstract

PURPOSE: Cervical cancer screening is not well implemented in many low- and middle-income countries (LMICs). Mobile health (mHealth) refers to utilization of mobile technologies in health promotion and disease management. We aimed to qualitatively synthesize published articles reporting the impact of mHealth on cervical cancer screening-related health behaviors.

METHODS: Three reviewers independently reviewed articles with the following criteria: the exposure or intervention of interest was mHealth, including messages or educational information sent via mobile telephone or e-mail; the comparison was people not using mHealth technology to receive screening-related information, and studies comparing multiple different mHealth interventional strategies were also eligible; the primary outcome was cervical cancer screening uptake, and secondary outcomes included awareness, intention, and knowledge of screening; appropriate research designs included randomized controlled trials and quasi-experimental or observational research; and the study was conducted in an LMIC.

RESULTS: Of the 8 selected studies, 5 treated mobile telephone or message reminders as the exposure or intervention, and 3 compared the effects of different messages on screening uptake. The outcomes were diverse, including screening uptake (n = 4); health beliefs regarding the Papanicolaou (Pap) test (n = 1); knowledge of, attitude toward, and adherence to colpocytologic examination (n = 1); interest in receiving messages about Pap test results or appointment (n = 1); and return for Pap test reports (n = 1).

CONCLUSION: Overall, our systematic review suggests that mobile technologies, particularly telephone reminders or messages, lead to increased Pap test uptake; additional work is needed to unequivocally verify whether mhealth interventions can improve knowledge regarding cervical cancer. Our study will inform mHealth-based interventions for cervical cancer screening promotion in LMICs.

Original language	English
Pages (from-to)	617-627
Number of pages	11
Journal	JCO global oncology
Volume	6
DOIs	https://doi.org/10.1200/JGO.19.00201
Publication status	Published - Apr 2020

Keywords

Developing Countries
Early Detection of Cancer
Female
Humans
Papanicolaou Test
Technology
Telemedicine
Uterine Cervical Neoplasms/diagnosis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1200/JGO.19.00201

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Zhang, D., Advani, S., Waller, J., Cupertino, A.-P., Hurtado-de-Mendoza, A., Chicaiza, A., Rohloff, P. J., Akinyemiju, T. F., Gharzouzi, E., Huchko, M. J., Barnoya, J., & Braithwaite, D. (2020). Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review. JCO global oncology, 6, 617-627. https://doi.org/10.1200/JGO.19.00201

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title = "Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review",

abstract = "PURPOSE: Cervical cancer screening is not well implemented in many low- and middle-income countries (LMICs). Mobile health (mHealth) refers to utilization of mobile technologies in health promotion and disease management. We aimed to qualitatively synthesize published articles reporting the impact of mHealth on cervical cancer screening-related health behaviors.METHODS: Three reviewers independently reviewed articles with the following criteria: the exposure or intervention of interest was mHealth, including messages or educational information sent via mobile telephone or e-mail; the comparison was people not using mHealth technology to receive screening-related information, and studies comparing multiple different mHealth interventional strategies were also eligible; the primary outcome was cervical cancer screening uptake, and secondary outcomes included awareness, intention, and knowledge of screening; appropriate research designs included randomized controlled trials and quasi-experimental or observational research; and the study was conducted in an LMIC.RESULTS: Of the 8 selected studies, 5 treated mobile telephone or message reminders as the exposure or intervention, and 3 compared the effects of different messages on screening uptake. The outcomes were diverse, including screening uptake (n = 4); health beliefs regarding the Papanicolaou (Pap) test (n = 1); knowledge of, attitude toward, and adherence to colpocytologic examination (n = 1); interest in receiving messages about Pap test results or appointment (n = 1); and return for Pap test reports (n = 1).CONCLUSION: Overall, our systematic review suggests that mobile technologies, particularly telephone reminders or messages, lead to increased Pap test uptake; additional work is needed to unequivocally verify whether mhealth interventions can improve knowledge regarding cervical cancer. Our study will inform mHealth-based interventions for cervical cancer screening promotion in LMICs.",

keywords = "Developing Countries, Early Detection of Cancer, Female, Humans, Papanicolaou Test, Technology, Telemedicine, Uterine Cervical Neoplasms/diagnosis",

author = "Dongyu Zhang and Shailesh Advani and Jo Waller and Ana-Paula Cupertino and Alejandra Hurtado-de-Mendoza and Anthony Chicaiza and Rohloff, {Peter J} and Akinyemiju, {Tomi F} and Eduardo Gharzouzi and Huchko, {Megan J} and Joaquin Barnoya and Dejana Braithwaite",

year = "2020",

month = apr,

doi = "10.1200/JGO.19.00201",

language = "English",

volume = "6",

pages = "617--627",

journal = "JCO global oncology",

issn = "2687-8941",

publisher = "American Society of Clinical Oncology",

}

TY - JOUR

T1 - Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries

T2 - A Systematic Review

AU - Zhang, Dongyu

AU - Advani, Shailesh

AU - Waller, Jo

AU - Cupertino, Ana-Paula

AU - Hurtado-de-Mendoza, Alejandra

AU - Chicaiza, Anthony

AU - Rohloff, Peter J

AU - Akinyemiju, Tomi F

AU - Gharzouzi, Eduardo

AU - Huchko, Megan J

AU - Barnoya, Joaquin

AU - Braithwaite, Dejana

PY - 2020/4

Y1 - 2020/4

N2 - PURPOSE: Cervical cancer screening is not well implemented in many low- and middle-income countries (LMICs). Mobile health (mHealth) refers to utilization of mobile technologies in health promotion and disease management. We aimed to qualitatively synthesize published articles reporting the impact of mHealth on cervical cancer screening-related health behaviors.METHODS: Three reviewers independently reviewed articles with the following criteria: the exposure or intervention of interest was mHealth, including messages or educational information sent via mobile telephone or e-mail; the comparison was people not using mHealth technology to receive screening-related information, and studies comparing multiple different mHealth interventional strategies were also eligible; the primary outcome was cervical cancer screening uptake, and secondary outcomes included awareness, intention, and knowledge of screening; appropriate research designs included randomized controlled trials and quasi-experimental or observational research; and the study was conducted in an LMIC.RESULTS: Of the 8 selected studies, 5 treated mobile telephone or message reminders as the exposure or intervention, and 3 compared the effects of different messages on screening uptake. The outcomes were diverse, including screening uptake (n = 4); health beliefs regarding the Papanicolaou (Pap) test (n = 1); knowledge of, attitude toward, and adherence to colpocytologic examination (n = 1); interest in receiving messages about Pap test results or appointment (n = 1); and return for Pap test reports (n = 1).CONCLUSION: Overall, our systematic review suggests that mobile technologies, particularly telephone reminders or messages, lead to increased Pap test uptake; additional work is needed to unequivocally verify whether mhealth interventions can improve knowledge regarding cervical cancer. Our study will inform mHealth-based interventions for cervical cancer screening promotion in LMICs.

AB - PURPOSE: Cervical cancer screening is not well implemented in many low- and middle-income countries (LMICs). Mobile health (mHealth) refers to utilization of mobile technologies in health promotion and disease management. We aimed to qualitatively synthesize published articles reporting the impact of mHealth on cervical cancer screening-related health behaviors.METHODS: Three reviewers independently reviewed articles with the following criteria: the exposure or intervention of interest was mHealth, including messages or educational information sent via mobile telephone or e-mail; the comparison was people not using mHealth technology to receive screening-related information, and studies comparing multiple different mHealth interventional strategies were also eligible; the primary outcome was cervical cancer screening uptake, and secondary outcomes included awareness, intention, and knowledge of screening; appropriate research designs included randomized controlled trials and quasi-experimental or observational research; and the study was conducted in an LMIC.RESULTS: Of the 8 selected studies, 5 treated mobile telephone or message reminders as the exposure or intervention, and 3 compared the effects of different messages on screening uptake. The outcomes were diverse, including screening uptake (n = 4); health beliefs regarding the Papanicolaou (Pap) test (n = 1); knowledge of, attitude toward, and adherence to colpocytologic examination (n = 1); interest in receiving messages about Pap test results or appointment (n = 1); and return for Pap test reports (n = 1).CONCLUSION: Overall, our systematic review suggests that mobile technologies, particularly telephone reminders or messages, lead to increased Pap test uptake; additional work is needed to unequivocally verify whether mhealth interventions can improve knowledge regarding cervical cancer. Our study will inform mHealth-based interventions for cervical cancer screening promotion in LMICs.

KW - Developing Countries

KW - Early Detection of Cancer

KW - Female

KW - Humans

KW - Papanicolaou Test

KW - Technology

KW - Telemedicine

KW - Uterine Cervical Neoplasms/diagnosis

U2 - 10.1200/JGO.19.00201

DO - 10.1200/JGO.19.00201

M3 - Article

C2 - 32302236

SN - 2687-8941

VL - 6

SP - 617

EP - 627

JO - JCO global oncology

JF - JCO global oncology

ER -

Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review

Abstract

Keywords

UN SDGs

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