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. 2021 May 6;28(3):1728–1743. doi: 10.3390/curroncol28030161

Table 6.

Final summary table of included studies.

Studies Citations Study Design Cancer Screening Types Sample Outcomes
Seven studies reported an increase in cancer screening participation Muller, 2017 [7] RCT CRC Alaskan Native; Native American Age group:
40–49: 24% increase
50–75: 42% increase
All ages: 30% * increase
Sandiford, 2019 [8] Māori, Pacific Ethnic group:
Māori: 5.2% * increase
Pacific: 3.6% * increase
Asian: 0.7% increase
MacDonald et al., 2021 [9] CC Māori Standard care: 21.8% screened
HPV Self-sampling: 59.0% screened (2.8 * times higher)
Haverkamp et al., 2020 [10] CRC Alaskan Native/American Indian Standard care: 6.4% screened
Mailed FIT kit: 16.9% * screened
Mailed FIT kit + outreach: 18.8% * screened
Chow, 2020 [11] Pilot CRC, CC, BC First Nations Year:
2014–2015: 62% increase
2015–2016: 68% increase
Mema, 2017 [5] CC, BC First Nations, Métis, Hutterite Total screened:
Usual Practice (Screen-Test mobile mammography)
  • Cervical: 10.1%

  • Colorectal: 10.9%

Integrated Approach (Screen-Test EACS)
  • Cervical: 27.5%

  • Colorectal: 22.5%

Dorrington, 2015 [12] PDSA cycles CC Torres Strait Islander Year:
2012: 40% * increase
Five studies improved knowledge, attitude, or intent to screen Cassel, 2020 [15] Peer-led CC Native Hawaiian 92% improved their knowledge
76% agreed to complete a FIT
Tolma, 2018 [16] Multi-level BC Native American 30% improved their intent to screen
52% had a mammogram by 6 months post-intervention.
Zehbe, 2016 [17] RCT CC (HPV self-sampling) First Nations Initial uptake in HPV self-sampling was 1.4-fold higher than clinician-sampling
Adcock, 2019 [14] Mixed Māori 75% reported being likely/very likely to do an HPV self-test
Winer, 2016 [18] Cross-sectional Hopi 62% reported a preference for HPV self-sampling

BC = breast cancer; CRC = colorectal cancer; CC = cervical cancer, RCT = randomized controlled trial; PDSA = Plan-Do-Study-Act, EACS = Enhanced Access to Colorectal and Cervical Screening, * Statistically significant (p value < 0.05).