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Elsevier - PMC COVID-19 Collection logoLink to Elsevier - PMC COVID-19 Collection
. 2022 Nov 24;400:S67. doi: 10.1016/S0140-6736(22)02277-2

Evaluation of community outreach feasibility programmes on improving cancer-related, preventive, health behaviour

Vikram Niranjan a,*, Patricia Fitzpatrick a, Rachel Morrogh b, Kevin O'Hagan b
PMCID: PMC9691059  PMID: 36930014

Abstract

Background

The COVID-19 pandemic had a negative impact on cancer services and will have likely led to delayed early detection and diagnosis. In response, the Irish Cancer Society (ICS) planned and delivered seven cancer roadshow events run on 15 days across seven shopping centres in four deprived areas based on Trinity National Deprivation Index, 2016, in Limerick, Cork, Waterford and Dublin regions in Ireland to educate and promote awareness about cancer signs and symptoms, importance of screening, positive lifestyle changes, and encourage medical care-seeking behaviour.

Methods

ICS nurses and trained ICS volunteers conducted health checks such as blood pressure, BMI, and CO2, monitoring (one health check per person maximum), provided health information and conducted motivational interviews in aforementioned regions. Data were collected via an anonymous questionnaire from participants and volunteers. SPSS was used for descriptive and pre–post event comparative analysis.

Findings

98 people, all adults (54 men and 44 women) participated; 88% (n=86) found the information provided useful, 85% (n=83) approved of the health check and 73% (n=71) stated that they would probably make changes to their current lifestyle to reduce their cancer risk. Moderate or high understanding of cancer signs and symptoms (from 62% to 82%; p<0·0001) and moderate or high awareness of cancer risk factors (from 49% to 61%; p<0·0001) both rose after the events. If symptomatic for cancer, 78% (n=76) of participants would probably visit their general practitioner and 74% (n=72) would probably contact ICS. Younger people (aged ≤40 years) were more likely to consider consulting a health-care professional if symptomatic (p=0·0270) and to contact the ICS (p=0·0070) for more information. High numbers of participants (99%; n=97) and volunteers (95%; n=42) recommended a nationwide roll out.

Interpretation

With moderate to high levels of public engagement, volunteers reported people discussed cancer screening, information on making lifestyle changes, and ICS services. Such community outreach programmes to promote cancer-related health are feasible and acceptable and might lead to improved knowledge of cancer prevention, early detection, and improved intention to seek help for health concerns. Determination of effectiveness in preventive behaviour, early diagnosis, and cost effectiveness would require longer term follow up.

Funding

Irish Cancer Society.


Contributions

Declaration of interests

Acknowledgments

Acknowledgment

We would like to thank the nurses and volunteers who gave their precious time to support this study.

Acknowledgments

KO'H, PF, and VN conceptualised the study. VN and PF developed the study instruments. KO'H and RM collected data. VN and PF analysed the data. VN wrote the abstract with input from PF, KO'H, and RM. All authors have seen and approved the final version of the abstract.

We declare no competing interests.


Articles from Lancet (London, England) are provided here courtesy of Elsevier

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