The role of patient–provider communication and social support in improving adherence to breast cancer screening and treatment guidelines among United States underserved communities: A systematic review.
Aim: In-person patient–provider communication positively influences adherence to breast cancer screenings. This systematic review aims to examine the role of healthcare providers and family caregivers in the breast cancer screening and treatment decision process; identify communication barriers expe...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 34; no. 6; pp. 1469 - 1501 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194006213&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194006213 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Jun2026 vid: 34 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 194006213 10.1007/s10389-025-02514-0 ppf: 1469 ppct: 32 formats: tig: atl: The role of patient–provider communication and social support in improving adherence to breast cancer screening and treatment guidelines among United States underserved communities: A systematic review. aug: au: Mendonca, Jennifer Etzel, Madison Eldawy, Nada Lent, Austin Jimenez, Samantha Brinzo, Paige Kaleem, Sahar Dean, Adrienne Burgoa, Sara Follin, Tiffany Mejia, Maria Kitsantas, Panagiota Sacca, Lea affil: https://ror.org/05p8w6387 Charles E. Schmidt College of Medicine, Florida Atlantic University, 33431, Boca Raton, FL, USA https://ror.org/02jqj7156 George mason university, Fairfax, Virginia, USA su: United States Patient compliance Health literacy Health services accessibility Medical personnel Occupational roles Prejudices Culture Socioeconomic factors Primary health care Decision making Anxiety Emotions Physician-patient relations Trust Quality of life Psychology of caregivers Social support Health equity Minorities Patient satisfaction Discrimination (Sociology) Counseling Health education Psychosocial factors Communication barriers Breast tumor diagnosis Risk assessment Medical information storage & retrieval systems Early detection of cancer At-risk people Religion & medicine Physicians' attitudes Systematic reviews MEDLINE Medical databases Mammograms Online information services Caregiver attitudes sug: subj: Patient compliance Health literacy Health services accessibility Medical personnel Occupational roles Prejudices Culture Socioeconomic factors Primary health care Decision making Anxiety Emotions Physician-patient relations Trust Quality of life Psychology of caregivers Social support Health equity Minorities Patient satisfaction Discrimination (Sociology) Counseling Health education Psychosocial factors Communication barriers United States Diagnostic Imaging Centers Other Individual and Family Services Offices of Physicians (except Mental Health Specialists) Offices of physicians Breast tumor diagnosis Risk assessment Medical information storage & retrieval systems Early detection of cancer At-risk people Religion & medicine Physicians' attitudes Systematic reviews MEDLINE Medical databases Mammograms Online information services Caregiver attitudes keyword: Breast cancer Mammography Medical and Health Sciences Public Health and Health Services Patient–provider communication Screening Underserved communities Breast cancer Mammography Medical and Health Sciences Public Health and Health Services Patient–provider communication Screening Underserved communities ab: Aim: In-person patient–provider communication positively influences adherence to breast cancer screenings. This systematic review aims to examine the role of healthcare providers and family caregivers in the breast cancer screening and treatment decision process; identify communication barriers experienced by female patients at risk or diagnosed with breast cancer when speaking with a provider; and discuss effective implementation strategies to improve screening and treatment adherence rates for breast cancer. Methods: The Arksey and O'Malley York framework methodology was used to guide this systematic review. The Joanna Briggs Institute (JBI) recommendations for the extraction, analysis, and presentation of results in systematic reviews were also referenced. Results: The most frequently cited barriers (n = 16) fell into the "communication challenges" category, followed by "cultural, religious, and language issues" (n = 13), "social determinants of health" (n = 12), "insufficient provider training" (n = 5), "misconceptions and negative assumptions about providers" (n = 5), "prejudice and discrimination towards patients" (n=5), "age of patient" (n = 4), "mistrust between patients and providers" (n = 3), "fear and lack of knowledge about mammography" (n = 3), "gender differences" (n = 2), "cost and lack of insurance challenges" (n = 2), and "time constraints" (n = 1) (Table 2). Eight Expert Recommendations for Implementing Change (ERIC) domains were represented. The most frequently reported ERIC strategy was "intervene with patients/consumers to enhance uptake and adherence" (#53), appearing 28 times across all 12 studies (100%). Conclusion: Efforts to reduce financial barriers, improve health literacy, and increase access to social support services will be crucial in addressing the broader social determinants of health that affect breast cancer screening rates in underserved populations. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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