Evidence map›Paper›PMID 41244881›Full record

ArticleInternational journal of integrated care

Cancer Prevention and Screening for People Experiencing Homelessness: Co-Designing the Health Navigator Model.

Alejandro Gil-Salmerón, Christina Carmichael, Tobias Fragner, Maria Moudatsou, Ioanna Tabaki, Jaime Barrio Cortes, Ascensión Doñate-Martínez, Lee Smith, Igor Grabovac

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alejandro Gil-SalmerónInternational Foundation for Integrated Care, Oxford, UK.ORCID https://orcid.org/0000-0003-3172-8486
Christina CarmichaelSchool of Psychology, University of East Anglia, Norwich, UK.ORCID https://orcid.org/0000-0002-8771-019X
Tobias FragnerDepartment of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-1373-5279
Maria MoudatsouPRAKSIS-Programs of Development, Social Support and Medical Cooperation-Non-Profitable Association, Athens, Greece.
Ioanna TabakiPRAKSIS-Programs of Development, Social Support and Medical Cooperation-Non-Profitable Association, Athens, Greece.ORCID https://orcid.org/0000-0001-6745-139X
Jaime Barrio CortesFoundation for Research and Biosanitary Innovation in Primary Care, Madrid, Spain.ORCID https://orcid.org/0000-0002-2582-0203
Ascensión Doñate-MartínezBiomedical Data Science Lab - ITACA Institute, Universitat Politecnica de Valencia, Valencia, Spain.ORCID https://orcid.org/0000-0003-2742-0219
Lee SmithCentre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.ORCID https://orcid.org/0000-0002-5340-9833
Igor GrabovacDepartment of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-9605-1467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People experiencing homelessness (PEH) face major barriers to accessing healthcare, including cancer preventive services, which results in increased cancer morbidity and mortality. However, tailored integrated care interventions addressing these disparities are scarce. Methods: Using a qualitative, participatory approach, seven focus group discussions were conducted with 15 PEH and 41 health and social care professionals in Austria, Greece, Spain, and the UK. Data were thematically analysed using a framework based on ten core components of navigation interventions. Results: Collaborative discussions led to a consensus on the Health Navigator Model (HNM), designed to improve cancer prevention for PEH. This model introduces "health navigators" from health and social care backgrounds to identify health needs, raise cancer awareness, coordinate healthcare access, and provide practical support. Thematic analysis ensured consistency across countries, shaping a person-centred approach. Comprehensive training and supervision were identified as critical for the effectiveness of the HNM. Conclusion: The co-design approach allowed PEH and professionals to actively shape the intervention, addressing gaps in cancer prevention. The HNM offers a structured, internationally consistent model that could bridge access gaps in cancer care for PEH. Further research using implementation science frameworks is needed to evaluate its effectiveness in real-world settings.

Indexed as

cancer preventioncancer screeningco-designhomelessnesspatient empowermentpatient navigation

Identifiers

PMID41244881
PMCPMC12617427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.