Navigation programs relevant for African American men with prostate cancer: a scoping review protocol.

Navigation programs relevant for African American men with prostate cancer: a scoping review protocol.
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DOI:
10.1186/s13643-022-01993-6
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发表时间:
2022-06-14
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
医学4区
文献类型:
--
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非裔美国男性前列腺癌的高发病率和死亡率构成了所有癌症差异中最大的。患者导航是一种以患者为中心的医疗保健系统干预,旨在消除癌症连续体中及时、高质量护理的障碍,并改善弱势患者的健康结果。然而,关于导航程序在多大程度上包括文化谦逊来解决非裔美国男性前列腺癌的差异,人们知之甚少。我们提出了一份深入检查前列腺癌护理导航程序的范围审查方案,包括导航活动/程序、培训和管理,特别关注非裔美国人实现健康平等的文化背景和谦逊。我们将对PubMed、Embase、Web of Science和CINAHL Complete中的文献进行全面搜索,使用关键词和索引词(Mesh和Emtree)在三个主要主题中进行检索:前列腺癌、患者导航和非裔美国人。我们也将进行灰色文献的检索,手工检索,并审查纳入的论文和会议摘要的参考文献。在两阶段的方法中,两位作者将根据纳入/排除标准独立筛选标题和摘要以及全文。所有的研究设计都将包括导航程序元素的详细数据,包括干预内容、导航员培训和/或管理。将从纳入的研究中提取数据,并对综述结果进行综合和总结。在消除非裔美国男性前列腺癌护理差异的背景下,一项关注患者导航中的文化谦逊的范围审查尚未存在。本综述将综合非裔美国前列腺癌患者导航项目的现有证据,并纳入文化谦逊。结果将为未来项目的发展和实施提供信息,以满足安全网设置中脆弱前列腺癌患者的独特需求。普洛斯彼罗2021 crd42021221412
The excess incidence and mortality due to prostate cancer that impacts African American men constitutes the largest of all cancer disparities. Patient navigation is a patient-centered healthcare system intervention to eliminate barriers to timely, high-quality care across the cancer continuum and improves health outcomes among vulnerable patients. However, little is known regarding the extent to which navigation programs include cultural humility to address prostate cancer disparities among African American men. We present a scoping review protocol of an in-depth examination of navigation programs in prostate cancer care—including navigation activities/procedures, training, and management—with a special focus on cultural context and humility for African American men to achieve health equity. We will conduct comprehensive searches of the literature in PubMed, Embase, Web of Science, and CINAHL Complete, using keywords and index terms (Mesh and Emtree) within the three main themes: prostate cancer, patient navigation, and African American men. We will also conduct a search of the gray literature, hand-searching, and reviewing references of included papers and conference abstracts. In a two-phase approach, two authors will independently screen titles and abstracts, and full-text based on inclusion/exclusion criteria. All study designs will be included that present detailed data about the elements of navigation programs, including intervention content, navigator training, and/or management. Data will be extracted from included studies, and review findings will be synthesized and summarized. A scoping review focused on cultural humility in patient navigation within the context of eliminating disparities in PCa care among African American men does not yet exist. This review will synthesize existing evidence of patient navigation programs for African American prostate cancer patients and the inclusion of cultural humility. Results will inform the development and implementation of future programs to meet the unique needs of vulnerable prostate cancer patients in safety net settings. PROSPERO 2021 CRD42021221412
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