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Access, acceptance and adherence to cancer prehabilitation: a mixed-methods systematic review

Watts, Tessa ORCID:, Courtier, Nicholas ORCID:, Fry, Sarah, Gale, Nichola ORCID:, Gillen, Elizabeth ORCID:, McCutchan, Grace ORCID:, Patil, Manasi, Rees, Tracy, Roche, Dominic, Wheelwright, Sally and Hopkinson, Jane ORCID: 2024. Access, acceptance and adherence to cancer prehabilitation: a mixed-methods systematic review. Journal of Cancer Survivorship 10.1007/s11764-024-01605-3

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Purpose The purpose of this systematic review is to better understand access to, acceptance of and adherence to cancer prehabilitation. Methods MEDLINE, CINAHL, PsychINFO, Embase, Physiotherapy Evidence Database, ProQuest Medical Library, Cochrane Library, Web of Science and grey literature were systematically searched for quantitative, qualitative and mixed-methods studies published in English between January 2017 and June 2023. Screening, data extraction and critical appraisal were conducted by two reviewers independently using Covidence™ systematic review software. Data were analysed and synthesised thematically to address the question ‘What do we know about access, acceptance and adherence to cancer prehabilitation, particularly among socially deprived and minority ethnic groups?’ The protocol is published on PROSPERO CRD42023403776 Results Searches identified 11,715 records, and 56 studies of variable methodological quality were included: 32 quantitative, 15 qualitative and nine mixed-methods. Analysis identified facilitators and barriers at individual and structural levels, and with interpersonal connections important for prehabilitation access, acceptance and adherence. No study reported analysis of facilitators and barriers to prehabilitation specific to people from ethnic minority communities. One study described health literacy as a barrier to access for people from socioeconomically deprived communities. Conclusions There is limited empirical research of barriers and facilitators to inform improvement in equity of access to cancer prehabilitation.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Healthcare Sciences
Publisher: Springer
ISSN: 1932-2259
Funders: NIHR
Date of First Compliant Deposit: 30 April 2024
Date of Acceptance: 12 April 2024
Last Modified: 23 Jun 2024 01:09

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