{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T23:34:30Z","timestamp":1792280070363,"version":"4.4.0"},"reference-count":76,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,29]],"date-time":"2019-12-29T00:00:00Z","timestamp":1577577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Evidence suggests that people with a learning disability (PwLD) are less likely to attend cancer screening than the general population in the United Kingdom. The aim of this systematic review was to identify and synthesise qualitative studies reporting the attitudes and opinions of PwLD, family carers, and paid care workers towards national cancer screening programmes\n                      <jats:italic>.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five electronic and two grey literature databases were searched. Fourteen thousand eight hundred forty\u2010six papers were reviewed against predetermined inclusion criteria. Included papers were critically appraised. Findings were synthesised using meta\u2010aggregation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven papers met the inclusion criteria, all related to cervical and breast screening. No papers were related to colorectal cancer screening. Findings were clustered into four synthesised findings: (1) supporting women with a learning disability (WwLD) to attend screening, (2) WwLD's awareness of screening and their psychophysical experiences, 3) professional practice barriers including the need for multidisciplinary working and an understanding of the needs of WwLD, and (4) approaches to improve the uptake of cervical and breast cancer screening. The synthesis highlights the significance of WwLD having support to understand the importance of screening to be able to make an informed choice about attending.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>WwLD may not attend cancer screening due to fear, concerns over pain, and the potential influence of family carers and paid care workers. The review identified practical mechanisms which could help WwLD attend screening. Future research should focus on identifying potential barriers and facilitators as a proactive measure to promote colorectal cancer screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.5311","type":"journal-article","created":{"date-parts":[[2019,12,13]],"date-time":"2019-12-13T10:20:47Z","timestamp":1576232447000},"page":"475-484","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Attitudes and perceptions of people with a learning disability, family carers, and paid care workers towards cancer screening programmes in the United Kingdom: A qualitative systematic review and meta\u2010aggregation"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2942-7193","authenticated-orcid":false,"given":"Kate","family":"Byrnes","sequence":"first","affiliation":[{"name":"School of Health &amp; Life Science Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Hamilton","sequence":"additional","affiliation":[{"name":"School of Health &amp; Life Science Teesside University  Middlesbrough UK"},{"name":"Teesside Centre for Evidence\u2010Informed Practice: A JBI Affiliated Group  Teesside University, Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant J.","family":"McGeechan","sequence":"additional","affiliation":[{"name":"School of Social Sciences Humanities and Law, Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"O'Malley","sequence":"additional","affiliation":[{"name":"School of Health &amp; Life Science Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagjit","family":"Mankelow","sequence":"additional","affiliation":[{"name":"School of Health &amp; Life Science Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma L.","family":"Giles","sequence":"additional","affiliation":[{"name":"School of Health &amp; Life Science Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization. Cancer 2018 [cited January 25 2019]. Available from:https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cancer"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70211-5"},{"key":"e_1_2_8_4_1","unstructured":"FootC HarrisonT. How to Improve Cancer Survival: Explaining England's Relatively Poor Rates.2011."},{"key":"e_1_2_8_5_1","unstructured":"NHS. NHS screening 2018 [cited March 13 2019]. Available from:https:\/\/www.nhs.uk\/conditions\/nhs-screening\/."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncy.20203"},{"key":"e_1_2_8_7_1","unstructured":"Public Health England. Guidance: cervical screening: programme overview 2015 [cited August 15 2019]. Available from:https:\/\/www.gov.uk\/guidance\/cervical-screening-programme-overview."},{"key":"e_1_2_8_8_1","unstructured":"NHS Digital Screening & Immunisations. Breast Screening Programme England 2016\u201317. The Health and Social Care Information Centre;2018."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2011.011065"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969141317694065"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.02.009"},{"key":"e_1_2_8_12_1","unstructured":"Public Health England. Guidance health matters: making cervical screening more accessible. Retrieved 2017 [cited December 3 2018]. Available from:https:\/\/www.gov.uk\/government\/publications\/health-matters-making-cervical-screening-more-accessible\/health-matters-makinrvical-screening-more-accessible--2#addressing-barriers-to-screening-attendance"},{"key":"e_1_2_8_13_1","unstructured":"Public Health England. NHS Breast Screening Programme Consolidated standards 2017 [cited December 3 2018]. Available from:https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/612739\/Breast_screening_consolidated_standards.pdf"},{"key":"e_1_2_8_14_1","unstructured":"Public Health England. Health matters: improving the prevention and diagnosis of bowel cancer: Public Health England; 2016 [cited December 3 2018]. Available from:https:\/\/www.gov.uk\/government\/publications\/health-matters-preventing-bowel-cancer\/health-matters-improving-the-prevention-and-detection-of-bowel-cancer."},{"key":"e_1_2_8_15_1","unstructured":"GloverG ChristieA. Joint health and social care self\u2010assessment framework 2013: detailed report on number questions. Cambridge available at: www ihal org uk\/gsf php5.2014."},{"issue":"4","key":"e_1_2_8_16_1","first-page":"22","article-title":"Devolution and health policy in the UK","volume":"14","author":"Greer SL","year":"2009","journal-title":"Another Piece of the Puzzle: Commission Perspectives on"},{"key":"e_1_2_8_17_1","unstructured":"NHS Digital. QOF 2017\/18 results NHS Digital; 2018 [cited201913th May]. Available from:https:\/\/qof.digital.nhs.uk\/."},{"key":"e_1_2_8_18_1","unstructured":"NHS England. 2019\/20 General Medical Services (GMS) Contract Quality and Outcomes Framework (QOF).2019."},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp17X693077"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62026-7"},{"key":"e_1_2_8_21_1","unstructured":"NHS Digital. Prevalence rates. Interactive resource 2018 [cited November 19 2018]. Available from:https:\/\/app.powerbi.com\/view?r=eyJrIjoiNTYyNDM4MGYtZDRmYi00NTAxLTkzY2QtMjcwZTY2YTQ0MzNkIiwidCI6IjUwZjYwNzFmLWJiZmUtNDAxYS04ODAzLTY3Mzc0OGU2MjllMiIsImMiOjh9"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62454-X"},{"key":"e_1_2_8_23_1","unstructured":"Public Health England. Cancer screening: making reasonable adjustments: Public Health England; 2016 [cited201926th March]. Available from:https:\/\/www.gov.uk\/government\/publications\/cancer-screening-and-people-with-learning-disabilities\/cancer-screening-making-reasonable-adjustments."},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1231"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12158"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjha.2011.5.8.397"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2010.01357.x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1258\/1355819054338997"},{"issue":"5","key":"e_1_2_8_29_1","first-page":"106","article-title":"Gynecological and reproductive healthcare for women with special needs","volume":"32","author":"Kopac CA","year":"2002","journal-title":"Exceptional Parent"},{"key":"e_1_2_8_30_1","volume-title":"Understanding Attitudes and Predicting Social Behaviour","author":"Ajzen I","year":"1980"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_8_32_1","volume-title":"Communication and Persuasion: Psychological Studies of Opinion Change","author":"Hovland C","year":"1953"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2011.07.006"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2010.00594.x"},{"key":"e_1_2_8_35_1","unstructured":"AromatarisE MunnZ. Joanna Briggs Institute Reviewer's Manual: The Joanna Briggs Institute; 2017 [cited November 13 2018]. Available from:https:\/\/reviewersmanual.joannabriggs.org\/"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119959847.ch2"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_8_38_1","unstructured":"Public Health England. NHS Screening Programmes in England 2014 to2015: Public Health England; 2015 [cited 2019 05th May]. Available from:https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/574716\/Screening_in_England_2014_to_2015.pdf."},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005104406934"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.5195\/JMLA.2018.283"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000062"},{"key":"e_1_2_8_43_1","unstructured":"Joanna Briggs Institute. Joanna Briggs Institute JBI SUMARI 2017 [cited November 13 2018]. Available from:https:\/\/www.jbisumari.org\/"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.t01-1-01555.x"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.1994.tb00185.x"},{"key":"e_1_2_8_46_1","unstructured":"LeviM KimptonB SimJ. Women with learning disabilities' and carers' experiences and views of cervical screening: a research project undertaken in South Central and South West Edinburgh LHPs and in Lothian: Edinburgh NHS Lothian. Available at: www. scan. nhs. uk;2006."},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629514528829"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2010.01221.x"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2010.01345.x"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05595.x"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12082"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12245"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.2007.00440.x"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i1.124"},{"key":"e_1_2_8_55_1","unstructured":"Public Health England. Making reasonable adjustments to cancer screening. An update of the 2012 report. London:2015November 2015. Report No."},{"key":"e_1_2_8_56_1","unstructured":"NHS Cancer Screening Programmes. Consent to cancer screening. Sheffield:2009."},{"key":"e_1_2_8_57_1","unstructured":"Public Health England. Guidance for the development production and review of information to support UK population screening programmes. London:2018."},{"key":"e_1_2_8_58_1","unstructured":"Public Health England. NHS public health functions agreement 2018\u201019 Service specification no.25 Cervical Screening: Public Health England; 2018 [cited201904th May]. Available from:https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2017\/04\/Gateway-ref-07846-180913-Service-specification-No.-25-NHS-Cervical-screening.pdf."},{"key":"e_1_2_8_59_1","first-page":"2011","volume-title":"Implications and Actions for Commissioners and Providers of Social Care","author":"Health TS","year":"2011"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200205000-00005"},{"key":"e_1_2_8_61_1","unstructured":"Public Health England. Guidance cancer screening: making reasonable adjustments 2016 [cited201916th September]. Available from:https:\/\/www.gov.uk\/government\/publications\/cancer-screening-and-people-with-learning-disabilities\/cancer-screening-making-reasonable-adjustments."},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/1331677X.2015.1083875"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910700168720"},{"key":"e_1_2_8_64_1","doi-asserted-by":"crossref","unstructured":"KiriakidisS. Perceived Behavioural Control in the Theory of Planned Behaviour: Variability of Conceptualization and Operationalization and Implications for Measurement. Strategic Innovative Marketing: Springer;2017. p.197\u2013202.","DOI":"10.1007\/978-3-319-33865-1_25"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radi.2014.06.010"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.1287\/opre.30.5.961"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022379"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466608X347001"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.07.026"},{"key":"e_1_2_8_70_1","unstructured":"Department of Health. Valuing people: a new strategy for learning disability for the 21st century.: Department of Health;2001."},{"key":"e_1_2_8_71_1","unstructured":"Jo's Trust. Frequently Asked Questions for HPV 2018 [cited November 1 2018]. Available from:https:\/\/www.jostrust.org.uk\/faq\/hpv."},{"key":"e_1_2_8_72_1","unstructured":"Public Health England. Guidance supporting women with learning disabilities to access cervical screening2019[cited 2019 16th September]. Available from:https:\/\/www.gov.uk\/government\/publications\/cervical-screening-supporting-women-with-learning-disabilities\/supporting-women-with-learning-disabilities-to-access-cervical-screening."},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2017.e10152"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.177"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399330390169990"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2009.08.001"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12273"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.5311","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T11:33:34Z","timestamp":1694086414000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.5311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,29]]},"references-count":76,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1002\/pon.5311"],"URL":"https:\/\/doi.org\/10.1002\/pon.5311","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,29]]},"assertion":[{"value":"2019-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}