Role of community health worker in a mobile health program for early detection of oral cancer

Birur, Praveen; Gurushanth, Keerthi; Patrick, Sanjana; Sunny, Sumsum; Raghavan, Shubhasini A; Gurudath, Shubha; Hegde, Usha; Tiwari, Vidya; Jain, Vivek; Imran, Muhammad; Rao, Pratima; Kuriakose, Moni Abraham

doi:10.4103/ijc.ijc_232_18

Cited by 51 publications

(70 citation statements)

References 10 publications

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“…The findings reported here add to previous research in the extant literature on CHW interventions that improved oral health promotion in marginalised and immigrant communities 20,21 . Nonetheless, no statistically significant differences in self‐reported oral health practices from the exit interviews to the 1‐month follow‐up phone calls were found.…”

Section: Discussionsupporting

confidence: 68%

Acceptability of a community health worker intervention to improve the oral health of older Chinese Americans: A pilot study

Northridge

Troxel

et al. 2020

Gerodontology

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Objective To evaluate the acceptability of a community health worker (CHW) intervention designed to improve the oral health of low‐income, urban Chinese immigrant adults. Background Given that both dental caries and periodontitis are behaviourally mediated, biofilm‐based diseases that are largely preventable with attention to regular oral hygiene practices and preventive dental visits, strategies to arrest or even heal carious lesions and high‐quality maintenance care and plaque control without the need to resort to aerosol‐generating surgical approaches are evidence‐based best practices. Older immigrants have poorer oral health than older US‐born natives, motivating the need for delivery of more effective and affordable services to this vulnerable population. Materials and Methods CHWs were trained by the NYU College of Dentistry dental hygienist faculty members using dental models and flip charts to instruct patients on proper brushing and flossing techniques. In addition, they discussed the presented oral health promotion information one‐on‐one with patients, addressed any expressed concerns and encouraged prevention of oral conditions through regular dental visits and brushing with fluoride toothpaste. Results More than 98% of the 74 older Chinese adult participants strongly agreed/agreed that the CHWs helped them to improve how they take care of their health, the CHWs answered their questions and concerns, the information and topics were informative, and the in‐person demonstrations were helpful in improving oral health. Conclusion The health of all communities depends on access to comprehensive care, including oral health care, in the wake of COVID‐19. CHW interventions are acceptable to and may reach marginalised and immigrant communities.

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Section: Discussionsupporting

confidence: 68%

Acceptability of a community health worker intervention to improve the oral health of older Chinese Americans: A pilot study

Northridge

Troxel

et al. 2020

Gerodontology

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“…mHealth approach [4] has been validated in a study, that showed that CHWs were equally effective as specialists in oral screening [5] . A recent publication has summarized the experience with the mHealth.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 236 (130(6%) in the targeted group and 106(7%) in the opportunistic group, lesions were detected out of the total 3440 screened (6%). In our earlier study that summarized the screening in different settings by mHealth approach [5] , the prevalence of OPMDs ranged from 0.8 to 62% at different cohorts, with a mean of 12.6%. The sample size was calculated to detect at least a 2% difference between the arms.…”

Section: Methodsmentioning

confidence: 99%

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Oral cancer screening using mobile phone-based(mHealth) approach versus conventional oral examination approach, protocol of a cluster randomized study with cost-effectiveness analysis

Thankappan

Birur

Raj

et al. 2020

International Journal of Surgery Protocols

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Highlights This is a protocol of a cluster-randomized population-based study. To compare the mHealth versus the conventional approach in oral cancer screening. It will be the first cluster-randomized study to test the technology-based approach. The study will see whether specialists can make a remote diagnosis of oral lesions. Trial also plans to do a health economic evaluation, a cost-effectiveness analysis.

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“…Also dissipation of the knowledge about cancer treatment and about the governmental support for the same to the community through public health nurses, ASHA workers and other grass root level health workers may help in tackling the situation. 16 Cancer survivorship programs, good care giver support and cancer rehabilitation programs also may increase the confidence of the general public, helping in throwing away taboos regarding the disease resulting in early detection and treatment. 17,18 A more wider and scientific gap analysis helps in identifying the defects of the present health care activities in early cancer detection and screening.…”

Section: Common Concerns About Cancer and Its Treatmentmentioning

confidence: 99%

Community cancer awareness programs: symptom awareness alone doesn’t suffice

Shehna

Khan

Kumar

et al. 2020

Int J Community Med Public Health

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Background: Although cancer is a global public health problem, maximum impact is on developing economies. In India, socio-cultural factors also operate to add the burden. Aim of the study was to delineate factors causing late presentation of cancers to the point of care.Methods: We gave cancer awareness classes to a village community, preceded by a campaign to attend the classes with the help of a local trustee organisation and primary health center. Data was collected from the attendees using a structured questionnaire prepared to dissect out the awareness about cancer symptoms and concerns about treatment.Results: Only 1.8% of the total population of the area under study attended the classes. Out of the 411 attendees, 323 (78.6%) responded to the questionnaire and of them, 294 (91%) identified the site wise symptoms of cancer clearly and 40 (12.4%) detected their own symptoms warranting cancer screening. Commonest concern was the cost of treatment (40.9%). There were people thinking that cancer is not a life-style disease (3.1%), it is genetic (7.7%), it may be due to fate alone (6.2%), it is contagious (5%), and it cannot be cured (3.7%).Conclusions: Despite high health status indices, literacy rate and high knowledge about cancer symptoms, there are still a lot of superstitions about cancer in Kerala. The most common reason preventing people from approaching health care system with early symptoms of cancer is the fear of cost of treatment. Apart from teaching symptoms of cancer, cancer awareness programs should include familiarisation of various financial aids available for cancer treatment.

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Role of community health worker in a mobile health program for early detection of oral cancer

Cited by 51 publications

References 10 publications

Acceptability of a community health worker intervention to improve the oral health of older Chinese Americans: A pilot study

Acceptability of a community health worker intervention to improve the oral health of older Chinese Americans: A pilot study

Oral cancer screening using mobile phone-based(mHealth) approach versus conventional oral examination approach, protocol of a cluster randomized study with cost-effectiveness analysis

Community cancer awareness programs: symptom awareness alone doesn’t suffice

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