Publications by authors named "M A Shea-Budgell"
Article Synopsis
- Cervical cancer screening participation among First Nations women in Canada is lower compared to non-First Nations women, with a significant 13.9% average participation gap.
- The study linked Alberta's Cervical Cancer Screening Program data with First Nations identifiers and analyzed trends in participation and retention rates from 2012 to 2018.
- Findings revealed First Nations women had a higher occurrence of high-risk abnormal cytology tests, highlighting the need to address screening inequities to lessen the impact of cervical cancer in this population.
Background: Clinical practice guidelines (CPGs) synthesize high-quality information to support evidence-based clinical practice. In primary care, numerous CPGs must be integrated to address the needs of patients with multiple risks and conditions. The BETTER program aims to improve prevention and screening for cancer and chronic disease in primary care by synthesizing CPGs into integrated, actionable recommendations.
View Article and Find Full Text PDFChronic disease prevention and screening outcomes for patients with and without financial difficulty: a secondary analysis of the BETTER WISE cluster randomised controlled trial.
BMJ Open
April 2024
Article Synopsis
- The BETTER WISE study aimed to evaluate a cancer and chronic disease prevention program's effectiveness by comparing outcomes between participants facing financial difficulties versus those who did not.
- The study analyzed data from a cluster-randomized trial involving 596 participants from 59 physicians across 13 clinics, comparing a 1-hour intervention visit to usual care.
- Results indicated that participants without financial difficulties in the intervention group had a higher completion rate of eligible preventive actions (29%) compared to the control group (23%), while there was no significant difference in those with financial difficulties.
Background: Cancer and chronic diseases are a major cost to the healthcare system and multidisciplinary models with access to prevention and screening resources have demonstrated improvements in chronic disease management and prevention. Research demonstrated that a trained Prevention Practitioner (PP) in multidisciplinary team settings can improve achievement of patient level prevention and screening actions seven months after the intervention.
Methods: We tested the effectiveness of the PP intervention in a pragmatic two-arm cluster randomized controlled trial.
Purpose: The BETTER WISE (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care for Wellness of Cancer Survivors and Patients) intervention is an evidence-based approach to prevention and screening for cancers and chronic diseases in primary care that also includes comprehensive follow-up for breast, prostate and colorectal cancer survivors. We describe the process of harmonizing cancer survivorship guidelines to create a BETTER WISE cancer surveillance algorithm and describe both the quantitative and qualitative findings for BETTER WISE participants who were breast, prostate or colorectal cancer survivors. We describe the results in the context of the COVID-19 pandemic.
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