Exploring the inequalities of women with learning disabilities deciding to attend, and then accessing cervical and breast cancer screening, using the Social Ecological Model

Background: Women with learning disabilities are less likely to access cervical and breast cancer screening when compared to the general population. The Social Ecological Model (SEM) was used to examine the inequalities faced by women with learning disabilities in accessing cervical and breast cancer screening in England, UK. Methods: The findings from a qualitative systematic review, and a Q methodology study were triangulated. Framework analysis, in line with the SEM, was used to develop an integrated set of findings. Findings: Women with learning disabilities may lack knowledge of cancer symptoms, and cancer screening, as well as being scared about the process and getting the results. The attitudes of family and paid carers towards screening may influence women with learning disabilities’ decisions as to whether screening is seen as favourable; support and training may ensure unbiased perspectives. Barriers were also associated with how cancer screening programmes are designed, such as postal invitations which assumes an ability to read. In addition, screening staff need to be aware of the general needs of people with learning disabilities, such as the benefits of easy-read documents. Lastly, multidisciplinary working is required so reasonable adjustments can be embedded into cancer screening pathways. Conclusion: This paper highlights multiple methods to reduce the inequalities faced by women with learning disabilities, which can be achieved through reasonable adjustments. Embedding reasonable adjustments can support women with learning disabilities in making an informed decision, and accessing screening if they choose to. This may result in women with learning disabilities getting a timely cancer diagnosis

A protocol to identify the barriers and facilitators for people with severe mental illness and/or learning disabilities for PErson Centred Cancer Screening services (PECCS)

Objectives: To identify the barriers and facilitators that people with severe mental illness and people with learning disabilities may encounter when accessing cancer screening and make recommendations for implementing reasonable adjustments throughout cancer screening services. Methods and Analysis: An 18-month sequential, mixed-methods study comprising of two phases of work and underpinned by Normalisation Process Theory, recruiting from across the North-East and North Cumbria. The first phase aims to identify the barriers and facilitators for people with severe mental illness in accessing cervical, breast and colorectal cancer screening. A systematic review of eight databases (Part 1a; PROSPERO registration number: CRD42022331781) alongside semi-structured interviews of up to 36 people with severe mental illness (Part 1b) will occur. Additional characteristics indicating populations whose perspectives may not have been accounted for in the systematic review will be targeted in the interviews. Potential participants will be identified from a range of settings across the North-East and North Cumbria, including through social media and gatekeepers within National Health Service Trusts and charities. Interviews will be analysed using framework analysis, which will be in line with the Normalisation Process Theory. The second phase of the project (part 2a) involves triangulating the results of the systematic review and interviews with existing research previously completed with people with learning disabilities accessing cancer screening. This will be to identify population specific barriers and facilitators across people with learning disabilities and people with severe mental illness to access cancer screening services. Following triangulation, part 2b will include designing and planning a future study involving stakeholders in cancer screening to explore the feasibility, practicality, and priority for implementing the recommendations to improve person centred cancer screening services (PECCS). Ethics and dissemination: This study has received Teesside University ethical approval, Health Research Authority approval (IRAS: 310622) and favourable opinion (REF: 22/PR/0793). Findings will be disseminated through a range of academic and non-academic modes including infographics, blog posts and academic publications

The Grizzly, October 13, 2022

Meet Arthur Artene, Student Government President • Petite Filet in my Wismer? More Likely Than You Think • A Note From the Editor • Dr. Len Lawson, Award-Winning Poet and Scholar • Alex Peay \u2709 and Rising Up • Opinions: Plans for Fall Break Fun • Understanding Stress and Preventing Burnouthttps://digitalcommons.ursinus.edu/grizzlynews/1997/thumbnail.jp

The Grizzly, November 3, 2022

Nuclear Research Gets New Funding • Celebration of Lights • A November Note From the Editor • Calling the Audience to the Stand • Media on Main Markets for Local Businesses • Opinions: I am a Privileged Gay Man, and Yes, I Want You to Care About Abortion Rights! • What do the Phillies Mean to Ursinus? • New Women\u27s Soccer Coach: Killin\u27 It!https://digitalcommons.ursinus.edu/grizzlynews/1999/thumbnail.jp

The Grizzly, April 6, 2023

The Super Bowl of Admissions • Loose Change Takes Center Stage in Lower Wismer • An April Note From the Editor • Following the Trail to Oregon • Humor Writing: Not Just Something to Laugh at • Opinions: What is That Building Called?; What Will You Miss About Ursinus? • 46 Deep: Ursinus Men\u27s LAX Story From a Player\u27s Perspectivehttps://digitalcommons.ursinus.edu/grizzlynews/2011/thumbnail.jp

The Grizzly, October 26, 2023

A Conversation With Dr. Gundolf Graml • Thinking Locally With UC Votes • Future Developments on Main • A Look Inside Art Club • Film Club Documentary • Opinions: A Divided Ursinus • Ursinus Women\u27s Rugby Team Prepares to Tackle the Season Ahead • UC Field Hockey Doesn\u27t Cut Corners in Victory Over Ranked Swarthmorehttps://digitalcommons.ursinus.edu/grizzlynews/2019/thumbnail.jp

The Grizzly, September 28, 2023

Recovery Friendly Workplace • Fall-ing for Ursinus Crossword • Study Tips With Coffeestudi • Correction to Student Responses to Changes in Good Samaritan Policy • Two Gentlemen of Lenfest • Two Gentlemen of Verona Rehearsal Photos • Renie and Kate\u27s Meme Corner • A Tasty Trip to the Trappe Tavern • Volleyball Veterans • A Healthy Lifestyle: The Importance of Food and Nutritionhttps://digitalcommons.ursinus.edu/grizzlynews/2016/thumbnail.jp

The Grizzly, December 7, 2023

Spring 2023 Recap • Fall 2023 Recap • Farewell From the News Editor • Farewell From the Web Editor • Students Surprise With Spotify Wrapped Lists • 2023 Crossword • Reflections From Ursinus\u27 December Graduates • Ursinus Athletics Fall 2023 Recap: Men\u27s • Ursinus Athletics Fall 2023 Recap: Women\u27shttps://digitalcommons.ursinus.edu/grizzlynews/2024/thumbnail.jp

The Grizzly, March 2, 2023

Rachel Arthur \u2723 Earns Prestigious Fellowship • Reim Time: To Extend, or Not to Extend? • New Recovery Specialist Joins Prevention and Advocacy Team • A March Note From Our Editor • The Man Behind the Microscope (Donation) • Working to Work the Stage Soon! • Campus Safety: How Safe are Students? • Student Plans for St. Patrick\u27s Day • Student Sports Photography: A Renaissancehttps://digitalcommons.ursinus.edu/grizzlynews/2007/thumbnail.jp

The Grizzly, February 9, 2023

The Wismer Shuffle • Talking Trash to Address Ursinus\u27 Waste Issue • February Editor\u27s Letter • Ursinus Student Lives It Up, Down Under • Job, Internship and Networking Fair February 15! • Opinions: Pets Banned From Campus Buildings? A-Paw-lling! • Deal -ing out Ws • Swim, Swam, Swum in Floridahttps://digitalcommons.ursinus.edu/grizzlynews/2004/thumbnail.jp