Cancer Prevention and Screening for People Experiencing Homelessness: Co-Designing the Health Navigator Model

Gil-Salmeron, Alejandro, Carmichael, Christina, Fragner, Tobias, Moudatsou, Maria, Tabaki, Ioanna, Barrio Cortes, Jaime, Doñate-Martínez, Ascensión, Smith, Lee and Grabovac, Igor (2025) Cancer Prevention and Screening for People Experiencing Homelessness: Co-Designing the Health Navigator Model. International Journal of Integrated Care, 25 (4). ISSN 1568-4156

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Abstract

Background: People experiencing homelessness (PEH) face major barriers to accessing healthcare, including cancer preventive services, which results in increased cancer morbidity and mortality. However, tailored integrated care interventions addressing these disparities are scarce. Methods: Using a qualitative, participatory approach, seven focus group discussions were conducted with 15 PEH and 41 health and social care professionals in Austria, Greece, Spain, and the UK. Data were thematically analysed using a framework based on ten core components of navigation interventions.  Results: Collaborative discussions led to a consensus on the Health Navigator Model (HNM), designed to improve cancer prevention for PEH. This model introduces “health navigators” from health and social care backgrounds to identify health needs, raise cancer awareness, coordinate healthcare access, and provide practical support. Thematic analysis ensured consistency across countries, shaping a person-centred approach. Comprehensive training and supervision were identified as critical for the effectiveness of the HNM.  Conclusion: The co-design approach allowed PEH and professionals to actively shape the intervention, addressing gaps in cancer prevention. The HNM offers a structured, internationally consistent model that could bridge access gaps in cancer care for PEH. Further research using implementation science frameworks is needed to evaluate its effectiveness in real-world settings.

Item Type:	Article
Uncontrolled Keywords:	cancer prevention,cancer screening,co-design,homelessness,patient empowerment,patient navigation,health(social science),sociology and political science,health policy,sdg 3 - good health and well-being,das in place,or analysed during the current study are available in pseudonymised form from the corresponding author upon reasonable request. ,/dk/atira/pure/subjectarea/asjc/3300/3306
Faculty \ School:	Faculty of Social Sciences > School of Psychology
Related URLs:	https://www.scopus.com/pages/publication...
Depositing User:	LivePure Connector
Date Deposited:	28 Oct 2026 14:45
Last Modified:	29 Oct 2026 00:08
URI:	https://ueaeprints.uea.ac.uk/id/eprint/104896
DOI:	10.5334/ijic.9293

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