Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study.
BMC Womens Health
; 22(1): 353, 2022 08 20.
Article
in English
| MEDLINE | ID: covidwho-2002163
ABSTRACT
BACKGROUND:
Participation of culturally and linguistically diverse (CALD) women from migrant and refugee backgrounds in cervical screening is crucial to eliminate cervical cancer as a public health problem within the next 20 years. However, CALD women report low participation in cervical screening. Barriers to participation can be addressed with culturally tailored, community-based programs. There is a need for research to explore the process, feasibility, acceptability and barriers to cultural tailoring in the delivery and evaluation of cervical screening health education.METHODS:
CALD community health workers took part in a 2 day training program then co-designed, culturally tailored and co-facilitated cervical screening health promotion forums within their communities. Forums were delivered to a total of seven groups, involving 12 sessions and 71 CALD women. The forums were evaluated for feasibility, acceptability, implementation and effectiveness using a survey, interviews and observations. Data were collected from CALD women, facilitators and researchers.RESULTS:
The co-design and co-delivery of cervical screening health promotion forums was time and resource intensive however allowed for deeper cultural tailoring resulting in engagement with 'hard to reach' CALD women, improved health literacy and intention to screen. Flexibility in the intervention implementation was crucial to ensure forums were responsive to community interests and needs. Online delivery of the forums in response to the COVID-19 pandemic was acceptable to most groups.CONCLUSIONS:
Co-designed, culturally tailored cervical screening health promotion forums are feasible and acceptable to CALD women, in both face-to-face and online formats. Adjustments to the intervention protocol were recommended to improve future implementation.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Refugees
/
Transients and Migrants
/
Uterine Cervical Neoplasms
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Female
/
Humans
Country/Region as subject:
Oceania
Language:
English
Journal:
BMC Womens Health
Journal subject:
Women's Health
Year:
2022
Document Type:
Article
Affiliation country:
S12905-022-01936-2
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