Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study
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 scr...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01936-2 |
| _version_ | 1818000264128364544 |
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| author | Rosalie Power Jane M. Ussher Alex Hawkey Olivia Missiakos Janette Perz Olayide Ogunsiji Nikolina Zonjic Cannas Kwok Kate McBride Melissa Monteiro |
| author_facet | Rosalie Power Jane M. Ussher Alex Hawkey Olivia Missiakos Janette Perz Olayide Ogunsiji Nikolina Zonjic Cannas Kwok Kate McBride Melissa Monteiro |
| author_sort | Rosalie Power |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T03:19:40Z |
| format | Article |
| id | doaj.art-15c56ce12cd14aea9287ea0721315994 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-14T03:19:40Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-15c56ce12cd14aea9287ea07213159942022-12-22T02:15:21ZengBMCBMC Women's Health1472-68742022-08-0122111710.1186/s12905-022-01936-2Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility studyRosalie Power0Jane M. Ussher1Alex Hawkey2Olivia Missiakos3Janette Perz4Olayide Ogunsiji5Nikolina Zonjic6Cannas Kwok7Kate McBride8Melissa Monteiro9Translational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityFamily Planning NSWTranslational Health Research Institute, School of Medicine, Western Sydney UniversityTranslational Health Research Institute, School of Medicine, Western Sydney UniversityCommunity Migrant Resource CentreAbstract 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.https://doi.org/10.1186/s12905-022-01936-2Cervical screeningHealth promotionCultural tailoringMigrant and refugee womenQualitative |
| spellingShingle | Rosalie Power Jane M. Ussher Alex Hawkey Olivia Missiakos Janette Perz Olayide Ogunsiji Nikolina Zonjic Cannas Kwok Kate McBride Melissa Monteiro Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study BMC Women's Health Cervical screening Health promotion Cultural tailoring Migrant and refugee women Qualitative |
| title | Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study |
| title_full | Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study |
| title_fullStr | Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study |
| title_full_unstemmed | Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study |
| title_short | Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study |
| title_sort | co designed culturally tailored cervical screening education with migrant and refugee women in australia a feasibility study |
| topic | Cervical screening Health promotion Cultural tailoring Migrant and refugee women Qualitative |
| url | https://doi.org/10.1186/s12905-022-01936-2 |
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