1 The University of Chicago, Chicago, IL, USA.
2 Stony Brook University, Stony Brook, NY, USA.
Health Educ Behav. 2018 Dec;45(6):1025-1035. doi: 10.1177/1090198118769371. Epub 2018 Apr 19.
To describe the design of, and participant-level outcomes related to, a religiously tailored, peer-led group education program aimed at enhancing Muslim women's mammography intention.
Using a community-engaged approach and mixed methods, we identified and addressed barrier beliefs impeding mammography screening among Muslim American women. Our religiously tailored, mosque-based, peer-led intervention involved facilitated discussions and expert-led didactics conveying health-related religious teachings, and information about the benefits and process of mammography. Barrier beliefs were addressed through reframing, reprioritizing, or reforming such beliefs. Participant surveys were collected preintervention, postintervention, 6 months postintervention, and 1 year postintervention. These measured changes in mammography intention, likelihood, confidence, and resonance with barrier and facilitator beliefs.
A total of 58 Muslim women (mean age = 50 years) that had not had a mammogram in the past 2 years participated in the two-session program. Self-reported likelihood of obtaining a mammogram increased significantly ( p = .01) and coincided with a positive trend in confidence ( p = .08). Individuals with higher agreement with barrier beliefs preintervention had lower odds for positive change in likelihood (odds ratio = 0.80, p = .03), while those who were married had higher odds for positive change in likelihood (odds ratio = 37.69, p = .02). At 1-year follow-up, 22 participants had obtained a mammogram.
Our pilot mosque-based intervention demonstrated efficacy in improving Muslim women's self-reported likelihood of obtaining mammograms, and increased their mammography utilization, with nearly 40% obtaining a mammogram within 12 months of the intervention.
Our conceptual model for religiously tailoring messages, along with its implementation curriculum, proved effective in enhancing the likelihood and receipt of mammograms among Muslim American women. Accordingly, our work advances both the theory and practice of faith-based interventions and provides a model for addressing Muslim women's cancer screening disparities.
描述一项针对穆斯林女性的增强乳房 X 光检查意愿的宗教化、同伴主导的团体教育项目的设计和参与者水平的结果，该项目旨在增强穆斯林女性的乳房 X 光检查意愿。
我们采用社区参与的方法和混合方法，确定并解决了阻碍穆斯林美国女性进行乳房 X 光筛查的障碍信念。我们的宗教化、以清真寺为基础、由同伴主导的干预措施包括促进讨论和专家主导的教学，传达与健康相关的宗教教义以及乳房 X 光检查的益处和过程。通过重新构建、重新优先考虑或改革这些信念来解决障碍信念。在干预前、干预后、干预后 6 个月和干预后 1 年收集参与者的调查。这些调查测量了乳房 X 光检查意愿、可能性、信心的变化，以及对障碍和促进因素信念的共鸣。
共有 58 名过去 2 年内未进行过乳房 X 光检查的穆斯林女性（平均年龄 50 岁）参加了两期项目。自我报告获得乳房 X 光检查的可能性显著增加（p =.01），并且信心呈正趋势（p =.08）。干预前对障碍信念的认同度较高的个体，其可能性发生积极变化的可能性较低（比值比=0.80，p =.03），而已婚的个体，其可能性发生积极变化的可能性较高（比值比=37.69，p =.02）。在 1 年随访时，有 22 名参与者进行了乳房 X 光检查。
我们的基于清真寺的试点干预证明了在提高穆斯林女性自我报告获得乳房 X 光检查的可能性方面的有效性，并增加了她们的乳房 X 光检查利用率，近 40%的人在干预后 12 个月内进行了乳房 X 光检查。
我们的宗教化信息的概念模型及其实施课程，证明了在增强穆斯林美国女性的乳房 X 光检查意愿和接受程度方面的有效性。因此，我们的工作推进了基于信仰的干预措施的理论和实践，并为解决穆斯林女性的癌症筛查差距提供了一个模型。
