The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
Int J Environ Res Public Health. 2019 Aug 23;16(17):3072. doi: 10.3390/ijerph16173072.
The utilization rate of cervical cancer screening services among South Asian women is low. Multimedia interventions conducted by community health workers (CHWs) could potentially enhance the cervical cancer screening uptake among these individuals. This study aimed to investigate the feasibility and preliminary effects of a CHW-led multimedia intervention on cervical cancer screening uptake among this underprivileged group. This pilot study utilized a randomized wait-list controlled trial design. Forty-two South Asian women were recruited at six ethnic minority associations. Randomization of each organization into either the intervention arm or wait-list control arm was then performed. The intervention was conducted by the CHWs from the associations where the participants were recruited. Outcome measures, were assessed and compared at baseline and immediately post-intervention. We demonstrated that the intervention was feasible as evidenced by the high consent rate and low withdrawal and attrition rates. The intervention arm showed a statistically significant improvement in perceived benefits ( = 0.001) and perceived barriers ( = 0.02). However, no significant difference was noted in screening uptake and screening intention between arms. Our findings support the feasibility of CHW-led multimedia intervention and provide preliminary evidence of its effectiveness on enhancing the cervical cancer screening beliefs among South Asian women.
宫颈癌筛查服务在南亚女性中的利用率较低。社区卫生工作者（CHWs）开展的多媒体干预措施可能会提高这些人群的宫颈癌筛查率。本研究旨在调查 CHW 主导的多媒体干预措施对这一弱势群体的宫颈癌筛查参与度的可行性和初步效果。本试点研究采用随机等待名单对照试验设计。在六个少数民族协会招募了 42 名南亚裔妇女。然后对每个组织进行随机分组，分为干预组或等待名单对照组。干预由参与者所在协会的 CHWs 进行。在基线和干预后立即评估和比较结果测量。我们证明了干预措施是可行的，因为同意率高，退出和流失率低。干预组在感知益处（=0.001）和感知障碍（=0.02）方面显示出统计学上的显著改善。然而，两组之间的筛查参与率和筛查意向没有显著差异。我们的研究结果支持 CHW 主导的多媒体干预的可行性，并提供了初步证据，证明其在增强南亚裔妇女宫颈癌筛查信念方面的有效性。
