Payne Daisy, Haith-Cooper Melanie, Almas Nisa
Faculty of Health Studies, University of Bradford, Bradford, UK.
Health Soc Care Community. 2022 Sep;30(5):1979-1987. doi: 10.1111/hsc.13579. Epub 2021 Sep 25.
UK South Asian women are less likely to engage with cancer screening than the general population and present later with more advanced disease. Tailored interventions are needed to address barriers to these women accessing screening services. 'Wise up to cancer' is a community-based health intervention designed to increase cancer screening uptake. It has been implemented within the general population and a study was undertaken to implement it within a South Asian female community. This paper explores one workstream of the wider 'Wise up to Cancer' study which involved working out how best to adapt the baseline questionnaire (the first part of the intervention) for South Asian women in an inner-city location in Northern England. The aim of this workstream was to evaluate what worked well when implementing the adapted 'Wise up to Cancer' with South Asian women. In 2018, we conducted qualitative semi-structured interviews and focus group with 14 key stakeholders; women who had received the intervention, health champions and community workers to explore their perspectives on how the adapted intervention worked within a South Asian female community. The interviews were audio recorded or (notes taken), data were transcribed verbatim and the dataset was thematically analysed. We found that training peers as community health champions to deliver the intervention to address language and cultural barriers increased participant engagement, was beneficial for the peers and supported participants who revealed difficult social issues they may not have otherwise discussed. Accessing women in established community groups, following planned activities such as English language classes worked but flexibility was needed to meet individual women's needs. Further research is needed to explore the impact of adapting 'Wise up to Cancer' for this community in terms of engaging with cancer screening.
英国南亚裔女性比普通人群参与癌症筛查的可能性更低，且就诊时病情往往更严重。需要采取针对性的干预措施来消除这些女性在获取筛查服务方面的障碍。“了解癌症”是一项基于社区的健康干预措施，旨在提高癌症筛查的参与率。该措施已在普通人群中实施，并开展了一项研究以在南亚裔女性社区中实施。本文探讨了更广泛的“了解癌症”研究中的一个工作流程，该流程涉及研究如何最好地为英格兰北部市中心地区的南亚裔女性调整基线调查问卷（干预措施的第一部分）。这个工作流程的目的是评估在南亚裔女性中实施经过调整的“了解癌症”措施时，哪些方面效果良好。2018年，我们对14名关键利益相关者进行了定性半结构化访谈和焦点小组讨论，这些利益相关者包括接受过干预措施的女性、健康倡导者和社区工作者，以探讨他们对经过调整的干预措施在南亚裔女性社区中的实施效果的看法。访谈进行了录音或（做了笔记），数据逐字转录，并对数据集进行了主题分析。我们发现，培训同伴成为社区健康倡导者来实施干预措施以解决语言和文化障碍，提高了参与者的参与度，对同伴有益，并支持了那些揭示了可能不会在其他情况下讨论的棘手社会问题的参与者。在既定社区团体中接触女性，按照诸如英语课程等计划好的活动进行是有效的，但需要灵活性以满足个别女性的需求。需要进一步研究以探讨为该社区调整“了解癌症”措施在促进癌症筛查方面的影响。
