基于信仰的干预措施在苏格兰对穆斯林妇女的定性评估，以鼓励她们接受乳腺癌、结直肠癌和宫颈癌筛查。
Qualitative evaluation of a codesigned faith-based intervention for Muslim women in Scotland to encourage uptake of breast, colorectal and cervical cancer screening.
机构信息
Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK.
出版信息
BMJ Open. 2022 May 13;12(5):e058739. doi: 10.1136/bmjopen-2021-058739.
OBJECTIVES
This pilot study aimed to evaluate the acceptability of a codesigned, culturally tailored, faith-based online intervention to increase uptake of breast, colorectal and cervical screening in Scottish Muslim women. The intervention was codesigned with Scottish Muslim women (n=10) and underpinned by the reframe, reprioritise and reform model and the behaviour change wheel.
SETTING
The study was conducted online, using Zoom, due to the COVID-19 pandemic.
PARTICIPANTS
Participants (n=18) taking part in the intervention and subsequently in its evaluation, were Muslim women residing in Scotland, recruited through purposive and snowball sampling from a mosque and community organisations. Participants were aged between 25 years and 54 years and of Asian and Arab ethnicity.
DESIGN
The study's codesigned intervention included (1) a peer-led discussion of barriers to screening, (2) a health education session led by a healthcare provider, (3) videos of Muslim women's experiences of cancer or screening, and (4) a religious perspective on cancer screening delivered by a female religious scholar (alimah). The intervention was delivered twice online in March 2021, followed 1 week later by two focus groups, consisting of the same participants, respectively, to discuss participants' experiences of the intervention. Focus group transcripts were analysed thematically.
RESULTS
Participants accepted the content and delivery of the intervention and were positive about their experience of the intervention. Participants reported their knowledge of screening had increased and shared positive views towards cancer screening. They valued the multidimensional delivery of the intervention, appreciated the faith-based perspective, and in particular liked the personal stories and input from a healthcare provider.
CONCLUSION
Participatory and community-centred approaches can play an important role in tackling health inequalities in cancer and its screening. Despite limitations, the intervention showed potential and was positively received by participants. Feasibility testing is needed to investigate effectiveness on a larger scale in a full trial.
目的
本试点研究旨在评估一种经共同设计、文化调整、基于信仰的在线干预措施在苏格兰穆斯林女性中提高乳腺癌、结直肠癌和宫颈癌筛查参与度的可接受性。该干预措施由苏格兰穆斯林女性（n=10）共同设计，以重新规划、重新优先排序和改革模型和行为改变轮为基础。
设置
由于 COVID-19 大流行，该研究在线上进行，使用 Zoom。
参与者
参与干预措施并随后参与其评估的参与者是居住在苏格兰的穆斯林女性，通过从清真寺和社区组织进行有针对性的和滚雪球式的抽样招募。参与者年龄在 25 岁至 54 岁之间，种族为亚洲和阿拉伯裔。
设计
该研究共同设计的干预措施包括（1）一次由同行领导的关于筛查障碍的讨论，（2）由医疗保健提供者领导的健康教育课程，（3）穆斯林女性经历癌症或筛查的视频，以及（4）由女性宗教学者（alimah）提供的关于癌症筛查的宗教观点。该干预措施于 2021 年 3 月在线分两次进行，之后一周分别举行了两次焦点小组会议，由相同的参与者参加，以讨论参与者对干预措施的体验。对焦点小组的记录进行了主题分析。
结果
参与者接受了干预措施的内容和交付，并对他们的干预体验持积极态度。参与者报告说他们的筛查知识有所增加，并对癌症筛查持积极看法。他们重视干预措施的多维交付，赞赏基于信仰的观点，特别喜欢个人故事和医疗保健提供者的投入。
结论
参与式和以社区为中心的方法可以在解决癌症及其筛查方面的健康不平等方面发挥重要作用。尽管存在局限性，但该干预措施显示出了潜力，并受到了参与者的好评。需要进行可行性测试，以便在更大规模的全试验中调查其有效性。
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