Qualitative evaluation of a codesigned faith-based intervention for Muslim women in Scotland to encourage uptake of breast, colorectal and cervical cancer screening

Christie-de Jong, F., Kotzur, M. , Amiri, R., Ling, J., Mooney, J. D. and Robb, K. A. (2022) Qualitative evaluation of a codesigned faith-based intervention for Muslim women in Scotland to encourage uptake of breast, colorectal and cervical cancer screening. BMJ Open, 12(5), e058739. (doi: 10.1136/bmjopen-2021-058739) (PMID:35568495) (PMCID:PMC9109091)

Abstract

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.

• Item Type: Articles
• Additional Information: This work was supported by a grant from the Screening Inequalities Fund, the Scottish Government, Public Health Directorate.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Robb, Professor Katie and Kotzur, Dr Marie
• Authors: Christie-de Jong, F., Kotzur, M., Amiri, R., Ling, J., Mooney, J. D., and Robb, K. A.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Journal Name: BMJ Open
• Publisher: BMJ Publishing Group
• ISSN: 2044-6055
• ISSN (Online): 2044-6055
• Published Online: 13 May 2022
• Copyright Holders: Copyright © 2022 The Authors
• First Published: First published in BMJ Open 12(5): e058739
• Publisher Policy: Reproduced under a Creative Commons License