A Theory-Based and Culturally Aligned Training Program on Breast and Cervical Cancer Prevention for South Asian Community Health Workers

So, Winnie K.W.; Kwong, Alice N.L.; Chen, Joanne M.T.; Chan, Joanne; Law, Ben M. F.; Sit, Janet W H; Chan, Carmen W.H.

doi:10.1097/ncc.0000000000000543

Cited by 18 publications

(18 citation statements)

References 30 publications

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“…Therefore, nurses should actively communicate with patients, especially at the beginning of rehabilitation. 17 – 19 The WeChat platform and telephone follow-up activities could be used to publicize disease knowledge so that patients can obtain correct information about disease rehabilitation and improve their quality of life.…”

Section: Discussionmentioning

confidence: 99%

Negative emotions and their management in Chinese convalescent cervical cancer patients: a qualitative study

Zhu

Zhao

et al. 2020

J Int Med Res

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Objective The aim of the study was to understand the experience of negative emotions and coping styles of patients with cervical cancer during the rehabilitation period. Methods A descriptive qualitative research method was used. Purposive sampling was used to recruit participants. Semi-structured interviews were conducted with 18 cervical cancer patients and the data were analysed using content analysis. Results The analysis identified three relevant themes. Theme 1: Negative emotions in convalescent cervical cancer patients mainly comprised fear of recurrence, worries about sex and feelings of inferiority. Theme 2: Patients used positive and negative coping styles to manage negative emotions. Theme 3: Patients expressed a strong need for rehabilitation information. Conclusions Patients with cervical cancer exhibited negative emotions during the rehabilitation period. To help these patients, medical staff should develop an understanding of their needs by communicating more with patients and providing them with targeted care to help them return to society more quickly.

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Section: Discussionmentioning

confidence: 99%

Negative emotions and their management in Chinese convalescent cervical cancer patients: a qualitative study

Zhu

Zhao

et al. 2020

J Int Med Res

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“…CHWs can also assist South Asian ethnic minorities in scheduling cancer screening appointments. Our previous study demonstrated the positive effect of a CHW training program in enhancing CHW competence in increasing community peer knowledge of cervical cancer and self-efficacy in cervical cancer screening utilization [15]. As training South Asian CHWs within the local community is feasible, we speculate that the innovative approach of combining multimedia and CHWs in intervention delivery can enhance knowledge of cervical cancer screening among participants.…”

Section: Introductionmentioning

confidence: 90%

“…Within two weeks following the collection of the socio-demographics and baseline data upon subject recruitment, the CHWs directly contacted the participants to inform them of their schedule and venue for the intervention. The evidence-based multimedia educational intervention lasted for three months and was developed on the basis of the training program for CHWs developed by the project team [15] and recommendations from systematic reviews [11,12,13]. The intervention consisted of two parts: (1) a 30-min multimedia educational program presented using a structured PowerPoint slide with a video clip aiming to augment knowledge of cervical cancer and its prevention; (2) a monthly telephone follow-up once a month for three months and the provision of navigation assistance in accessing screening services.…”

Section: Methodsmentioning

confidence: 99%

Effects of a Community Health Worker-Led Multimedia Intervention on the Uptake of Cervical Cancer Screening among South Asian Women: A Pilot Randomized Controlled Trial

Wong

Choi

Law

et al. 2019

IJERPH

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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 (p = 0.001) and perceived barriers (p = 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.

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“…A package of training materials was developed based on the existing literature and comments from the expert panel. The training program for the CHWs was examined in a previous feasibility study and shown to enhance participants’ knowledge of cancer, self-efficacy, and competence in working as CHWs [27]. The training of CHWs by the research team would require 14 h. Training will consist of seven sessions that cover the following: information about cervical cancer and screening; resources and access to screening tests; beliefs, myths, and misconceptions about cancer and cancer screening; barriers to cancer screening; facilitators and strategies to overcome such possible barriers; communication and problem-solving skills; and navigation support.…”

Section: Methodsmentioning

confidence: 99%

“…The trained CHW will deliver two 30-min health talks using a PowerPoint presentation on the following topics: definition of cervical cancer and risk factors, signs, and symptoms of cervical cancer; myths and misconceptions about cervical cancer; preventive measures for cervical cancer; and available preventive measures and service providers in Hong Kong [27]. Participants will then be asked to watch a 4-min video clip to reinforce the knowledge gained.…”

Section: Methodsmentioning

confidence: 99%

A community health worker-led multimedia intervention to increase cervical cancer screening uptake among South Asian women: study protocol for a cluster randomized wait-list controlled trial

Wong

Chan

et al. 2019

Trials

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Background Marked ethnic disparities on cervical cancer screening have been observed among South Asian women. Multiple barriers, such as language difficulties, poor access to screening services, values, and beliefs, were identified. Multimedia interventions led by community health workers (CHWs) would likely reduce screening disparities and increase cervical screening uptake among South Asian women. This study aims to assess the effects of a CHW-led multimedia intervention on the uptake of cervical cancer screening among South Asian women. Methods This study is a cluster randomized wait-list controlled trial. A total of 408 South Asian women from Pakistan, India or Nepal will be recruited from six ethnic minority associations. Each association will be randomized to one of the two arms: an intervention arm ( n = 3) that will undergo immediate treatment (CHW-led multimedia intervention) or a wait-list control arm ( n = 3) that will receive delayed treatment. Each recruited CHW will be allocated to either arm according to the association she is affiliated with. The intervention arm will receive a CHW-led intervention comprising two components: multimedia education, and monthly telephone follow-up and navigation assistance. Participants in the control arm ( n = 3) will be offered the CHW-led intervention after those in the intervention arm have completed the intervention. The primary outcome measure is the uptake of cervical cancer screening. Secondary outcomes include readiness to undergo screening and beliefs regarding cervical cancer screening. Outcomes assessments will be performed at baseline, immediately after, and 3 months after completion of the intervention. Discussion The results of this study will potentially provide significant practical implications for addressing the needs and increasing the uptake of cervical cancer screening among South Asian women. Trial registration Chinese Clinical Trial Registry, ChiCTR1800017227 . Registered on 18 July 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3378-4) contains supplementary material, which is available to authorized users.

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A Theory-Based and Culturally Aligned Training Program on Breast and Cervical Cancer Prevention for South Asian Community Health Workers

Abstract: The theoretical framework of our CHW training program and the incorporated cultural components could be useful for the development of future programs for training South Asian CHWs in delivering interventions on cancer prevention.

Cited by 18 publications

References 30 publications

Negative emotions and their management in Chinese convalescent cervical cancer patients: a qualitative study

Negative emotions and their management in Chinese convalescent cervical cancer patients: a qualitative study

Effects of a Community Health Worker-Led Multimedia Intervention on the Uptake of Cervical Cancer Screening among South Asian Women: A Pilot Randomized Controlled Trial

A community health worker-led multimedia intervention to increase cervical cancer screening uptake among South Asian women: study protocol for a cluster randomized wait-list controlled trial

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