Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 24, 2021
Date Accepted: May 19, 2022
Evaluation of a web-based culturally sensitive educational video to facilitate informed cervical cancer screening decisions among Turkish- and Moroccan-Dutch women aged 30 to 60 years: A randomized intervention study
ABSTRACT
Background:
In the Netherlands, especially Turkish- and Moroccan-Dutch women show low cervical cancer (CC) screening participation and limited informed decision-making (IDM) in this regard. To meet the needs of these women, a Culturally Sensitive Educational Video (CSEV) was developed.
Objective:
The objective was to evaluate the effect of the CSEV on IDM regarding CC screening participation among Turkish and Moroccan women aged 30-60 years in the Netherlands.
Methods:
Initial respondents were recruited via several social media platforms, and invited to complete an online questionnaire. Following respondent-driven sampling, respondents were asked to recruit a number of peers from their social network to complete the same questionnaire. Respondents were randomly assigned to the control (current information brochure), or intervention condition (brochure and CSEV). We evaluated the added effect of the CSEV on knowledge, attitude, intention, and IDM using intention-to-treat analyses.
Results:
The final sample included 686 Turkish- and 878 Moroccan-Dutch women. Of this sample, 793 were randomized to the control group (350 Turkish and 443 Moroccan) and 771 to the intervention group (336 Turkish and 435 Moroccan). Among Turkish-Dutch women, 33.1% of the control respondents and 40.5% of the intervention respondents consulted the brochure (not statistically significant). Among Moroccan-Dutch women, these percentages were 28.2% and 37.9%, respectively (P = 0.003). Of all intervention respondents, 96.1% (Turkish) and 84.4% (Moroccan) consulted the CSEV. The CSEV resulted in more positive screening attitudes among Moroccan-Dutch women, in comparison to the brochure (74.3% versus 68.4%, P = 0.07).
Conclusions:
Our short, easily implementable CSEV resulted in more positive screening attitudes in Turkish- and Moroccan-Dutch women, and can thus contribute to informed CC screening decisions. Clinical Trial: The Netherlands Trial Register, nr: NL8453.
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