背景:在荷兰,所有30-60岁的女性都被邀请参加国家宫颈癌筛查计划,旨在早期发现和治疗癌前病变。荷兰四分之一的人口有移民背景,土耳其和摩洛哥移民是最大的移民人口。突厥和摩洛哥-荷兰妇女的筛查参与率较低,宫颈癌发病率较高,与荷兰本土女性相比。由于当前的信息材料不是针对这些女性的需求量身定制的,我们制作了一个简短的文化敏感教育视频,以促进在突厥和摩洛哥-荷兰妇女中进行宫颈癌筛查的知情决策.本文介绍了该视频的开发过程和经验教训。
方法:使用娱乐教育传播策略,我们与一个由土耳其和摩洛哥-荷兰女性组成的跨学科团队合作,研究人员,公共卫生专家,和创意媒体专业人士。我们按照媒体映射模型的不同阶段开发了视频:方向,结晶,设计/生产,实施,和传播。每个阶段都在论文中描述。
结果:该视频是用摩洛哥阿拉伯语制作的,-柏柏尔和土耳其,并强调了三个主要主题:(1)更确定患有宫颈癌(前)和预防治疗的可能性,手术,或者过早死亡,正因为如此,为孩子们而存在,(2)根据伊斯兰教,一个女人应该照顾好她的健康,(3)焦虑,羞耻,和隐私。
结论:简短的文化敏感教育视频,作为更大干预的一部分,与当前的信息手册一起交付,是根据理论开发的,并以土耳其和摩洛哥-荷兰妇女的需求为基础。在一项随机对照试验中评估了这种干预措施对促进知情宫颈癌筛查决策的价值和有效性。患者或公众贡献:在制作简短的文化敏感教育视频的过程中,我们与土耳其和摩洛哥-荷兰妇女合作。还邀请了突厥和摩洛哥-荷兰妇女观看原始录像,以验证内容和演示文稿是否符合他们的需求和要求。
BACKGROUND: In the Netherlands, all women aged 30-60 years are invited to participate in the national cervical cancer screening programme, which is aimed at early detection and treatment of precancerous lesions. One fourth of the Dutch population has a migration background, with Turkish and Moroccan immigrants being the largest immigrant populations. Turkish- and Moroccan-Dutch women show lower screening participation rates and a higher incidence of cervical cancer, compared to native Dutch women. Since current information materials are not tailored to these women\'s needs, we developed a short culturally sensitive educational video to facilitate informed decision-making for cervical cancer screening among Turkish- and Moroccan-Dutch women. This article describes the development process of this video and the lessons learned.
METHODS: Using the Entertainment-Education communication strategy, we collaborated with an interdisciplinary team of Turkish- and Moroccan-Dutch women, researchers, public health experts, and creative media professionals. We developed the video following the different stages of the Media Mapping model: Orientation, Crystallization, Design/Production, Implementation, and Dissemination. Each stage is described in the paper.
RESULTS: The video was developed in Moroccan-Arabic, -Berber and Turkish, and emphasized three main themes: (1) more certainty about having cervical (pre)cancer and the possibility to prevent treatment, surgery, or premature death, and because of this, being there for the children, (2) according to the Islam, a woman should take good care of her health, and (3) anxiety, shame, and privacy.
CONCLUSIONS: A short culturally sensitive educational video, delivered as part of a larger intervention together with the current information brochure, was developed based on theory and grounded in the needs of Turkish- and Moroccan-Dutch women. The value and effectiveness of this intervention to facilitate informed cervical cancer screening decisions are evaluated in a randomised controlled trial. PATIENT OR PUBLIC CONTRIBUTION: We collaborated with Turkish- and Moroccan-Dutch women during the development process of a short culturally sensitive educational video. Turkish- and Moroccan-Dutch women were also invited to watch the raw footage to verify whether the content and presentation matched their needs and requirements.