DOI
https://doi.org/10.25772/S53J-8225
Author ORCID Identifier
https://orcid.org/0000-0001-7720-0500
Defense Date
2023
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Social and Behavioral Health
First Advisor
Vanessa Sheppard
Second Advisor
Jessica LaRose
Third Advisor
Robert Perera
Fourth Advisor
Sun Jung Kim
Fifth Advisor
Patricia Williams
Abstract
Abstract
Purpose: US Muslim women have suboptimal participation in cervical cancer screening and prevention services. This is due in part to a lack of access to culturally relevant education programs. To address this issue three aims were identified: Aim 1. Adapt existing evidence- based educational materials for a religious and culturally appropriate intervention; Aim 2. Test the preliminary efficacy of the intervention and Aim 3. Assess the feasibility and acceptability of the intervention and materials.
Methods: The ORBIT model for developing behavioral interventions guided intervention design, refinement (Phase I), and preliminary testing (Phase II). Focus groups and interviews were conducted with Muslim women and a Community Advisory Board. The analysis of the formative data used a thematic approach and the PEN-3 Model. In Phase II, a single-arm pilot was conducted with 20 Muslim women. The R programming language was used for statistical analysis.
Results: The formative phase informed content, selection of culturally appropriate images and religious and cultural messages regarding cervical cancer. The intervention products that were developed included a guidebook, presentations, three educational videos, and three brochures. The second phase of the study used these materials to deliver an in-person 90-minute educational sessions with 20 Muslim women. The single-arm trial found high acceptability (100%), increases in knowledge (65%) and intention to screen for cervical cancer (95%).
Conclusion: By successfully adapting educational materials to the cultural and religious context of Muslim women, this study offers new insights into approaches to engage women in their communities of influence. ClinicalTrials.gov NCT05862844.
Rights
© Asmaa M. Namoos
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
12-15-2023
Included in
Community Health and Preventive Medicine Commons, Public Health Education and Promotion Commons, Women's Health Commons