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Randomized Controlled Trial
. 2022 Oct;25(5):2377-2385.
doi: 10.1111/hex.13545. Epub 2022 Jul 21.

The development of a culturally sensitive educational video: How to facilitate informed decisions on cervical cancer screening among Turkish- and Moroccan-Dutch women

Nora Hamdiui  1   2 , Martine P A Bouman  3   4 , Mart L Stein  1 , Rik Crutzen  5 , Damla Keskin  1 , Amina Afrian  1 , Jim E van Steenbergen  1   6 , Maria E T C van den Muijsenbergh  2   7 , Aura Timen  1   8
Affiliations
Randomized Controlled Trial

The development of a culturally sensitive educational video: How to facilitate informed decisions on cervical cancer screening among Turkish- and Moroccan-Dutch women

Nora Hamdiui et al. Health Expect. 2022 Oct.

Abstract

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.

Keywords: The Netherlands; Turkish- and Moroccan-Dutch women; cervical cancer screening; entertainment-education; intervention development; video production.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Media Mapping model. Copyrights: Center for Media & Health, adapted from Bouman, 1999.
Figure 2
Figure 2
Shooting day 1: Moroccan‐Arabic group.
Figure 3
Figure 3
Shooting day 2: Turkish group.
See this image and copyright information in PMC

References

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