Facilitators of and barriers to accessing clinical prevention services for the South Asian population in Surrey, British Columbia: a qualitative study

Majid, Sanaa; Douglas, Rachel E.; Lee, Victoria; Stacy, Elizabeth; Garg, Arun; Ho, Kendall

doi:10.9778/cmajo.20150142

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…Being familiar with the participant enabled trust to share information. Fear of sharing information with the family physician may reflect aspects of the physicianpatient relationship and/or lack of trust [47]. Although, physician trust was not explored in our survey, it may be an important concept to expand upon in future study.…”

Section: Discussionmentioning

confidence: 99%

The colon cancer screening behaviours survey for South Asians: a pilot study of feasibility and psychometric evaluation

Crawford

Morfaw

Ahmad

et al. 2020

J Patient Rep Outcomes

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Purpose: The purpose of the study was to pilot test the English and Urdu version of the Colon Cancer Screening Behaviours Survey among South Asians in Canada. The first objective was to evaluate feasibility of administration, data collection using computer assisted personal interviewing software on a tablet, and response burden. The second objective was to examine the prevalence of colorectal cancer screening among South Asians and evaluate the psychometric properties of sub-scales in the survey. Methods: Purposive, network and snowball sampling were used to recruit participants for this cross-sectional study. Interviewer-led administration of the Colon Cancer Screening Behaviours Survey was conducted across two cities in Ontario, Canada. Qualitative data analysis assessed feasibility; and sub-scales were evaluated through principal component analysis, item-scale correlations, and construct validity using multiple linear and logistic regression. Results: A total of 328 South Asians participated, 47% Urdu speaking, and 53% English speaking. There was a 23% refusal rate to participate. Feasibility identified: (1) successful recruitment despite reasons for refusal; (2) problematic items and response categories; and (3) computer/tablet limitations. Principal component analysis identified 14 components that explained 68.7% of total variance; 34 items were retained after factor analysis. Internal consistency of 4 scales ranged from 0.79-0.91. There were significant differences in perceived barriers scale scores (− 12.21; 95% CI, − 17.13 to-7.28; p < 0.0001) between those who participated and those who did not participate in screening. No association was found with years of residence and uptake of screening after adjustment (OR 0.91 (0.46-1.79), p = 0.783). Conclusions: Recruitment and data collection methods are feasible among South Asians if functionality of the tablet selected is improved. The Colon Cancer Screening Behaviours Survey was finalized and retained items in subscales demonstrated good psychometric properties to assess behaviours for colon cancer screening among South Asians in Canada. The interviewer-led survey may be used by public health, cancer care or other health practitioners to describe or predict colorectal cancer screening behaviours among South Asians in similar settings or adapted and tested in other contexts.

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Section: Discussionmentioning

confidence: 99%

The colon cancer screening behaviours survey for South Asians: a pilot study of feasibility and psychometric evaluation

Crawford

Morfaw

Ahmad

et al. 2020

J Patient Rep Outcomes

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“…Founded in 2007, iCON deploys both in-person and technology-enabled approaches in engaging ethnic community members, patients, and their caregivers through community outreach health-promotion programs in BC. [25][26][27][28] iCON collaborates with partners from health authorities, community health care providers, education institutions, and the government to carry out its community and patient engagement goals. The iCON program specifically engages ethnic minorities such as Chinese and South Asian communities of BC and involves them in the research/evaluation process.…”

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confidence: 99%

Evaluating a Culturally Tailored Public Health Forum in Improving the Knowledge and Understanding of Chronic Disease Management in the Chinese Population: A Mixed-methods Study

Limbachia¹,

Owens²,

Matean³

et al. 2023

J of Asian Health

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Background: Chronic disease management is fraught with many challenges for ethnic minorities. Studies conducted in non-multicultural populations suggest that patient and community engaging initiatives can improve chronic disease management practices. However, literature on culturally specific community engaging programs is relatively sparse. The interCultural Online Health Network (iCON) is a culturally tailored, patient and community engaging health promotion program, which provides culturally specific health education to BC’s multicultural communities. We aimed to assess if the iCON 2020 Chinese Health Forum can improve the knowledge and understanding of chronic disease self-management in the Chinese community of Vancouver, BC. Methods: We conducted a sequential mixed-methods study by administering pre- and post- validated questionnaires, followed by semi-structured interviews conducted one-two months after the forum. We assessed our primary outcome of difference in self-efficacy scores post-forum using paired t-tests and further illuminated our research question through a thematic analysis of the semi-structured interviews. Results: From the 381 participants that attended the Health Forum, 131 consented to completing the pre- and/or post- surveys, and seven provided consent to participate in the follow-up interview. There was a statistically significant difference in self-efficacy scores pre- and post- forum participation (Mean difference = 0.58, S.D. = 1.42; [95% CI: 0.26 – 0.90], t(77) = 3.60; P = 0.001, d = 0.41). Participants attributed the effectiveness of the Health Forum to its accessible yet engaging programming and focus on culturally tailored health education. Conclusion: A culturally tailored, patient engagement and community outreach program effectively improved Chinese community members self-efficacy in managing their chronic diseases and was well received by participants. iCON’s 2020 Chinese Health Forum presents a model with associated principles of approach for similar culturally specific health education and community engagement programs that need to be developed to reduce the burden of chronic diseases in multicultural populations.

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Utilisation of Healthcare Services and Medicines by Pakistani Migrants Residing in High Income Countries: A Systematic Review and Thematic Synthesis

Saleem

Steadman

Fejzic

2018

J Immigrant Minority Health

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Facilitators of and barriers to accessing clinical prevention services for the South Asian population in Surrey, British Columbia: a qualitative study

Cited by 5 publications

References 25 publications

The colon cancer screening behaviours survey for South Asians: a pilot study of feasibility and psychometric evaluation

The colon cancer screening behaviours survey for South Asians: a pilot study of feasibility and psychometric evaluation

Evaluating a Culturally Tailored Public Health Forum in Improving the Knowledge and Understanding of Chronic Disease Management in the Chinese Population: A Mixed-methods Study

Utilisation of Healthcare Services and Medicines by Pakistani Migrants Residing in High Income Countries: A Systematic Review and Thematic Synthesis

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