The Co-Design of an Evidence-Based Health Education Strategy to Improve Bowel Cancer Awareness and Screening in a Remote Tasmanian Community: Lessons Learned

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2025-05-12 DOI:10.1002/hpja.70052

Nicola Gadd, Simone Lee, Matthew J. Sharman, Jessica Hughes, Ha Hoang, Kehinde Obamiro

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引用次数: 0

Abstract

Issue Addressed

Generally, bowel cancer screening rates are lower in rural/remote Australia (40.6% major cities; 25.3% very remote areas, 2020–21). Rural/remote Tasmanians may need increased awareness to encourage screening, with recent decreased screening rates. This study aimed to co-design a health education strategy to improve bowel cancer awareness/screening in remote Tasmania.

Methods

A co-design method was used to conduct two group workshops with 17 participants (14 community members, three healthcare providers). Workshops were guided by previous interviews with the community. Workshop one: participants chose the top three screening barriers and designed interventions to overcome them. These interventions were collated and presented to participants in workshop two. Participants shared ideas to refine interventions, then completed an acceptability, feasibility and appropriateness questionnaire of the overall strategy. Data was collected via written notes and analysed through content analysis.

Results

A health education strategy with two components and multiple interventions was developed: local media campaign (signage, video, bookmark, flyer, poster) and community health education events. Events included community champions sharing personal stories and healthcare providers providing clinical information. Participants identified the strategy as feasible, appropriate and acceptable for a rural/remote Tasmanian community. Following workshops, strategy components were developed in collaboration with the community.

Conclusions

Large scale strategies which may be effective for metropolitan areas of Australia may not be accepted by or appropriate for those in rural/remote areas. Remote community members valued local relevance and community involvement.

So What?

If successful, the health education strategy could be implemented across rural/remote Tasmania to raise awareness/encourage screening.

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共同设计以证据为基础的健康教育策略，以提高偏远塔斯马尼亚社区的肠癌意识和筛查：经验教训

总体而言，澳大利亚农村/偏远地区的肠癌筛查率较低(主要城市为40.6%；25.3%非常偏远地区（2020 - 2021年）。农村/偏远的塔斯马尼亚人可能需要提高意识来鼓励筛查，最近筛查率有所下降。本研究旨在共同设计一种健康教育策略，以提高塔斯马尼亚偏远地区的肠癌意识/筛查。方法采用协同设计方法，开展两次小组研讨会，共有17名参与者（14名社区成员，3名卫生保健提供者）。工作坊以之前对社区的采访为指导。工作坊一：参与者选择前三个筛查障碍，并设计干预措施来克服它们。这些干预措施被整理并呈现给工作坊二的参与者。参与者分享了改进干预措施的想法，然后完成了总体策略的可接受性，可行性和适当性问卷。通过书面笔记收集数据，并通过内容分析进行分析。结果制定了由两部分组成和多种干预措施组成的健康教育策略：地方媒体宣传（标牌、视频、书签、传单、海报）和社区健康教育活动。活动包括社区冠军分享个人故事和医疗保健提供者提供临床信息。与会者认为该战略对塔斯马尼亚农村/偏远社区是可行、适当和可接受的。在讲习班之后，与社区合作制定了战略组成部分。结论：可能对澳大利亚大都市地区有效的大规模策略可能不被农村/偏远地区接受或不适合。偏远社区成员重视与当地的联系和社区参与。那又怎样?如果成功，健康教育战略可以在塔斯马尼亚的农村/偏远地区实施，以提高认识/鼓励筛查。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.