Nicola Gadd, Simone Lee, Matthew J. Sharman, Jessica Hughes, Ha Hoang, Kehinde Obamiro
{"title":"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","authors":"Nicola Gadd, Simone Lee, Matthew J. Sharman, Jessica Hughes, Ha Hoang, Kehinde Obamiro","doi":"10.1002/hpja.70052","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Issue Addressed</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> So What?</h3>\n \n <p>If successful, the health education strategy could be implemented across rural/remote Tasmania to raise awareness/encourage screening.</p>\n </section>\n </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70052","citationCount":"0","resultStr":"{\"title\":\"The Co-Design of an Evidence-Based Health Education Strategy to Improve Bowel Cancer Awareness and Screening in a Remote Tasmanian Community: Lessons Learned\",\"authors\":\"Nicola Gadd, Simone Lee, Matthew J. Sharman, Jessica Hughes, Ha Hoang, Kehinde Obamiro\",\"doi\":\"10.1002/hpja.70052\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Issue Addressed</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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. 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The Co-Design of an Evidence-Based Health Education Strategy to Improve Bowel Cancer Awareness and Screening in a Remote Tasmanian Community: Lessons Learned
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.
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.
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