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Mitchell SM, Pedersen HN, Sekikubo M, et al. Strategies for Community Education Prior to Clinical Trial Recruitment for a Cervical Cancer Screening Intervention in Uganda. Front Oncol. 2016;6:90doi: 10.3389/fonc.2016.00090.
Mitchell, S. M., Pedersen, H. N., Sekikubo, M., Biryabarema, C., Byamugisha, J. J., Mwesigwa, D., Steinberg, M., Money, D. M., & Ogilvie, G. S. (2016). Strategies for Community Education Prior to Clinical Trial Recruitment for a Cervical Cancer Screening Intervention in Uganda. Frontiers in oncology, 690. https://doi.org/10.3389/fonc.2016.00090
Mitchell, Sheona M, et al. "Strategies for Community Education Prior to Clinical Trial Recruitment for a Cervical Cancer Screening Intervention in Uganda." Frontiers in oncology vol. 6 (2016): 90. doi: https://doi.org/10.3389/fonc.2016.00090
Mitchell SM, Pedersen HN, Sekikubo M, Biryabarema C, Byamugisha JJ, Mwesigwa D, Steinberg M, Money DM, Ogilvie GS. Strategies for Community Education Prior to Clinical Trial Recruitment for a Cervical Cancer Screening Intervention in Uganda. Front Oncol. 2016 Apr 13;6:90. doi: 10.3389/fonc.2016.00090. eCollection 2016. PMID: 27148482; PMCID: PMC4829601.
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Front Oncol. 2016 Apr 13;6:90. doi: 10.3389/fonc.2016.00090. eCollection 2016.

Strategies for Community Education Prior to Clinical Trial Recruitment for a Cervical Cancer Screening Intervention in Uganda.

Frontiers in oncology

Sheona M Mitchell, Heather N Pedersen, Musa Sekikubo, Christine Biryabarema, Josaphat J K Byamugisha, David Mwesigwa, Malcolm Steinberg, Deborah M Money, Gina S Ogilvie

Affiliations

  1. Department of Obstetrics and Gynecology, University of British Columbia , Vancouver, BC , Canada.
  2. School of Population and Public Health, University of British Columbia , Vancouver, BC , Canada.
  3. Department of Obstetrics and Gynecology, Mulago Hospital, Makerere University , Kampala , Uganda.
  4. Kisenyi Health Unit , Kampala , Uganda.
  5. Faculty of Health Sciences, Simon Fraser University , Burnaby, BC , Canada.
  6. Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada; Women's Health Research Institute, Vancouver, BC, Canada.
  7. School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada; Women's Health Research Institute, Vancouver, BC, Canada.

PMID: 27148482 PMCID: PMC4829601 DOI: 10.3389/fonc.2016.00090

Abstract

INTRODUCTION: Community engagement and education can improve acceptability and participation in clinical trials conducted in Kisenyi, Uganda. In preparation for a randomized controlled trial exploring different methods for cervical cancer screening, we explored optimal engagement strategies from the perspective of community members and health professionals.

METHODS: We conducted key informant interviews followed by serial community forums with purposeful sampling and compared the perspectives of women in Kisenyi (N = 26) to health-care workers (HCW) at the local and tertiary care center levels (N = 61) in a participatory, iterative process.

RESULTS: Key themes identified included format, content, language, message delivery, and target population. Women in Kisenyi see demonstration as a key part of an educational intervention and not solely a didactic session, whereas health professionals emphasized the biomedical content and natural history of cervical cancer. Using local language and lay leaders with locally accessible terminology was more of a priority for women in Kisenyi than clinicians. Simple language with a clear message was essential for both groups. Localization of language and reciprocal communication using demonstration between community members and HCW was a key theme.

CONCLUSION: Although perceptions of the format are similar between women and HCW, the content, language, and messaging that should be incorporated in a health education strategy differ markedly. The call for lay leaders to participate in health promotion is a clear step toward transforming this cervical cancer screening project to be a fully participatory process. This is important in scaling up cervical cancer screening programs in Kisenyi and will be central in developing health education interventions for this purpose.

Keywords: cervical cancer screening; health education; participation; qualitative research; recruitment

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