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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Improving uptake of breast, bowel and cervical cancer screening among Muslim women: protocol for a non-randomised feasibility study of a peer-led, faith-based intervention (IMCAN project)

Jarrar, Rawand, Robb, Katie, Kotzur, Marie, Ling, Jonathan, Amiri, Rana, McConnachie, Alex, Padela, Aasim, Sadiq, Cerysh, Marlow, Laura, Black, Anna, Sattar, Zeibeda, Wearn, Angela, Waqar, Salman, Ashley, Laura and Christie-de Jong, Floor (2023) Improving uptake of breast, bowel and cervical cancer screening among Muslim women: protocol for a non-randomised feasibility study of a peer-led, faith-based intervention (IMCAN project). In: Society for Social medicine and Population health Annual Conference 2023, 6-8 September 2023, Newcastle upon Tyne. (In Press)

Item Type: Conference or Workshop Item (Lecture)


Background: Cancer screening and early detection save lives, but Muslim women are less likely to participate in screening than white-British women. This is concerning as incidence rates of cancer appear to be increasing in ethnic minority groups. Faith-based cancer communications provide a culturally acceptable strategy to addressing barriers to screening. This study investigates the feasibility, effectiveness, and implementation of a co-designed, faith-based, and peer-led intervention to improve breast, bowel, and cervical screening uptake among Muslim women in the UK, which we co-designed in 2021 with ten Muslim women.

Intervention: The intervention includes a health education component delivered by a GP explaining what is involved in cancer screening and potential risk factors, such as diabetes; personal testimonials reflecting Muslim women’s experiences with cancer and screening; and an Islamic perspective on cancer screening delivered by an Alimah, a female religious scholar.

Methods: Underpinned by the Integrated Screening Action Model, we will conduct a non-randomised, two-arm feasibility trial with 200 Muslim women (aged 25-74 years, living in Glasgow or North-East England, not or partially up-to-date with screening). Participants will be allocated to either face-to-face or online delivery of the intervention. To identify opportunities for modification of the interventions, we will conduct semi-structured interviews with key stakeholders (n=6), including Muslim scholars and community liaison, and focus groups with intervention participants (4 groups with n=6-8/group) and peer-educators involved in intervention delivery (n=10).

Expected results: An assessment of the suitability of the trial’s parameters will inform the development of a large-scale trial using pre-specified progression criteria and a traffic light system for evaluation of STOP-AMEND-GO criteria. To gain a preliminary indication of intervention effectiveness we will capture knowledge, attitudinal change to screening, and behavioural outcomes, such as intention to screen at baseline, 6, and 12 months follow-up, and NHS screening attendance at 12 months.

Conclusion: The development of a co-designed faith-based, peer-led intervention has the potential to improve engagement with cancer screening among Muslim women. Our project represents a rigorous feasibility and process evaluation of a theory-driven and co-designed intervention for Muslim women. The inclusion of religious messages can support cancer screening uptake in this underserved group. We aim to further test intervention effectiveness in a fully powered randomised controlled trial. This would guide the development of cancer control communications for religious minorities in the UK and other countries with existing screening programmes.

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More Information

Depositing User: Floor Christie


Item ID: 16265

Users with ORCIDS

ORCID for Jonathan Ling: ORCID iD
ORCID for Rana Amiri: ORCID iD
ORCID for Floor Christie-de Jong: ORCID iD

Catalogue record

Date Deposited: 15 Jun 2023 13:24
Last Modified: 15 Jun 2023 13:24


Author: Jonathan Ling ORCID iD
Author: Rana Amiri ORCID iD
Author: Floor Christie-de Jong ORCID iD
Author: Rawand Jarrar
Author: Katie Robb
Author: Marie Kotzur
Author: Alex McConnachie
Author: Aasim Padela
Author: Cerysh Sadiq
Author: Laura Marlow
Author: Anna Black
Author: Zeibeda Sattar
Author: Angela Wearn
Author: Salman Waqar
Author: Laura Ashley

University Divisions

Faculty of Health Sciences and Wellbeing > School of Medicine


Sciences > Health Sciences

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