A Culturally Adapted Colorectal Cancer Education Video for the Somali Community in Minnesota: A Pilot Investigation

Am J Health Promot. 2022 Mar;36(3):514-517. doi: 10.1177/08901171211057690. Epub 2021 Dec 10.

Abstract

Purpose: This study aims to develop and test feasibility of a colorectal cancer (CRC) education video appropriate for Somali immigrants.

Design: One-group pretest-posttest design.

Setting: Minneapolis, MN.

Sample: Thirty-one Somali men (mean age = 60.6; SD = 13.0).

Intervention: A CRC education video was developed in the Somali language with Somali community partners. Participants were invited to a workshop and watched the video.

Measures: Levels of understanding about CRC and screening were assessed before vs after the video.

Analysis: Binomial tests were conducted to examine changes in level of understanding.

Results: Analysis on pre-post, within-person changes in understanding about cancer, and CRC screening showed that proportions with a positive change in understanding risks of cancer (80%) and benefits of CRC screening (90%) were significantly higher than expected if the video had no effect (50%; P = .012, P < .001, respectively). Ninety-three percent of participants agreed that the video contained useful information.

Conclusion: These results provide evidence of usefulness of culturally tailored videos to facilitate CRC screening in the Somali community. Results of this study were limited by a small sample size and lack of a control group.

Keywords: cancer education; cancer screening; colorectal cancer; cultural adaptation; health-promoting community design; immigrants; racial minority groups.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Colorectal Neoplasms* / diagnosis
  • Early Detection of Cancer
  • Humans
  • Language*
  • Male
  • Middle Aged
  • Minnesota
  • Pilot Projects
  • Somalia