Cultural tailoring to promote hepatitis B screening in Turkish Dutch: a randomized control study

Health Promot Int. 2014 Dec;29(4):692-704. doi: 10.1093/heapro/dat020. Epub 2013 Apr 10.


Hepatitis B virus (HBV) infections are an important health problem in Turkish migrants in the Netherlands. This study describes the effectiveness of a culturally tailored internet intervention promoting HBV screening in Turkish migrants.

Methods: Turkish migrants, aged 16-40 years old, could participate in an online intervention offering either: (i) behaviourally plus culturally tailored (BCT) information; (ii) behaviourally tailored (BT) information or (iii) generic information (GI). Subsequently, free HBV screening was offered.

Results: Out of 10.069 invited persons, 1512 (15%) logged in on the website and 623 people were tested. Screening uptake was 44% in the BCT group, 46% in the GI group and 44% in group BT. The BCT group showed favourable intervention effects for scores on determinants of screening when compared with baseline scores and BT.

Conclusion: Although BCT did show favourable intervention effects for several determinants addressed in the intervention, we were not able to demonstrate the added value of BCT on screening uptake.

Trial registration: The Netherlands National Trial Register NTR 2394.

Keywords: behaviour change; cultural tailoring; hepatitis B; infectious diseases.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Cultural Competency
  • Female
  • Health Behavior / ethnology
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods*
  • Hepatitis B / diagnosis*
  • Hepatitis B / ethnology*
  • Humans
  • Internet
  • Male
  • Mass Screening / statistics & numerical data*
  • Netherlands / epidemiology
  • Self Efficacy
  • Sex Factors
  • Social Support
  • Socioeconomic Factors
  • Transients and Migrants / psychology*
  • Turkey / ethnology
  • Young Adult

Associated data

  • NTR/NTR2394