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Improving uptake of hepatitis B and hepatitis C testing in South Asian migrants in community and faith settings using educational interventions - a prospective descriptive study
journal contribution
posted on 2023-06-07, 07:49 authored by Claire Kelly, Marinos Pericleous, Ayesha Ahmed, Tushna Vandrevala, Jane Hendy, Shuja Shafi, Simon Skene, Sumita VermaSumita Verma, Chantal Edge, Margot Nicholls, Charles Gore, Simon de Lusignan, Aftab AlaBackground Chronic viral hepatitis (CVH) is a leading contributor to the UK liver disease epidemic, with global migration from high-prevalence areas (e.g. South Asia-SA). Despite international guidance for testing high-risk groups in line with elimination targets, there is no consensus on how to achieve this. Objectives (i) Feasibility of recruiting SA migrants to view an educational film on CVH (ii) Effectiveness of the film in promoting testing, knowledge of CVH (iii) Methodological issues relevant to scale-up to randomized trial. Methods We recruited SA migrants to view the film (intervention) in community venues (primary care, religious, community), offering dried-blood spot CVH testing immediately afterwards. Pre/post-film questionnaires assessed the interventions effectiveness. Results Two hundred and nineteen first generation migrants >18yrs (53% female) were recruited to view the film;184 (84%) underwent CVH testing (HBc Ab or HCV Ab positive, demonstrating exposure in 8.5%) at the following sites: n?=?112 (51%) religious, n?=?98(45%) community, and primary care, n?=?9 (4%). Pre (n?=?173, 79%) and post (n?=?154, 70%) intervention questionnaires were completed. Conclusions We demonstrate the feasibility of recruiting first generation migrants to participate in a community-based educational film, promoting CVH testing in this higher-risk group, confirming value of developing interventions to facilitate global WHO plan for targeted case finding, elimination and future randomized controlled trial. We highlight the importance of culturally relevant interventions including faith, and culturally sensitive settings appearing to minimize logistical issues effective at engaging minority groups and allowing ease of access to individuals ‘at risk’.
Funding
An Innovative Educational Intervention to Improve Uptake of Hepatitis B and C Testing in South East Asians: Intervention Development and a Feasability Study for a RCT; G1843; NATIONAL INSTITUTE FOR HEALTH RESEARCH
History
Publication status
- Published
File Version
- Accepted version
Journal
International Journal of Infectious DiseasesISSN
1201-9712Publisher
ElsevierExternal DOI
Department affiliated with
- Clinical and Experimental Medicine Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2020-08-27First Open Access (FOA) Date
2020-09-08First Compliant Deposit (FCD) Date
2020-08-27Usage metrics
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