UK South Asian women are less likely to engage with cancer screening than the general population and present later with more advanced disease. Tailored interventions are needed to address barriers to these women accessing screening services. ‘Wise up to cancer’ is a community-based health intervention designed to increase cancer screening uptake. It has been implemented within the general population and a study was undertaken to implement it within a South Asian female community. This paper explores one workstream of the wider ‘Wise up to Cancer’ study which involved working out how best to adapt the baseline questionnaire (the first part of the intervention) for South Asian women in an inner-city location in Northern England. The aim of this workstream was to evaluate what worked well when implementing the adapted ‘Wise up to Cancer’ with South Asian women. In 2018, we conducted qualitative semi-structured interviews and focus group with 14 key stakeholders; women who had received the intervention, health champions and community workers to explore their perspectives on how the adapted intervention worked within a South Asian female community. The interviews were audio recorded or (notes taken), data were transcribed verbatim and the dataset was thematically analysed. We found that training peers as community health champions to deliver the intervention to address language and cultural barriers increased participant engagement, was beneficial for the peers and supported participants who revealed difficult social issues they may not have otherwise discussed. Accessing women in established community groups, following planned activities such as English language classes worked but flexibility was needed to meet individual women's needs. Further research is needed to explore the impact of adapting ‘Wise up to Cancer’ for this community in terms of engaging with cancer screening.

中文翻译：

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“明智应对癌症”：调整基于社区的健康干预措施，以提高英国南亚女性对癌症筛查的接受度

与普通人群相比，英国南亚女性不太可能参与癌症筛查，并且较晚出现更晚期的疾病。需要有针对性的干预措施来解决这些妇女获得筛查服务的障碍。“Wise up to cancer”是一项以社区为基础的健康干预措施，旨在提高癌症筛查率。它已在普通人群中实施，并进行了一项研究以在南亚女性社区中实施。本文探讨了更广泛的“明智应对癌症”研究的一个工作流程，该研究涉及研究如何最好地为英格兰北部市中心的南亚女性调整基线问卷（干预的第一部分）。该工作流程的目的是评估在南亚女性实施改编的“Wise up to Cancer”时哪些方法行之有效。2018 年，我们对 14 位关键利益相关者进行了定性半结构化访谈和焦点小组；接受干预的女性、健康倡导者和社区工作者探讨了他们对适应干预如何在南亚女性社区中发挥作用的看法。采访被录音或（做笔记），数据被逐字转录，数据集被主题分析。我们发现，将同伴培训为社区健康倡导者以提供干预措施以解决语言和文化障碍增加了参与者的参与度，这对同伴和支持的参与者有益，这些参与者揭示了他们可能没有讨论过的困难社会问题。在已计划的活动（例如英语课程）之后，在已建立的社区团体中接触妇女是可行的，但需要灵活地满足个别妇女的需求。需要进一步的研究来探索在参与癌症筛查方面为该社区改编“Wise up to Cancer”的影响。