Objectives/Purpose
This study explored the acceptability, feasibility, and sustainability of the Alternative Access Model (AAM), a general practice–based strategy introduced by the National Bowel Cancer Screening Program (NBCSP), among Mandarin-speaking Chinese Australians. It aimed to understand community perspectives on screening and identify opportunities for culturally tailored engagement.
Sample and Setting
Five focus group discussions were conducted with 50 Mandarin-speaking men and women eligible for the NBCSP. Participants were drawn from diverse community settings and represented a range of screening experiences.
Procedures
Focus groups investigated participants’ awareness and understanding of bowel cancer screening, perceptions of the AAM, and beliefs influencing preventive health behaviours. Discussions also identified logistical and cultural barriers, and explored strategies to improve engagement.
Results
Participants supported proactive health approaches and viewed GP-endorsed kit distribution as a facilitator of screening, particularly for first-time participants. Integrating screening into annual check-ups was highly recommended. Major barriers included language difficulties with English-only materials, underuse of interpreter services, logistical issues (e.g. sample storage, mailing kits), and limited knowledge of bowel health. Many participants perceived colonoscopy as a superior option, unaware of FIT test benefits or associated risks. Low self-efficacy also contributed to screening hesitancy.
Conclusion and Clinical Implications
Findings underscore the urgent need for culturally and linguistically appropriate bowel cancer screening strategies. Co-designed interventions—such as translated materials, active GP endorsement, targeted campaigns via platforms like WeChat, and engagement through cultural events—emerged as promising approaches. Embedding people-centred strategies that reflect cultural norms and health beliefs is essential for improving equitable cancer prevention outcomes within Australia’s Chinese communities. Additionally, sustained policy support for culturally responsive models will be critical to addressing disparities and advancing cancer prevention across all culturally and linguistically diverse populations in Australia.