title: Talking about the not talked about: use of, and reactions to, a DVD promoting bowel cancer screening to Aboriginal people.
abstract: OBJECTIVE
  To examine a) the implementation and use of a DVD developed to educate Aboriginal people about bowel cancer and bowel cancer screening; and b) broader aspects of Aboriginal participation in the National Bowel Cancer Screening Program.
  
  
  METHODS
  Qualitative methods and descriptive approaches were used. Data were collected using face-to-face and telephone interviews and focus group discussions. There were 67 participants, including those involved in the development and distribution of the DVD, health professionals and Aboriginal community members.
  
  
  RESULTS
  Although the DVD received a positive reaction from participants, fewer than half the DVDs had been distributed. Furthermore, the small number of DVDs that had been distributed were under-utilised.
  
  
  CONCLUSIONS
  The weaknesses do not appear to lie with the resource itself but can be attributed partly to poor distribution and promotion. This may have been compounded by the structure of the National Bowel Cancer Screening Program, which limited the engagement of Aboriginal community members and health providers whose focus is largely directed towards more pressing health care issues.
  
  
  CONCLUSIONS
  Interest in the resource may increase once the Aboriginal component of the screening program is more closely linked with primary care.
authors.affiliation: Western Australian Centre for Rural Health, University of Western Australia.
authors.forename: Margaret
authors.initials: M
authors.lastname: Haigh
authors.affiliation: Centre for Aboriginal Studies, Curtin University, Western Australia.
authors.forename: Shaouli
authors.initials: S
authors.lastname: Shahid
authors.affiliation: Bowel Cancer Screening Implementation Team, WA Cancer & Palliative Care Network, Department of Health Western Australia.
authors.forename: Kathleen
authors.initials: K
authors.lastname: O'Connor
authors.affiliation: Western Australian Centre for Rural Health, University of Western Australia.
authors.forename: Sandra C
authors.initials: SC
authors.lastname: Thompson
mesh_terms: D000368:Aged; D001315:Australia; D003110:Colonic Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D005260:Female; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D014741:Video Recording / Q000295:instrumentation*
keywords: Aboriginal; bowel cancer; health promotion; resource; screening