title: Exploring the potential impact of health promotion videos as a low cost intervention to reduce health inequalities: a pilot before and after study on Bangladeshis in inner-city London.
abstract: BACKGROUND
  Coronary artery disease is the single most common cause of death in the UK. For those born in Bangladesh but dying in England and Wales, coronary artery disease causes 25% of all deaths. Cost-effective solutions are required to address this burden. Several studies have demonstrated the effectiveness of educational video intervention in informing patients in various settings.
  
  
  METHODS
  A Bangladeshi women's group in South London.
  
  
  OBJECTIVE
  The effectiveness of a health educational video in influencing the knowledge and attitudes towards a preventable illness amongst Bangladeshis in London? The scope of videos for health promotion?
  
  
  METHODS
  An educational video on the signs, symptoms and prevention of coronary artery disease was played to a Bangladeshi women's group in South London in the Bengali language. Participants (n= 18, mean age = 53.7) completed a fifteen-question survey to assess their baseline knowledge prior to viewing (pre-test). The group then viewed the video and repeated the initial questionnaire, with additional questions to solicit their attitudes and perceptions (post-test).
  
  
  RESULTS
  The intervention significantly improved the basic knowledge of coronary artery disease. There was a statistically significant improvement in the number of correct responses amongst participants withp= 0.0002 (mean change 2.28, 95% CI 1.29-3.27) and in the number of unsure responsesp= 0.0042 (mean change 1.83, 95% CI 0.01-3.01). Upon viewing the video, all participants agreed that they wanted to implement the advice from the video into their current lifestyles.
  
  
  CONCLUSIONS
  The educational video significantly improved the knowledge and attitudes pertaining to coronary artery disease amongst British-Bangladeshi individuals in the UK community setting. This project illustrated how commissioners may effectively utilise third-sector organisations through partnerships to implement innovative methods of health screening and promotion. Videos are a novel approach of providing culturally sensitive health education to ethnic minority groups, through screening in clinics and in local media.
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , Norwich , UK.
authors.forename: Suleman
authors.initials: S
authors.lastname: Latif
authors.affiliation: West Hertfordshire Hospitals NHS Trust , West Hertfordshire , UK.
authors.forename: Imad
authors.initials: I
authors.lastname: Ahmed
authors.affiliation: Medway NHS Foundation Trust , Kent , UK.
authors.forename: Mohammed Shafiul
authors.initials: MS
authors.lastname: Amin
authors.affiliation: East Lancashire Hospitals NHS Trust , Lancashire , UK.
authors.forename: Ismail
authors.initials: I
authors.lastname: Syed
authors.affiliation: St George's University Hospitals NHS Foundation Trust , London , UK.
authors.forename: Na'eem
authors.initials: N
authors.lastname: Ahmed
keywords: Coronary disease/etiology; education of patients; health promotion; health services need and demand; instructional films and video