Muslim Communities Learning About Second-hand Smoke in Bangladesh (MCLASS II): a combined evidence and theory-based plus partnership intervention development approach.

Muslim Communities Learning About Second-hand Smoke in Bangladesh (MCLASS II): a combined evidence and theory-based plus partnership intervention development approach.
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DOI:
10.1186/s40814-022-01100-5
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发表时间:
2022-07-02
影响因子:
1.7
通讯作者:
Siddiqi, Kamran
Siddiqi, Kamran
中科院分区:
其他
文献类型:
--
作者:
Kellar, Ian;Al Azdi, Zunayed;Jackson, Cath;Huque, Rumana;Mdege, Noreen Dadirai;Siddiqi, Kamran

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二手烟(SHS)暴露导致的死亡正在增加,但没有足够的证据推荐特定的SHS干预或干预开发方法。尽管有关于干预措施报告以及试点研究和可行性研究的作用和性质的指导,但对社会科学及人文科学干预措施的部分报告仍很常见。在制定此类干预措施的同时,往往对决策过程报告不足。本文介绍了过渡过程中采用的过程和决策,从适应现有的清真寺为基础的干预措施,重点是公共卫生信息,以开发新的社区为基础的无烟家庭(SFH)干预的内容。该干预措施旨在通过基于信仰的信息促进无烟家庭,以减少非吸烟者在家中接触SHS。SFH干预的发展有四个连续的阶段:在达卡的家庭中与成年人进行深入访谈,与孟加拉国伊斯兰基金会(BIF)的伊斯兰学者一起确定干预方案的理论和内容,与成年人一起对候选干预内容进行用户测试,与在BIF接受培训的伊玛目和哈提卜一起举办迭代干预发展研讨会。认为采取干预适应办法是不适当的。在确定了干预方案理论并与利益相关者在迭代和协作过程中合作以确定障碍之后,确定了六个可能修改的结构。这些都是有针对性的一系列行为改变技术操作作为古兰经经文与相关的健康信息将被用作基础的Khutbahs。在迭代用户测试之后,生成了可接受的干预内容。这种以社区为基础的干预措施在减少家庭SHS暴露和改善孟加拉国非吸烟者肺部健康方面的潜力是一个迭代和协作过程的结果。这是将行为改变的证据和理论以及社区利益攸关方对干预内容制作的贡献相结合的结果。这种新的干预发展框架组合展示了一种灵活的方法,可以为相关背景下的干预发展提供见解。在线版本包含补充材料,可通过10.1186/s40814-022-01100-5获得。
Deaths from second-hand smoke (SHS) exposure are increasing, but there is not sufficient evidence to recommend a particular SHS intervention or intervention development approach. Despite the available guidance on intervention reporting, and on the role and nature of pilot and feasibility studies, partial reporting of SHS interventions is common. The decision-making whilst developing such interventions is often under-reported. This paper describes the processes and decisions employed during transitioning from the aim of adapting an existing mosque-based intervention focused on public health messages, to the development of the content of novel community-based Smoke-Free Home (SFH) intervention. The intervention aims to promote smoke-free homes to reduce non-smokers’ exposure to SHS in the home via faith-based messages. The development of the SFH intervention had four sequential phases: in-depth interviews with adults in households in Dhaka, identification of an intervention programme theory and content with Islamic scholars from the Bangladesh Islamic Foundation (BIF), user testing of candidate intervention content with adults, and iterative intervention development workshops with Imams and khatibs who trained at the BIF. It was judged inappropriately to take an intervention adaptation approach. Following the identification of an intervention programme theory and collaborating with stakeholders in an iterative and collaborative process to identify barriers, six potentially modifiable constructs were identified. These were targeted with a series of behaviour change techniques operationalised as Quranic verses with associated health messages to be used as the basis for Khutbahs. Following iterative user testing, acceptable intervention content was generated. The potential of this community-based intervention to reduce SHS exposure at home and improve lung health among non-smokers in Bangladesh is the result of an iterative and collaborative process. It is the result of the integration of behaviour change evidence and theory and community stakeholder contributions to the production of the intervention content. This novel combination of intervention development frameworks demonstrates a flexible approach that could provide insights for intervention development in related contexts. The online version contains supplementary material available at 10.1186/s40814-022-01100-5.
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