Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope)

 

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dc.contributor.author Draper, Catherine E
dc.contributor.author Micklesfield, Lisa K
dc.contributor.author Kahn, Kathleen
dc.contributor.author Tollman, Stephen M
dc.contributor.author Pettifor, John M
dc.contributor.author Dunger, David B
dc.contributor.author Norris, Shane A
dc.date.accessioned 2015-07-30T03:56:49Z
dc.date.available 2015-07-30T03:56:49Z
dc.date.issued 2014-06-20
dc.identifier.citation Draper, C. E., Micklesfield, L. K., Kahn, K., Tollman, S. M., Pettifor, J. M., Dunger, D. B., & Norris, S. A. (2014). Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope). BMC public health, 14(Suppl 2), S5.
dc.identifier.uri http://hdl.handle.net/11427/13595
dc.identifier.uri http://dx.doi.org/10.1186/1471-2458-14-S2-S5
dc.description.abstract Abstract Background South Africa (SA) is undergoing multiple transitions with an increasing burden of non-communicable diseases and high levels of overweight and obesity in adolescent girls and women. Adolescence is key to addressing trans-generational risk and a window of opportunity to intervene and positively impact on individuals’ health trajectories into adulthood. Using Intervention Mapping (IM), this paper describes the development of the Ntshembo intervention, which is intended to improve the health and well-being of adolescent girls in order to limit the inter-generational transfer of risk of metabolic disease, in particular diabetes risk. Methods This paper describes the application of the first four steps of IM. Evidence is provided to support the selection of four key behavioural objectives: viz. to eat a healthy, balanced diet, increase physical activity, reduce sedentary behaviour, and promote reproductive health. Appropriate behaviour change techniques are suggested and a theoretical framework outlining components of relevant behaviour change theories is presented. It is proposed that the Ntshembo intervention will be community-based, including specialist adolescent community health workers who will deliver a complex intervention comprising of individual, peer, family and community mobilisation components. Conclusions The Ntshembo intervention is novel, both in SA and globally, as it is: (1) based on strong evidence, extensive formative work and best practice from evaluated interventions; (2) combines theory with evidence to inform intervention components; (3) includes multiple domains of influence (community through to the individual); (4) focuses on an at-risk target group; and (5) embeds within existing and planned health service priorities in SA.
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License *
dc.rights.uri http://creativecommons.org/licenses/by/4.0 *
dc.source BMC Public Health en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpublichealth/
dc.subject.other Intervention Mapping en_ZA
dc.subject.other Ntshembo intervention en_ZA
dc.subject.other pre-pregnancy intervention en_ZA
dc.title Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope)
dc.type Journal Article en_ZA
dc.date.updated 2015-01-15T17:57:49Z
dc.language.rfc3066 en
dc.rights.holder Draper et al; licensee BioMed Central Ltd.
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department MRC/UCT RU for Exercise and Sport Medicine en_ZA
uct.type.filetype
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Draper, C. E., Micklesfield, L. K., Kahn, K., Tollman, S. M., Pettifor, J. M., Dunger, D. B., & Norris, S. A. (2014). Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope). <i>BMC Public Health</i>, http://hdl.handle.net/11427/13595 en_ZA
dc.identifier.chicagocitation Draper, Catherine E, Lisa K Micklesfield, Kathleen Kahn, Stephen M Tollman, John M Pettifor, David B Dunger, and Shane A Norris "Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope)." <i>BMC Public Health</i> (2014) http://hdl.handle.net/11427/13595 en_ZA
dc.identifier.vancouvercitation Draper CE, Micklesfield LK, Kahn K, Tollman SM, Pettifor JM, Dunger DB, et al. Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope). BMC Public Health. 2014; http://hdl.handle.net/11427/13595. en_ZA
dc.identifier.ris TY - Journal Article AU - Draper, Catherine E AU - Micklesfield, Lisa K AU - Kahn, Kathleen AU - Tollman, Stephen M AU - Pettifor, John M AU - Dunger, David B AU - Norris, Shane A AB - Abstract Background South Africa (SA) is undergoing multiple transitions with an increasing burden of non-communicable diseases and high levels of overweight and obesity in adolescent girls and women. Adolescence is key to addressing trans-generational risk and a window of opportunity to intervene and positively impact on individuals’ health trajectories into adulthood. Using Intervention Mapping (IM), this paper describes the development of the Ntshembo intervention, which is intended to improve the health and well-being of adolescent girls in order to limit the inter-generational transfer of risk of metabolic disease, in particular diabetes risk. Methods This paper describes the application of the first four steps of IM. Evidence is provided to support the selection of four key behavioural objectives: viz. to eat a healthy, balanced diet, increase physical activity, reduce sedentary behaviour, and promote reproductive health. Appropriate behaviour change techniques are suggested and a theoretical framework outlining components of relevant behaviour change theories is presented. It is proposed that the Ntshembo intervention will be community-based, including specialist adolescent community health workers who will deliver a complex intervention comprising of individual, peer, family and community mobilisation components. Conclusions The Ntshembo intervention is novel, both in SA and globally, as it is: (1) based on strong evidence, extensive formative work and best practice from evaluated interventions; (2) combines theory with evidence to inform intervention components; (3) includes multiple domains of influence (community through to the individual); (4) focuses on an at-risk target group; and (5) embeds within existing and planned health service priorities in SA. DA - 2014-06-20 DB - OpenUCT DO - 10.1186/1471-2458-14-S2-S5 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope) TI - Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope) UR - http://hdl.handle.net/11427/13595 ER - en_ZA


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