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.authorDraper, Catherine E
dc.contributor.authorMicklesfield, Lisa K
dc.contributor.authorKahn, Kathleen
dc.contributor.authorTollman, Stephen M
dc.contributor.authorPettifor, John M
dc.contributor.authorDunger, David B
dc.contributor.authorNorris, Shane A
dc.date.accessioned2015-07-30T03:56:49Z
dc.date.available2015-07-30T03:56:49Z
dc.date.issued2014-06-20
dc.date.updated2015-01-15T17:57:49Z
dc.description.abstractAbstract 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.identifier.apacitationDraper, 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/11427/13595en_ZA
dc.identifier.chicagocitationDraper, 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/11427/13595en_ZA
dc.identifier.citationDraper, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/13595
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-14-S2-S5
dc.identifier.vancouvercitationDraper 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.language.rfc3066en
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License*
dc.rights.holderDraper et al; licensee BioMed Central Ltd.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0*
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/
dc.subject.otherIntervention Mappingen_ZA
dc.subject.otherNtshembo interventionen_ZA
dc.subject.otherpre-pregnancy interventionen_ZA
dc.titleApplication of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope)
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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