TY - JOUR
T1 - A Guideline for Contextual Adaptation of Community-Based Health Interventions
AU - Pardoel, Zinzi E.
AU - Reijneveld, Sijmen A.
AU - Postma, Maarten J.
AU - Lensink, Robert
AU - Koot, Jaap A.R.
AU - Swe, Khin Hnin
AU - Van Nguyen, Manh
AU - Pamungkasari, Eti Poncorini
AU - Tenkink, Lotte
AU - Vervoort, Johanna P.M.
AU - Landsman, Johanna A.
N1 - Funding Information:
Institutional Review Board Statement: Ethical review and approval were waived for this study due to this research conducted as part of the SUNISEA project funded by the Horizon 2020. All participants involved in this study, are part of the SUNISEA consortium. No patient data was collected. The ethical clearance is by the SUNISEA project.
Funding Information:
Funding: This work was funded by the European Union’s Horizon 2020 research and innovation programme under grant agreement No:825026, called SC1-BHC-16-2018 Global Alliance for Chronic Diseases (GACD)—Scaling-up of evidence-based health interventions at population level for the prevention and management of hypertension and/or diabetes, soliciting for research in Low-and Middle-Income Countries (LMIC). The funding source was not involved in data collection, data analysis, nor the writing and publication of the manuscript.
Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/5/10
Y1 - 2022/5/10
N2 - In Southeast Asia, community-based health interventions (CBHIs) are often used to target non-communicable diseases (NCDs). CBHIs that are tailored to sociocultural aspects of health and well-being: local language, religion, customs, traditions, individual preferences, needs, values, and interests, may promote health more effectively than when no attention is paid to these aspects. In this study, we aimed to develop a guideline for the contextual adaption of CBHIs. We developed the guideline in two stages: first, a checklist for contextual and cultural adaptation; and second, a guideline for adaptation. We performed participatory action research, and used the 'Appraisal of Guidelines for Research & Evaluation (AGREE) II' tool as methodological basis to develop the guideline. We conducted a narrative literature review, using a conceptual framework based on the six dimensions of 'Positive Health' and its determining contexts to theoretically underpin a checklist. we pilot tested a draft version of the guideline and included a total of 29 stakeholders in five informal meetings, two stakeholder meetings, and an expert review meeting. This yielded a guideline, addressing three phases: the preparation phase, the assessment phase, and the adoption phase, with integrated checklists comprising 34 cultural and contextual aspects for the adaption of CBHIs based on general health directives or health models. The guideline provides insight into how CBHIs can be tailored to the health perspectives of community members, and into the context in which the intervention is implemented. This tool can help to effect behavioral change, and improve the prevention and management of NCDs.
AB - In Southeast Asia, community-based health interventions (CBHIs) are often used to target non-communicable diseases (NCDs). CBHIs that are tailored to sociocultural aspects of health and well-being: local language, religion, customs, traditions, individual preferences, needs, values, and interests, may promote health more effectively than when no attention is paid to these aspects. In this study, we aimed to develop a guideline for the contextual adaption of CBHIs. We developed the guideline in two stages: first, a checklist for contextual and cultural adaptation; and second, a guideline for adaptation. We performed participatory action research, and used the 'Appraisal of Guidelines for Research & Evaluation (AGREE) II' tool as methodological basis to develop the guideline. We conducted a narrative literature review, using a conceptual framework based on the six dimensions of 'Positive Health' and its determining contexts to theoretically underpin a checklist. we pilot tested a draft version of the guideline and included a total of 29 stakeholders in five informal meetings, two stakeholder meetings, and an expert review meeting. This yielded a guideline, addressing three phases: the preparation phase, the assessment phase, and the adoption phase, with integrated checklists comprising 34 cultural and contextual aspects for the adaption of CBHIs based on general health directives or health models. The guideline provides insight into how CBHIs can be tailored to the health perspectives of community members, and into the context in which the intervention is implemented. This tool can help to effect behavioral change, and improve the prevention and management of NCDs.
KW - adaptation
KW - co-creation
KW - community-based health interventions
KW - cultural context
KW - guideline
KW - participatory action research
KW - Positive Health
UR - https://research.rug.nl/en/publications/c597adc2-3354-407a-bb38-8c6c5b5e8e8b
U2 - 10.3390/ijerph19105790
DO - 10.3390/ijerph19105790
M3 - Review article
C2 - 35627327
AN - SCOPUS:85129738572
SN - 1661-7827
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 10
M1 - 5790
ER -