TY - JOUR
T1 - Implementing a context-driven awareness programme addressing household air pollution and tobacco
T2 - a FRESH AIR study
AU - FRESH AIR Collaborators
AU - Brakema, Evelyn A
AU - van Gemert, Frederik A
AU - Williams, Sian
AU - Sooronbaev, Talant
AU - Emilov, Berik
AU - Mademilov, Maamed
AU - Tabyshova, Aizhamal
AU - An, Pham Le
AU - Quynh, Nguyen Nhat
AU - Hong, Le Huynh Thi Cam
AU - Dang, Tran Ngoc
AU - van der Kleij, Rianne M J J
AU - Chavannes, Niels H
AU - de Jong, Corina
AU - Kocks, J.W.H.
AU - Boven, van, Job
AU - Postma, Maarten
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.
AB - Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.
U2 - 10.1038/s41533-020-00201-z
DO - 10.1038/s41533-020-00201-z
M3 - Article
C2 - 33024125
SN - 2055-1010
VL - 30
JO - Primary Care Respiratory Medicine
JF - Primary Care Respiratory Medicine
IS - 1
M1 - 42
ER -