Development of a Gender-Relevant Tobacco Cessation Intervention for Women in Brazil--An Intervention Mapping Approach to Planning

Autor/inn/en	Kienen, Nadia; Wiltenburg, Thais Distefano; Bittencourt, Lorna; Scarinci, Isabel C.
Titel	Development of a Gender-Relevant Tobacco Cessation Intervention for Women in Brazil--An Intervention Mapping Approach to Planning
Quelle	In: Health Education Research, 34 (2019) 5, S.505-520 (16 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Wiltenburg, Thais Distefano)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyz025
Schlagwörter	Smoking; Intervention; Program Development; Females; Foreign Countries; Community Health Services; Health Personnel; Public Health; Low Income Groups; Behavior Change; Health Behavior; Participative Decision Making; Brazil + Suchen Sie Ihr Suchwort? Rauchen; Programmplanung; Weibliches Geschlecht; Ausland; Medizinisches Personal; Gesundheitswesen; Health behaviour; Gesundheitsverhalten; Brasilien
Abstract	The purpose of this article is to describe the development of a theory-based, culturally and gender-relevant Community Health Worker (CWH)-led tobacco cessation intervention for low-income Brazilian women who augments the tobacco cessation program offered through the public health system using Intervention Mapping (IM). We began with the establishment of a network of representatives from different segments of society followed by comprehensive needs assessments. We then established a logical planning process that was guided by a theoretical framework (Social Cognitive Theory) and existing evidence-based tobacco cessation programs, taking into account socio-political context of a universal health care system. Given the gender-relevance of our intervention and the importance of social support in tobacco cessation among women, we chose an intervention that would be delivered within the public health system but augmented by CHWs that would be trained in behavior change by researchers. One of major advantages of utilizing IM was that decisions were made in a transparent and supportive manner with involvement of all stakeholders throughout the process. Despite the fact that this process is very taxing on researchers and the health care system as it takes time, resources and negotiation skills, it builds trust and promotes ownership which can assure sustainability. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01