How to design a complex behaviour change intervention: experiences from a nutrition-sensitive agriculture trial in rural India
| Autor: | Sneha Krishnan, Suchitra Rath, Helen Harris-Fry, Shibanand Rath, Peggy Koniz-Booher, Shibananth Pradhan, Abhinav Kumar, Audrey Prost, Avinash Upadhay, Naba Kishore Mishra, Ashley Aakesson, Heather Danton, Meghan O’Hearn, Nirmala Nair, Suneetha Kadiyala, Ronali Pradhan |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Rural Population
Behaviour change 030309 nutrition & dietetics Process (engineering) Applied psychology Health Behavior India Nutritional Status Rural india maternal health 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Humans 030212 general & internal medicine Empirical evidence Child 2. Zero hunger 0303 health sciences Practice Health Policy Public Health Environmental and Occupational Health Transtheoretical model Agriculture Theory of change 3. Good health Cluster randomised trial nutrition Conceptual framework child health Psychology |
| Zdroj: | BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Many public health interventions aim to promote healthful behaviours, with varying degrees of success. With a lack of existing empirical evidence on the optimal number or combination of behaviours to promote to achieve a given health outcome, a key challenge in intervention design lies in deciding what behaviours to prioritise, and how best to promote them. We describe how key behaviours were selected and promoted within a multisectoral nutrition-sensitive agriculture intervention that aimed to address maternal and child undernutrition in rural India. First, we formulated a Theory of Change, which outlined our hypothesised impact pathways. To do this, we used the following inputs: existing conceptual frameworks, published empirical evidence, a feasibility study, formative research and the intervention team’s local knowledge. Then, we selected specific behaviours to address within each impact pathway, based on our formative research, behaviour change models, local knowledge and community feedback. As the intervention progressed, we mapped each of the behaviours against our impact pathways and the transtheoretical model of behaviour change, to monitor the balance of behaviours across pathways and along stages of behaviour change. By collectively agreeing on definitions of complex concepts and hypothesised impact pathways, implementing partners were able to communicate clearly between each other and with intervention participants. Our intervention was iteratively informed by continuous review, by monitoring implementation against targets and by integrating community feedback. Impact and process evaluations will reveal whether these approaches are effective for improving maternal and child nutrition, and what the effects are on each hypothesised impact pathway. |
| Databáze: | OpenAIRE |
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