Open AccessDevelopment of a gender-relevant tobacco cessation intervention for women in Brazil—an intervention mapping approach to planning
Author(s) -
Nï Dia Kienen,
Thaís Distéfano Wiltenburg,
Lorna Bittencourt,
Isabel C. Scarinci
Publication year - 2019
Publication title -
health education research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.601
H-Index - 103
eISSN - 1465-3648
pISSN - 0268-1153
DOI - 10.1093/her/cyz025
Subject(s) - intervention (counseling) , smoking cessation , context (archaeology) , relevance (law) , negotiation , psychology , social cognitive theory , public health , health promotion , tobacco control , sustainability , public relations , nursing , social psychology , medicine , political science , paleontology , pathology , law , biology , ecology
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.