A Guideline for Contextual Adaptation of Community-Based Health Interventions

Zinzi E. Pardoel, Sijmen A. Reijneveld, Maarten J. Postma, Robert Lensink, Jaap A. R. Koot, Khin Hnin Swe, Manh Van Nguyen, Eti Poncorini Pamungkasari, Lotte Tenkink, Johanna P. M. Vervoort and Johanna A. Landsman
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Zinzi E. Pardoel: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Sijmen A. Reijneveld: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Maarten J. Postma: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Jaap A. R. Koot: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Khin Hnin Swe: HelpAge International, Yangon 11081, Myanmar
Manh Van Nguyen: HelpAge International, Hanoi 1000, Vietnam
Eti Poncorini Pamungkasari: Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta 57126, Indonesia
Lotte Tenkink: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Johanna P. M. Vervoort: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
Johanna A. Landsman: Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands

IJERPH, 2022, vol. 19, issue 10, 1-16

Abstract: 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.

Keywords: cultural context; guideline; adaptation; participatory action research; co-creation; Positive Health; community-based health interventions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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