TY - JOUR
T1 - Implementing a context-driven awareness programme addressing household air pollution and tobacco
T2 - a FRESH AIR study
AU - The 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 - Anastasaki, Marilena
AU - Akylbekov, Azamat
AU - Barton, Andy
AU - Bertsias, Antonios
AU - Binh, Pham Duong Uyen
AU - van Boven, Job F.M.
AU - Burges, Dennis
AU - Cartwright, Lucy
AU - Chatzea, Vasiliki E.
AU - Cragg, Liza
AU - Dautov, Ilyas
AU - Ferarrio, Irene
AU - Hedrick, Ben
AU - Hopkinson, Nick
AU - Isaeva, Elvira
AU - Jones, Rupert
AU - van Kampen, Sanne
AU - Katagira, Winceslaus
AU - Kjærgaard, Jesper
AU - Kocks, Janwillem
AU - Lan, Le Thi Tuyet
AU - Linh, Tran Thanh Duv
AU - Lionis, Christos
AU - Loan, Kim Xuan
AU - McEwen, Andy
AU - Musinguzi, Patrick
AU - Nantanda, Rebecca
AU - Ndeezi, Grace
AU - Papadakis, Sophia
AU - Pinnock, Hilary
AU - Pooler, Jillian
AU - Poot, Charlotte C.
AU - Postma, Maarten J.
AU - Poulsen, Anja
AU - Powell, Pippa
AU - Singh, Sally
N1 - Note - Sally Singh, Faculty of Health & Life Sciences, is a member of the collaborative group 'The FRESH AIR collaborators' - Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing,adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
PY - 2020/10/6
Y1 - 2020/10/6
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.
KW - Disease prevention
KW - Patient education
KW - Public health
KW - Respiratory tract diseases
KW - Translational research
UR - http://www.scopus.com/inward/record.url?scp=85092664666&partnerID=8YFLogxK
U2 - 10.1038/s41533-020-00201-z
DO - 10.1038/s41533-020-00201-z
M3 - Article
C2 - 33024125
AN - SCOPUS:85092664666
VL - 30
SP - 1
EP - 8
JO - npj Primary Care Respiratory Medicine
JF - npj Primary Care Respiratory Medicine
SN - 2055-1010
IS - 1
M1 - 42
ER -