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Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping

Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping
Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping
Background: Malaysia is experiencing a nutrition transition with burgeoning obesity, particularly in women, and a growing prevalence of non-communicable disease. These health burdens have severe implications not only for adult health but also across generations. Pre-conception health promotion could address the intergenerational risk of metabolic disease. This paper describes the development of the “Jom Mama” intervention using Intervention Mapping (IM). The Jom Mama intervention aims to improve the health of young adult couples in Malaysia prior to conception.

Methods: IM comprises of five steps prior to the last one, which involves the evaluation of the intervention. We used the five steps to develop the Jom Mama intervention.

Results: Both the process and evidence is documented providing the rationale to the selection of the key objectives of the intervention: (i) increasing healthy dietary practice; (ii) increasing physical activity levels, (iii) reducing sedentary activity; and (iv) improving social support to offset stressful lifestyles. From the IM process, Jom Mama will be health-system centred approach that uniquely combines both community health promoters and an electronic-health platform to deliver the complex intervention.

Conclusion: IM is an iterative process that systematically gathers “best” evidence, selects appropriate theories of behaviour change, and facilitates formative research so as to develop a complex intervention. Though the IM process is time consuming, complex, and costly, it has enriched the Jom Mama intervention with a number of notable advantages: (i) intervention fashioned on formative work with stakeholders and in the target group; (ii) intervention combines research evidence with theory; (iii) intervention acknowledges multiple dynamics of influence; and (iv) intervention is embedded within health service priorities in Malaysia for greater scale-up possibility.
1471-2458
1-7
Norris, Shane
8af6bd67-a99e-4465-887b-b49a3a0cbfe8
Cheah Chee Ho, Julius
d1c616d6-9c8c-42e3-bc73-b2b0821a568b
Rashed, Aswir Abd
f76f881e-1aa1-4c36-9c13-b310f8e9cbfb
Vinding, Vibeke
2c20cec8-89f5-4d61-85e9-d8f10547744d
Skau, Jutta K.H.
c5e5d935-fedd-407f-9a27-eccc920204e6
Biesma, Regien
dba0067f-0dbb-4077-862d-1be5508e30e4
Aagaard-Hansen, Jens
ccaa1c90-50e5-4eb2-a64c-93614cd6f7bc
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Matzen, Priya
588f5324-ffc6-417a-93e1-e74734b675f5
Norris, Shane
8af6bd67-a99e-4465-887b-b49a3a0cbfe8
Cheah Chee Ho, Julius
d1c616d6-9c8c-42e3-bc73-b2b0821a568b
Rashed, Aswir Abd
f76f881e-1aa1-4c36-9c13-b310f8e9cbfb
Vinding, Vibeke
2c20cec8-89f5-4d61-85e9-d8f10547744d
Skau, Jutta K.H.
c5e5d935-fedd-407f-9a27-eccc920204e6
Biesma, Regien
dba0067f-0dbb-4077-862d-1be5508e30e4
Aagaard-Hansen, Jens
ccaa1c90-50e5-4eb2-a64c-93614cd6f7bc
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Matzen, Priya
588f5324-ffc6-417a-93e1-e74734b675f5

Norris, Shane, Cheah Chee Ho, Julius, Rashed, Aswir Abd, Vinding, Vibeke, Skau, Jutta K.H., Biesma, Regien, Aagaard-Hansen, Jens, Hanson, Mark and Matzen, Priya (2016) Pre-pregnancy community-based intervention for couples in Malaysia: application of intervention mapping. BMC Public Health, 16 (116), 1-7. (doi:10.1186/s12889-016-3827-x). (PMID:27855663)

Record type: Article

Abstract

Background: Malaysia is experiencing a nutrition transition with burgeoning obesity, particularly in women, and a growing prevalence of non-communicable disease. These health burdens have severe implications not only for adult health but also across generations. Pre-conception health promotion could address the intergenerational risk of metabolic disease. This paper describes the development of the “Jom Mama” intervention using Intervention Mapping (IM). The Jom Mama intervention aims to improve the health of young adult couples in Malaysia prior to conception.

Methods: IM comprises of five steps prior to the last one, which involves the evaluation of the intervention. We used the five steps to develop the Jom Mama intervention.

Results: Both the process and evidence is documented providing the rationale to the selection of the key objectives of the intervention: (i) increasing healthy dietary practice; (ii) increasing physical activity levels, (iii) reducing sedentary activity; and (iv) improving social support to offset stressful lifestyles. From the IM process, Jom Mama will be health-system centred approach that uniquely combines both community health promoters and an electronic-health platform to deliver the complex intervention.

Conclusion: IM is an iterative process that systematically gathers “best” evidence, selects appropriate theories of behaviour change, and facilitates formative research so as to develop a complex intervention. Though the IM process is time consuming, complex, and costly, it has enriched the Jom Mama intervention with a number of notable advantages: (i) intervention fashioned on formative work with stakeholders and in the target group; (ii) intervention combines research evidence with theory; (iii) intervention acknowledges multiple dynamics of influence; and (iv) intervention is embedded within health service priorities in Malaysia for greater scale-up possibility.

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More information

Accepted/In Press date: 8 November 2016
e-pub ahead of print date: 17 November 2016
Published date: 17 November 2016
Organisations: Human Development & Health

Identifiers

Local EPrints ID: 403500
URI: http://eprints.soton.ac.uk/id/eprint/403500
ISSN: 1471-2458
PURE UUID: 40174ad9-f637-4b00-938f-dbd79e7157b7
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X

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Date deposited: 02 Dec 2016 10:28
Last modified: 07 Oct 2020 01:45

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Contributors

Author: Shane Norris
Author: Julius Cheah Chee Ho
Author: Aswir Abd Rashed
Author: Vibeke Vinding
Author: Jutta K.H. Skau
Author: Regien Biesma
Author: Jens Aagaard-Hansen
Author: Mark Hanson ORCID iD
Author: Priya Matzen

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