scholarly journals “Everything the hujur tells is very educative but if I can’t not apply those in my own life then there is no meaning”: A mixed-methods process evaluation of a smoke-free homes intervention in Bangladesh.

2021 ◽  
Author(s):  
Cath Jackson ◽  
Zunayed Al Azdi ◽  
Ian Kellar ◽  
Noreen Dadirai Md ◽  
Caroline Fairhurst ◽  
...  
Keyword(s):  
Social Context ◽  
Social Norms ◽  
Process Evaluation ◽  
Behaviour Change ◽  
Cost Effective ◽  
Educational Interventions ◽  
Second Hand Smoke ◽  
Intervention Delivery ◽  
Fidelity Assessment ◽  
Background Exposure

Abstract Background Exposure to second-hand smoke from tobacco is a major contributor to global morbidity and mortality. A cluster RCT in Bangladesh concluded a community-based smoke-free home (SFH) intervention delivered in mosques, with or without indoor air quality (IAQ) feedback to households was neither effective nor cost-effective compared to no intervention. This paper presents the process evaluation embedded within the trial. Methods A mixed method process evaluation comprising interviews with 30 household leads and six imams, brief questionnaire administered to 848 household leads, fidelity assessment of intervention delivery in six mosques and research team records. Data sets were triangulated using meta-themes informed by three process evaluation functions: implementation, mechanisms of impact and context. Results IMPLEMENTATION: The frequency of SFH intervention delivery was judged moderate to good. However there were mixed levels of intervention fidelity and poor reach. Ayahs-messages targeting SHS attitudes were most often fully implemented and had greatest reach (with social norms). Frequency and reach of IAQ feedback intervention were good. MECHANISMS OF IMPACT: Both interventions had good acceptability. However, views on usefulness of the interventions were mixed. Only half of households reported achieving a SFH home at 3-months follow-up. Individual drivers to behaviour change were new SFH knowledge with corresponding positive attitudes, social norms and intentions. Individual barriers were a lack of self-efficacy and plans. CONTEXT: Social context drivers to SFH intervention implementation in mosques were in place and important. No context barriers to implementation were reported. Social context drivers to SHS behaviour change were children’s requests. Barriers were a reluctance to request visitors to smoke outside. (Not) having somewhere to smoke outside was a physical context (barrier) and driver. Conclusions Despite detailed development and adaption work with relevant stakeholders, the SFH and IAQ interventions became educational interventions that were motivational but insufficient to overcome significant context barriers to SHS behaviour change. Embedding these interventions into community wide strategies that include practical cessation support and enforcement of SFH legislation is needed.

scholarly journals Children Learning About Second-hand Smoke (CLASS II): a mixed methods process evaluation of a school-based intervention

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Cath Jackson ◽  
Rumana Huque ◽  
Farid Ahmed ◽  
Shammi Nasreen ◽  
Sarwat Shah ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
Qualitative Interviews ◽  
Pilot Trial ◽  
Scale Up ◽  
Second Hand Smoke ◽  
Framework Analysis ◽  
Second Hand Smoke Exposure ◽  
Fidelity Assessment ◽  
School Day

Abstract Background Children are vulnerable to the effects of second-hand smoke exposure. Creating smoke-free homes is an effective strategy to limit exposure. We developed a smoke-free intervention (SFI) using children as a catalyst for change and teaching skills to negotiate a smoke-free home. In this paper, we present the process evaluation conducted within a pilot trial. Methods This was a mixed-methods study comprising qualitative interviews and quantitative fidelity assessment of SFI delivery. Interviews in the six intervention schools were conducted with six headteachers and 12 teachers. These explored experiences of delivering the SFI, perceived impact, barriers and facilitators to success, and ideas for improvement and for scaling up. The data were analysed using framework analysis. Delivery of the SFI was observed and fidelity scores calculated. Results The SFI was acceptable to headteachers and teachers. Fidelity scores ranged from 27/40 to 37/40. Didactic components were more fully implemented than interactive components. Time to complete the sessions, timing in the school day and school calendar were key challenges. Embedding the SFI into the curriculum was a potential solution. Conclusions These findings provide useful information to finalise the content and delivery and inform the scale-up of the SFI for our definitive trial, which is now underway. Trial registration ISRCTN68690577

scholarly journals Children Learning About Second-hand Smoke (CLASS II): a mixed methods process evaluation of a school-based intervention

2020 ◽  
Author(s):  
Cath Jackson ◽  
Rumana Huque ◽  
Farid Ahmed ◽  
Shammi Nasreen ◽  
Sarwat Shah ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
Qualitative Interviews ◽  
Pilot Trial ◽  
Scale Up ◽  
Second Hand Smoke ◽  
Framework Analysis ◽  
Second Hand Smoke Exposure ◽  
Fidelity Assessment ◽  
School Day

Abstract Background Children are vulnerable to the effects of second-hand smoke exposure. Creating smoke-free homes is an effective strategy to limit exposure. We developed a smoke free intervention (SFI) to use children as a catalyst for change and teach skills to negotiate a smoke-free home. In this paper we present the process evaluation conducted within a pilot trial. Methods This was a mixed-methods study comprising qualitative interviews and quantitative fidelity assessment of SFI delivery. Interviews in the six intervention schools were conducted with six headteachers and 12 teachers. These explored experiences of delivering the SFI, perceived impact, barriers and facilitators to success, ideas for improvement and for scaling up. The data were analysed using framework analysis. Delivery of the SFI was observed and fidelity scores calculated. Results The SFI was acceptable to headteachers and teachers. It was generally well delivered, with teachers adapting some components for their students. Time to complete the sessions, timing in the school day and school calendar were key challenges. Embedding the SFI into the curriculum was a potential solution. Conclusions These findings provide useful information to finalise the content, delivery, and to inform the scale-up of the SFI for our definitive trial, which is now underway.

Exploring normative perceptions and misperceptions of private, environmentally impactful behaviours

2020 ◽  
Author(s):  
Elaine Gallagher ◽  
Bas Verplanken ◽  
Ian Walker
Keyword(s):  
Social Norms ◽  
Behaviour Change ◽  
Social Contexts ◽  
The Novel ◽  
Normative Influence ◽  
Change Mechanism ◽  
Novel Approach ◽  
Classical Studies ◽  
Referent Group

Social norms have been shown to be an effective behaviour change mechanism across diverse behaviours, demonstrated from classical studies to more recent behaviour change research. Much of this research has focused on environmentally impactful actions. Social norms are typically utilised for behaviour change in social contexts, which facilitates the important element of the behaviour being visible to the referent group. This ensures that behaviours can be learned through observation and that deviations from the acceptable behaviour can be easily sanctioned or approved by the referent group. There has been little focus on how effective social norms are in private or non-social contexts, despite a multitude of environmentally impactful behaviours occurring in the home, for example. The current study took the novel approach to explore if private behaviours are important in the context of normative influence, and if the lack of a referent groups results in inaccurate normative perceptions and misguided behaviours. Findings demonstrated variance in normative perceptions of private behaviours, and that these misperceptions may influence behaviour. These behaviours are deemed to be more environmentally harmful, and respondents are less comfortable with these behaviours being visible to others, than non-private behaviours. The research reveals the importance of focusing on private behaviours, which have been largely overlooked in the normative influence literature.

The Origins of Voluntary Compliance: Attitudes toward Taxation in Urban Nigeria

2014 ◽  
Vol 46 (1) ◽  
pp. 215-238 ◽  
Author(s):  
Cristina Bodea ◽  
Adrienne LeBas
Keyword(s):  
Social Context ◽  
Social Norms ◽  
Public Goods ◽  
Exchange Mechanism ◽  
Positive Experience ◽  
Public Goods Provision ◽  
Tax Enforcement ◽  
Services Delivery ◽  
Voluntary Compliance ◽  
Tax Regimes

Voluntary compliance is an important aspect of strong tax regimes, but there is limited understanding of how social norms favoring compliance emerge. Using novel data from urban Nigeria, where tax enforcement is weak, this article shows that individuals with a positive experience of state services delivery are more likely to express belief in an unconditioned citizen obligation to pay tax. In addition to support for this fiscal exchange mechanism, social context is consequential. Where individuals have access to community-provided goods, which may substitute for effective state services provision, they are less likely to adopt pro-compliance norms. Finally, the article shows that norm adoption increases tax payment. These findings have broad implications for literatures on state formation, taxation and public goods provision.

scholarly journals Readings Behind the Early Christian Queer Experiences

2021 ◽  
Vol 58 (2) ◽  
pp. 105-124
Author(s):  
Larisa Orlov Vilimonović
Keyword(s):  
Sex Differences ◽  
Social Context ◽  
Social Norms ◽  
Early Christianity ◽  
Late Antique ◽  
Early Christian ◽  
Gender Fluidity ◽  
The Social ◽  
Gender Categories ◽  
Body Modifications

This paper deals with the ideas of queer experiences in the Early Christian movement, seen through early Christian epistemologies of gender and patristic thought focused on sex differences. The lives and passions of transgender nuns are used in discussing various aspects of gender fluidity in early Christianity. Theoretically, the paper rests on the idea of the performativity of gender, that is, on the ways gender was constructed and how body modifications enabled renegotiation of gender categories. It also focuses on the social context of queer experiences in the late antique period with regard to Roman social norms.

scholarly journals Educated Choices Program: An Impact Evaluation of a Classroom Intervention to Reduce Animal Product Consumption

2020 ◽  
Author(s):  
Christopher John Bryant ◽  
Courtney Dillard
Keyword(s):  
Educational Intervention ◽  
Student Attitudes ◽  
Large Scale ◽  
Comprehensive Evaluation ◽  
Cost Effective ◽  
Educational Interventions ◽  
Student Survey ◽  
Strong Basis ◽  
Effective Interventions ◽  
Survey Responses

In this comprehensive evaluation of Educated Choices Program’s educational intervention, we report on our analysis of 95,241 student survey responses. We are excited to share these findings for a number of reasons. First and foremost, our analysis clearly demonstrates the effectiveness of this educational intervention in positively impacting student attitudes, behavioral intentions and self-reported behaviors in regard to their food choices. The scale of the dataset and the comprehensive nature of the analyses conducted provides a strong basis for funding considerations for educational interventions. This is particularly heartening because similar impacts have been difficult to find in other consumer-facing advocacy interventions. As will be highlighted later in the report, ECP’s model of intervention is both high quality and cost effective, allaying some fears about the feasibility of deploying effective interventions of this nature on a large scale.

scholarly journals SPECIFIC EDUCATIONAL INTERVENTIONS IN THE REHABILITATION OF COGNITIVE CAPACITIES OF ADULTS DUE TO A CEREBROVASCULAR ACCIDENT (EXPERIMENTAL INVESTIGATION)

World Science ◽  
2020 ◽  
Vol 3 (6(58)) ◽  
pp. 46-49
Author(s):  
Aurelia Glavan
Keyword(s):  
Experimental Investigation ◽  
Cognitive Abilities ◽  
Cerebrovascular Accident ◽  
Cognitive Rehabilitation ◽  
Social Inclusion ◽  
Cost Effective ◽  
Educational Interventions ◽  
Mediated Learning ◽  
Post Stroke ◽  
The Social

An optimal cognitive functionality ensures the efficiency of day-to-day activities and a person's integration into the socio-economic environment. Cognition is not a unitary concept, it incorporates several domains: attention, memory, executive functions, perception and praxis, language. Cognitive functions are affected as a result of a cerebrovascular accident (CVA), manifested by a prevalence of 20% to 80% after a stroke. We have proposed an experimental investigation - the use of the Reuven Feuerstein theory in the cognitive rehabilitation of post-stroke individuals, thus overcoming the social disadvantage and contributing to improving their quality of life, through social inclusion. The principle of mediated learning has proven to be effective in improving the cognitive abilities of post-stroke individuals in addition to medical treatment, representing an alternative service offered by the specialists in cognitive therapy, thus being a quick and cost-effective way of recovering.

7. Treatment and prevention dilemmas

2016 ◽  
pp. 95-107
Author(s):  
Alan Whiteside
Keyword(s):  
Behaviour Change ◽  
Cost Effective ◽  
Community Mobilization ◽  
Infected People ◽  
Social Interventions ◽  
Major Threat ◽  
Treatment And Prevention ◽  
Current State ◽  
Safe Blood ◽  
Public Health Programmes

AIDS is still a major threat. ‘Treatment and prevention dilemmas’ shows that prevention and public health programmes are the most cost-effective way to health. HIV infection is preventable through biomedical strategies, such as ensuring safe blood and blood products by screening donors and testing donations; social interventions advising behaviour change, such as using condoms, having fewer partners, and practicing monogamy or abstinence; and—crucial to behaviour change—community mobilization and leadership. AIDS treatment developments are described along with the current state of antiretroviral therapy. Looking ahead, prevention remains the priority—while HIV infected people can live normal, productive lives, it is challenging and expensive.

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