How to design a complex behaviour change intervention: experiences from a nutrition-sensitive agriculture trial in rural India.

BMJ Global Health
Helen Harris-FrySuneetha Kadiyala

Abstract

Many public health interventions aim to promote healthful behaviours, with varying degrees of success. With a lack of existing empirical evidence on the optimal number or combination of behaviours to promote to achieve a given health outcome, a key challenge in intervention design lies in deciding what behaviours to prioritise, and how best to promote them. We describe how key behaviours were selected and promoted within a multisectoral nutrition-sensitive agriculture intervention that aimed to address maternal and child undernutrition in rural India. First, we formulated a Theory of Change, which outlined our hypothesised impact pathways. To do this, we used the following inputs: existing conceptual frameworks, published empirical evidence, a feasibility study, formative research and the intervention team's local knowledge. Then, we selected specific behaviours to address within each impact pathway, based on our formative research, behaviour change models, local knowledge and community feedback. As the intervention progressed, we mapped each of the behaviours against our impact pathways and the transtheoretical model of behaviour change, to monitor the balance of behaviours across pathways and along stages of behaviour change....Continue Reading

References

Jul 15, 2004·Public Health Nutrition·Peter R BertiSian FitzGerald
Apr 7, 2005·Food and Nutrition Bulletin·Victor N BushamukaMartin Bloem
Jul 7, 2012·Paediatric and Perinatal Epidemiology·Amy Webb Girard, Oluwafunke Olude
Nov 10, 2012·Science·Hal Drakesmith, Andrew M Prentice
Jun 12, 2013·Lancet·Robert E BlackUNKNOWN Maternal and Child Nutrition Study Group
May 6, 2014·Food and Nutrition Bulletin·Patrick Webb, Eileen Kennedy
Aug 8, 2014·Annals of the New York Academy of Sciences·Suneetha KadiyalaStuart Gillespie

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