Development of a culturally tailored Internet intervention promoting hepatitis B screening in the Turkish community in the Netherlands

Abstract

SUMMARYHepatitis B virus infections are an important health problem in the Turkish community in the Netherlands. Screening for hepatitis B should be promoted through public health interventions, which take into account the socio-cultural and behavioural determinants that influence screening. The Intervention Mapping protocol was used to develop a culturally tailored Internet intervention for first-generation Turkish immigrants in Rotterdam, aged 16-40 year. Behavioural factors and cultural motivators and barriers, identified in the first steps of the protocol, were incorporated in the intervention. To ensure participation, members of the target population were involved in all steps of programme development. A theory-and evidence-based culturally tailored intervention was developed. Both surface structure and deep structure elements were used; surface structure tailoring resulting in different Internet skins and peer-stories for subgroups, such as young women. Deep structure elements comprised cultural motivators such as the religiously inspired feelings of responsibility and strong family values, and perceived community rules regarding health and disease. Cultural barriers that were addressed were the satisfaction and trust in Dutch health care, and the association of hepatitis B screening with sexual behaviour. Intervention Mapping provided a useful framework for the systematic development of our theory-and evidence-based intervention to promote hepatitis B screening in the Turkish community in the Netherlands.

Infection with hepatitis B and C virus in Europe: a systematic review of prevalence and cost-effectiveness of screening

“…Main determinants of ICER were the proportion of eligible people starting treatment, disease progression rates with and without treatment, and costs of treatment [67,68]. Further research should focus on these areas of uncertainty, as well as on how to optimize participation in screening and referral pathways [69,84]. Given that HCV could be tested using the same blood sample and that migrants generally have higher HCV prevalence than the indigenous population in European countries, an economic assessment of combined HBV/HCV screening for migrants is a priority [85,86].…”

The role of intervention mapping in designing disease prevention interventions: A systematic review of the literature

“…Seven studies were on HIV/STI prevention,[ 18 , 19 , 25 – 28 , 35 ] one was on chlamydia prevention,[ 30 ] one was on Hepatitis B virus (HBV) prevention,[ 29 ] four were on influenza prevention,[ 17 , 21 , 22 , 31 ] four were on cervical cancer prevention,[ 15 , 16 , 23 , 34 ] one was on breast & cervical cancer prevention,[ 33 ] one was on secondary stroke prevention,[ 32 ] and one was on physical activity related injury prevention. [ 14 ]…”

Le protocole de l’intervention mapping : un processus méthodique pour élaborer, implanter et évaluer des programmes en promotion de la santé

“…Il a été utilisé dans cet objectif parmi diverses populations défavorisées [44,[83][84][85][86][87].…”