Development of a pre-adolescent inter-generational intervention to address HIV and obesity using intervention mapping

Arthur, Keshni; Christofides, Nicola; Nelson, Gill

doi:10.1177/0017896920937042

Cited by 4 publications

(4 citation statements)

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“…Full details of the intervention design and programme are described elsewhere [ 22 ]. In summary, The CIrCLE of Life Initiative ( Fig 1 ) had both a school and home component, each of which comprised a learning curriculum, environmental support, and activity-based constituents that aimed to increase learner knowledge and skills and to engage caregivers.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The engagement of the education sector as a participant in an integrated transdisciplinary health promotion and prevention intervention offers an ideal strategy to target the complexities of HIV and obesity. The CIrCLE (Child Influencing paRent Communication for Life Education) of Life Initiative was developed as an intervention to target pre-adolescent learners and their parents for short- and long-term benefits [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes

2021

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Background The CIrCLE of Life Initiative was implemented to 537 grade 6 learners and their parents, in five Government-run South African primary schools. The transdisciplinary intervention was intended to increase knowledge and skills on HIV and obesity. The study aim was to assess and report on the implementation process. Methods Data was collected on an adapted Proctor’s taxonomy of implementation outcomes, and to assess participants’ experiences. Qualitative and quantitative data were collected through educator logbooks, researcher observations, and learner-parent workbooks. Results Differentiations between the various school contexts were observed. The process evaluation revealed high learner penetration (97.2%), but lower learner and parent exposure (44.3% and 55.5%, respectively). All educators thought that the intervention was a fit for both rural and urban schools, different socio-economic groups, and people of different ethnic and cultural backgrounds. The intervention was perceived to be sustainable, and there were recommendations for adoption into the school curriculum and scale-up if found to be effective. Conclusion The process evaluation facilitated the assessment of the implementation outcomes, described its processes, and acknowledged fundamental characteristics that could justify variability in the intervention impact and outcomes. The value of process evaluations and their benefit to the science of implementation were demonstrated.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes

2021

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“…memory. This approach has many useful applications in the field of health, implicitly with HIV campaigns [27]. In this context, information is a common tool in health education, essential in substantiating decisions about targeted health promotion.…”

Section: Factors Influencing the Behavior Of The Patient Diagnosed Wi...mentioning

confidence: 99%

HIV Infection a Social and a Healthcare Problem

Cheşcă¹,

Sandle²

2022

Preprint

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HIV infection invariably attracts the attention of medical staff in complex medical specialties. To achieve the goal of elimination by 2020, various approaches are required, including the establishment of prevention, diagnosis, monitoring, treatment, control measures. These should be supported by statistical studies that report on restricted or extended geographical areas, to the level of social class and age. Such an approach, combing the medical and social science perspectives (medicosocial) can prove useful for developing control measures. Due to the complexity of this immunodeficiency pathology, the condition also attracts comorbidities (most notably tuberculosis). Hence, prospective strategies need to be developed and oriented towards the goal of eradicating HIV infection. This paper presents strategies for consideration.

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Effectiveness of a pre-adolescent inter-generational intervention to address HIV and obesity in South Africa, using a pretest-posttest design

2021

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Background Strengthening pre-adolescents knowledge and skills through an age- and culturally-appropriate intervention could prevent health issues later in life. Early interventions could influence the trajectory of future risky behaviour, and may influence health behaviour amongst their parents. The CIrCLE of Life Initiative was developed to address HIV and obesity. We evaluated whether the combined intervention increased knowledge, enhanced skills, and/or promoted healthy behaviour among students (9–12 years old) and their parents. Methods The study was conducted from May to December 2018. Trained educators delivered 30-min lessons over ten consecutive weeks with 537 Grade 6 students at five government-run schools, in a district, in South Africa. Schools were purposively selected based on socioeconomic status and urban-rural classification. Students communicated with parents through shared homework activities. A pretest-posttest study design was used, with a 3-month follow up. Both groups completed self-administered paper-based questionnaires. A score of subscales was used in analysis. The pretest and posttest scores were compared for students and parents using a dependent t-test. Differences in outcomes by school quintile were compared using one-way ANOVA. Results Response rates were high for both students (80.6%) and their parents (83.4%). Statistically significant differences were observed in HIV knowledge in students pretest (mean 8.04, SD 3.10) and posttest scores (mean 10.1, SD 2.70; p < 0.01), and their parents (mean 10.32, SD 2.80 vs 11.0, SD 2.50; p < 0.01). For both students and parents, pre- and post-test obesity awareness mean scores were similar, 1.93, SD 0.92 and 2.78, SD 0.57; p < 0.01, for students; and 2.47, SD 0.82 and 2.81, SD 0.54; p < 0.01, for parents. In the posttest, statistically significant changes were also observed in both groups, enhancing skills in measuring body mass index and pulse rate, and interpreting food labels. Students had a high intention to share gained knowledge with parents who had a high intention to receive it (89.4 and 89.5%, respectively). Conclusion The intervention increased knowledge about HIV and obesity-related awareness, and it enhanced skills in selected outcomes among pre-adolescents and parents. Accurate messages and enhanced communication skills could support inter-generational knowledge transfer. Trial registration ClinicalTrials.gov Identifier: NCT04307966 retrospectively registered on 12 March 2020.

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Development of a pre-adolescent inter-generational intervention to address HIV and obesity using intervention mapping

Cited by 4 publications

References 47 publications

Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes

Process evaluation of a pre-adolescent transdisciplinary health intervention for inter-generational outcomes

HIV Infection a Social and a Healthcare Problem

Effectiveness of a pre-adolescent inter-generational intervention to address HIV and obesity in South Africa, using a pretest-posttest design

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