Effects of peer-led AIDS education aimed at Turkish and Moroccan male immigrants in The Netherlands: A randomised controlled evaluation study

Kocken, P.L.; Voorham, Toon; Brandsma, J M; Swart, Wim

doi:10.1093/eurpub/11.2.153

Cited by 25 publications

(43 citation statements)

References 10 publications

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“…The latter might also (partially) explain the high level of pessimism about the value of mental health care among migrants. Considering that migrants in our sample generally had much lower levels of education as well, our results could be taken as a support for increasing efforts to educate (ethnic minority) patients in mental health care, in languages other than Dutch if necessary, about the potential benefits of seeking professional help in case of mental health problems [25,52]. However, new questions arise as well.…”

Section: Discussionmentioning

confidence: 83%

Perceived need for mental health care among non-western labour migrants

Fassaert

Wit

Tuinebreijer

et al. 2008

Soc Psychiat Epidemiol

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Section: Discussionmentioning

confidence: 83%

Perceived need for mental health care among non-western labour migrants

Fassaert

Wit

Tuinebreijer

et al. 2008

Soc Psychiat Epidemiol

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“…Twenty-six interventions reported sound evidence indicating the strong role of this mechanism in culturally appropriate HIV prevention with immigrants. This mechanism was found to be operationalised primarily through the use of the first languages of immigrants themselves in interventions [51,54,94-98,101-104,107-111,122-124,158-162]. A further seven interventions reported moderate evidence of this mechanism [99,100,106,113,159,163,164] primarily through less comprehensive use of the language spoken by participants (e.g., only in supporting health promotion resources).…”

Section: Resultsmentioning

confidence: 99%

“…However, in general, intervention studies did not report the feedback of programme participants on this specific mechanism. There was positive feedback of ‘ understanding ’ mechanisms reported in two studies of a single intervention with Latina immigrant women in the USA [99,100] and in an intervention with Turkish and Moroccan immigrants in The Netherlands [158]. There were reports of general satisfaction or improved recruitment to, or demand for, intervention activities among programme participants in five studies that employed this adaptive mechanism [51,54,95,110,124], though this could not be attributed specifically to the use of the first language of immigrants.…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen interventions reported sound evidence and a further 15 interventions reported moderate evidence for this adaptation mechanism, suggesting a strong role for ‘ specificity ’ in culturally appropriate HIV prevention with immigrants. This mechanism was found to be operationalised primarily through segmentation of populations using ethnicity indicators, such as country of birth or language spoken, to target the intervention [98,102,105,109,123,124,158,162,168]. Another commonly used, though less specific, strategy was to target broader categories of immigrants such as Latinos, Asians, Pacific Islanders or Africans, and within these broader categories it was commonly reported that there was a dominant ethnicity, such as Mexican, Filipino or Ugandan, reached by the intervention [54,94,95,97,99-101,103,105-111,113,122,163,167].…”

Section: Resultsmentioning

confidence: 99%

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HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

McMahon

Ward

2012

Syst Rev

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BackgroundImmigrants from developing and middle-income countries are an emerging priority in HIV prevention in high-income countries. This may be explained in part by accelerating international migration and population mobility. However, it may also be due to the vulnerabilities of immigrants including social exclusion along with socioeconomic, cultural and language barriers to HIV prevention. Contemporary thinking on effective HIV prevention stresses the need for targeted approaches that adapt HIV prevention interventions according to the cultural context and population being addressed. This review of evidence sought to generate insights into targeted approaches in this emerging area of HIV prevention.MethodsWe undertook a realist review to answer the research question: ‘How are HIV prevention interventions in high-income countries adapted to suit immigrants’ needs?’ A key goal was to uncover underlying theories or mechanisms operating in behavioural HIV prevention interventions with immigrants, to uncover explanations as how and why they work (or not) for particular groups in particular contexts, and thus to refine the underlying theories. The realist review mapped seven initial mechanisms underlying culturally appropriate HIV prevention with immigrants. Evidence from intervention studies and qualitative studies found in systematic searches was then used to test and refine these seven mechanisms.ResultsThirty-four intervention studies and 40 qualitative studies contributed to the analysis and synthesis of evidence. The strongest evidence supported the role of ‘consonance’ mechanisms, indicating the pivotal need to incorporate cultural values into the intervention content. Moderate evidence was found to support the role of three other mechanisms – ‘understanding’, ‘specificity’ and ‘embeddedness’ – which indicated that using the language of immigrants, usually the ‘mother tongue’, targeting (in terms of ethnicity) and the use of settings were also critical elements in culturally appropriate HIV prevention. There was mixed evidence for the roles of ‘authenticity’ and ‘framing’ mechanisms and only partial evidence to support role of ‘endorsement’ mechanisms.ConclusionsThis realist review contributes to the explanatory framework of behavioural HIV prevention among immigrants living in high-income countries and, in particular, builds a greater understanding of the suite of mechanisms that underpin adaptations of interventions by the cultural context and population being targeted.

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“…Its structure and mechanism are compatible with basic health behavior models [3]. Usefulness of peer education is widely accepted and used for individuals from the different ages and backgrounds, and it is shown to be effective in many areas of public health, including nutrition education, family planning, substance use and violence prevention [4][5][6][7]. Reproductive health is one of the popular areas in which peer education is used and provides good outcomes.…”

Section: Introductionmentioning

confidence: 99%

The perspective of peer educators: What are their experiences, feelings, and thoughts?

Güldal¹,

Mevsim²,

Günvar³

et al. 2012

Health

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Introduction: Although peer education is accepted as one of the most effective methods for sexual and reproductive health education, the feelings, thoughts and self-affection of peer educators are not very well known. Our aim is to investigate what it is like to be a peer educator. Methods: This phenomenological study was conducted in Izmir as a part of "Modern Stork Legends" project supported by the European Union. Two focus group interviews were made with 18 peer educators of the project. Data were analyzed with NVivo 8 BS software. Results: All of the students stated that they participate in the project "to enhance their knowledge" and "to inform their social circle". They are concerned about the tasks and expectations, and anxious about the subject of counseling. They think that anything related with sexuality is taboo in Turkey and it was also the same for them. They observed that, gender defined roles are reflected on students' behaviors and attitudes. Their tolerance in understanding of inhibitions and hesitations of their peers formed the basis of their success. They stated that working in this project helped them to overcome their prejudices and contributed their development in many ways. Conclusion: Peer educators internalize substantial amount of knowledge and gain self-confidence and important skills such as communication, problem solving and access to information.

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Effects of peer-led AIDS education aimed at Turkish and Moroccan male immigrants in The Netherlands: A randomised controlled evaluation study

Abstract: Continuation of peer-led AIDS education for immigrants and adaption of the message to the needs of specific target groups is recommended.

Cited by 25 publications

References 10 publications

Perceived need for mental health care among non-western labour migrants

Perceived need for mental health care among non-western labour migrants

HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

The perspective of peer educators: What are their experiences, feelings, and thoughts?

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