Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Evelyn A. Brakema; Gemert FA van; Sian Williams; Talant Sooronbaev; Berik Emilov; Maamed Mademilov; Aizhamal Tabyshova; Pham Le An; Nguyen Nhat Quynh; Le Huynh Thi Cam Hong; Tran Ngoc Dang; der Kleij RMJJ van; Niels H. Chavannes; Jong C de; Marilena Anastasaki; Azamat Akylbekov; Andy Barton; Antonios Bertsias; Pham Duong Uyen Binh; Boven JFM van; Dennis Burges; Lucy Cartwright; Vasiliki E. Chatzea; Liza Cragg; Ilyas Dautov; Irene Ferarrio; Ben Hedrick; Nick Hopkinson; Elvira Isaeva; Rupert Jones; Kampen S van; Winceslaus Katagira; Jesper Kjærgaard; Janwillem Kocks; Le Thi Tuyet Lan; Tran Thanh Duv Linh; Christos Lionis; Kim Xuan Loan; Andy McEwen; Patrick Musinguzi; Rebecca Nantanda; Grace Ndeezi; Sophia Papadakis; Hilary Pinnock; Jillian Pooler; Charlotte C. Poot; Maarten J. Postma; Anja Poulsen; Pippa Powell; Susanne Reventlow; D Sifaki-Pistolla; S Singh; Sousa JC de; J Stout; MS Østergaard; I Tsiligianni; TD Tuan; J Tumwine; LT Van; NN Vinh; S Walusimbi; L Warren

doi:10.1038/s41533-020-00201-z

Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Evelyn A. Brakema^*, Gemert FA van, Sian Williams, Talant Sooronbaev, Berik Emilov, Maamed Mademilov, Aizhamal Tabyshova, Pham Le An, Nguyen Nhat Quynh, Le Huynh Thi Cam Hong, Tran Ngoc Dang, der Kleij RMJJ van, Niels H. Chavannes, Jong C de, Marilena Anastasaki, Azamat Akylbekov, Andy Barton, Antonios Bertsias, Pham Duong Uyen Binh, Boven JFM vanDennis Burges, Lucy Cartwright, Vasiliki E. Chatzea, Liza Cragg, Ilyas Dautov, Irene Ferarrio, Ben Hedrick, Nick Hopkinson, Elvira Isaeva, Rupert Jones, Kampen S van, Winceslaus Katagira, Jesper Kjærgaard, Janwillem Kocks, Le Thi Tuyet Lan, Tran Thanh Duv Linh, Christos Lionis, Kim Xuan Loan, Andy McEwen, Patrick Musinguzi, Rebecca Nantanda, Grace Ndeezi, Sophia Papadakis, Hilary Pinnock, Jillian Pooler, Charlotte C. Poot, Maarten J. Postma, Anja Poulsen, Pippa Powell, Susanne Reventlow, D Sifaki-Pistolla, S Singh, Sousa JC de, J Stout, MS Østergaard, I Tsiligianni, TD Tuan, J Tumwine, LT Van, NN Vinh, S Walusimbi, L Warren

^*Corresponding author for this work

Peninsula Medical School

Research output: Contribution to journal › Article › peer-review

Abstract

AbstractMost patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

Original language	English
Number of pages	0
Journal	npj Primary Care Respiratory Medicine
Volume	30
Issue number	1
DOIs	https://doi.org/10.1038/s41533-020-00201-z
Publication status	E-pub ahead of print - 6 Oct 2020

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Brakema, E. A., van, G. FA., Williams, S., Sooronbaev, T., Emilov, B., Mademilov, M., Tabyshova, A., An, P. L., Quynh, N. N., Hong, L. H. T. C., Dang, T. N., van, D. K. RMJJ., Chavannes, N. H., de, J. C., Anastasaki, M., Akylbekov, A., Barton, A., Bertsias, A., Binh, P. D. U., ... Warren, L. (2020). Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study. npj Primary Care Respiratory Medicine, 30(1). Advance online publication. https://doi.org/10.1038/s41533-020-00201-z

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abstract = "AbstractMost patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.",

author = "Brakema, {Evelyn A.} and van, {Gemert FA} and Sian Williams and Talant Sooronbaev and Berik Emilov and Maamed Mademilov and Aizhamal Tabyshova and An, {Pham Le} and Quynh, {Nguyen Nhat} and Hong, {Le Huynh Thi Cam} and Dang, {Tran Ngoc} and van, {der Kleij RMJJ} and Chavannes, {Niels H.} and de, {Jong C} and Marilena Anastasaki and Azamat Akylbekov and Andy Barton and Antonios Bertsias and Binh, {Pham Duong Uyen} and van, {Boven JFM} and Dennis Burges and Lucy Cartwright and Chatzea, {Vasiliki E.} and Liza Cragg and Ilyas Dautov and Irene Ferarrio and Ben Hedrick and Nick Hopkinson and Elvira Isaeva and Rupert Jones and van, {Kampen S} and Winceslaus Katagira and Jesper Kj{\ae}rgaard and Janwillem Kocks and Lan, {Le Thi Tuyet} and Linh, {Tran Thanh Duv} and Christos Lionis and Loan, {Kim Xuan} and Andy McEwen and Patrick Musinguzi and Rebecca Nantanda and Grace Ndeezi and Sophia Papadakis and Hilary Pinnock and Jillian Pooler and Poot, {Charlotte C.} and Postma, {Maarten J.} and Anja Poulsen and Pippa Powell and Susanne Reventlow and D Sifaki-Pistolla and S Singh and de, {Sousa JC} and J Stout and MS {\O}stergaard and I Tsiligianni and TD Tuan and J Tumwine and LT Van and NN Vinh and S Walusimbi and L Warren",

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doi = "10.1038/s41533-020-00201-z",

language = "English",

volume = "30",

journal = "npj Primary Care Respiratory Medicine",

issn = "2055-1010",

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Brakema, EA, van, GFA, Williams, S, Sooronbaev, T, Emilov, B, Mademilov, M, Tabyshova, A, An, PL, Quynh, NN, Hong, LHTC, Dang, TN, van, DKRMJJ, Chavannes, NH, de, JC, Anastasaki, M, Akylbekov, A, Barton, A, Bertsias, A, Binh, PDU, van, BJFM, Burges, D, Cartwright, L, Chatzea, VE, Cragg, L, Dautov, I, Ferarrio, I, Hedrick, B, Hopkinson, N, Isaeva, E, Jones, R, van, KS, Katagira, W, Kjærgaard, J, Kocks, J, Lan, LTT, Linh, TTD, Lionis, C, Loan, KX, McEwen, A, Musinguzi, P, Nantanda, R, Ndeezi, G, Papadakis, S, Pinnock, H, Pooler, J, Poot, CC, Postma, MJ, Poulsen, A, Powell, P, Reventlow, S, Sifaki-Pistolla, D, Singh, S, de, SJC, Stout, J, Østergaard, MS, Tsiligianni, I, Tuan, TD, Tumwine, J, Van, LT, Vinh, NN, Walusimbi, S & Warren, L 2020, 'Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study', npj Primary Care Respiratory Medicine, vol. 30, no. 1. https://doi.org/10.1038/s41533-020-00201-z

TY - JOUR

T1 - Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

AU - Brakema, Evelyn A.

AU - van, Gemert FA

AU - Williams, Sian

AU - Sooronbaev, Talant

AU - Emilov, Berik

AU - Mademilov, Maamed

AU - Tabyshova, Aizhamal

AU - An, Pham Le

AU - Quynh, Nguyen Nhat

AU - Hong, Le Huynh Thi Cam

AU - Dang, Tran Ngoc

AU - van, der Kleij RMJJ

AU - Chavannes, Niels H.

AU - de, Jong C

AU - Anastasaki, Marilena

AU - Akylbekov, Azamat

AU - Barton, Andy

AU - Bertsias, Antonios

AU - Binh, Pham Duong Uyen

AU - van, Boven JFM

AU - Burges, Dennis

AU - Cartwright, Lucy

AU - Chatzea, Vasiliki E.

AU - Cragg, Liza

AU - Dautov, Ilyas

AU - Ferarrio, Irene

AU - Hedrick, Ben

AU - Hopkinson, Nick

AU - Isaeva, Elvira

AU - Jones, Rupert

AU - van, Kampen S

AU - Katagira, Winceslaus

AU - Kjærgaard, Jesper

AU - Kocks, Janwillem

AU - Lan, Le Thi Tuyet

AU - Linh, Tran Thanh Duv

AU - Lionis, Christos

AU - Loan, Kim Xuan

AU - McEwen, Andy

AU - Musinguzi, Patrick

AU - Nantanda, Rebecca

AU - Ndeezi, Grace

AU - Papadakis, Sophia

AU - Pinnock, Hilary

AU - Pooler, Jillian

AU - Poot, Charlotte C.

AU - Postma, Maarten J.

AU - Poulsen, Anja

AU - Powell, Pippa

AU - Reventlow, Susanne

AU - Sifaki-Pistolla, D

AU - Singh, S

AU - de, Sousa JC

AU - Stout, J

AU - Østergaard, MS

AU - Tsiligianni, I

AU - Tuan, TD

AU - Tumwine, J

AU - Van, LT

AU - Vinh, NN

AU - Walusimbi, S

AU - Warren, L

PY - 2020/10/6

Y1 - 2020/10/6

N2 - AbstractMost patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

AB - AbstractMost patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

U2 - 10.1038/s41533-020-00201-z

DO - 10.1038/s41533-020-00201-z

M3 - Article

SN - 2055-1010

VL - 30

JO - npj Primary Care Respiratory Medicine

JF - npj Primary Care Respiratory Medicine

IS - 1

ER -

Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Abstract

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