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Forming a Supplement Intervention Using a Multi-Theoretical Behavior Model

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Objectives: To identify behavior theory-based strategies to improve compliance with daily multiple micronutrient supplementation (MMS) among rural Ghanaian women. Methods: Components of a multi-theoretical framework were investigated in focus groups of reproductive-aged women in 6 communities. Results: Participants were generally unaware of MMS' purpose. Perceived benefits included better health and stimulated appetite, which some believe escalates food purchases and financial constraints. Cost, forgetfulness, and unsustainability were also perceived barriers. Facilitators for compliance incorporated initial visual reminders and daily announcements with reinforcement using the 'keeper' system. Conclusions: Application of a tailored health behavioral model can effectively guide the design, implementation and evaluation of community-based MMS interventions.
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Document Type: Research Article

Affiliations: 1: University of Utah, Department of Family and Preventive Medicine, Division of Public Health, Salt Lake City, UT, USA [email protected] 2: University of Utah, Department of Pediatrics, Division of Inpatient Pediatrics, Salt Lake City, UT, USA 3: University of Utah, Department of Family and Preventive Medicine, Division of Public Health, Salt Lake City, UT, USA 4: School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana 5: Research & Development Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana

Publication date: November 1, 2013

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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