Journal Article

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

Ytje J. J. Van Der Veen, Pepijn Van Empelen and Jan Hendrik Richardus

in Health Promotion International

Volume 27, issue 3, pages 342-355
Published in print September 2012 | ISSN: 0957-4824
Published online July 2011 | e-ISSN: 1460-2245 | DOI: http://dx.doi.org/10.1093/heapro/dar044
Development of a culturally tailored Internet intervention promoting hepatitis B screening in the Turkish community in the Netherlands

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Hepatitis 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.

Keywords: cultural tailoring; hepatitis B; health promotion; Intervention Mapping

Journal Article.  7766 words.  Illustrated.

Subjects: Public Health and Epidemiology

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