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Name: Janet Nevala
email: jnevala@sympatico.ca
Date: 11/10/2009
Time: 2:30:20 PM
ENABLING AND SUSTAINING ACTIVITIES OF LAY HEALTH INFLUENCERS: LESSONS FROM A COMMUNITY-BASED TOBACCO CESSATION INTERVENTION STUDY Mark Nichter, Ph.D., M.P.H., Heidi Castaneda, M.P.H., University of Arizona This paper presents data from a large-scale study which trained health influencers to conduct brief tobacco cessation interventions. Participants were followed for up to nine months after receiving training and participated in interviews and focus groups to discuss their experiences conducting brief interventions. Our goal was to identify the mix of resources volunteers considered useful, and what forms of interaction might promote their sustained interest in promoting smoking cessation. We further investigated what activities and forms of communication might foster a “community of practice” among health influencers engaged in brief tobacco cessation interventions. Four lessons regarding cessation intervention training and sustainability emerged in this data: First, participants felt that formal training provided them with a sense of legitimacy that carried over in their interventions. Second, health influencers were concerned about the impact of their cessation promotion on their social relationships (“social risk.”) This concept refers to the threat posed to social relationships during the process of brief interventions. We suggest that effective and sustainable training of lay health influencers rests on the acknowledgement of social risk. Third, the role of material resources is crucial to health influencers, enabling them to initiate and follow through on brief interventions. Different forms of material resources were deemed appropriate in different social contexts. A strong message we received from participants in this study was that, when designing materials, it is necessary to look beyond the clarity of presentation and educational value of materials. Consideration of the social life of materials was equally important, that is, how they might be used in different social situations, how convenient they were to carry around, and what materials might be used in the initial stages of a brief intervention and then in latter stages. Finally, we address the issue of sustaining health influencer motivation and the creation of a “community of smoking cessation practice” in which health influencers feel they are members. Supported by National Cancer Institute R01CA093957. CORRESPONDING AUTHOR: Myra Muramoto, M.D., M.P.H., Assoc. Prof., University of Arizona, Familiy and Community Medicine, 1450 N. Cherry Ave, Tucson, AZ 85719, USA; tel: 520-626-1090; fax: 520-626-1080; email: myram@u.arizona.edu.
To: Mark Nichter Hi Mark I am a tobacco control consultant from ottawa canada. i am interested in the research i mention above. i did a project with Myra Muramoto a few years ago so emailed her to see if i could get some info...but i have not heard back. i am interested in the above research as i am working with the Inuit population here in Canada on the subject of smoking cessation...intervention by Community Resource Workers. More information about your project would be most appreciated! Cheers, Janet Nevala, RN BscN
Name: Janet Nevala
email: jnevala@sympatico.ca
Date: 11/10/2009
Time: 2:30:06 PM
ENABLING AND SUSTAINING ACTIVITIES OF LAY HEALTH INFLUENCERS: LESSONS FROM A COMMUNITY-BASED TOBACCO CESSATION INTERVENTION STUDY Mark Nichter, Ph.D., M.P.H., Heidi Castaneda, M.P.H., University of Arizona This paper presents data from a large-scale study which trained health influencers to conduct brief tobacco cessation interventions. Participants were followed for up to nine months after receiving training and participated in interviews and focus groups to discuss their experiences conducting brief interventions. Our goal was to identify the mix of resources volunteers considered useful, and what forms of interaction might promote their sustained interest in promoting smoking cessation. We further investigated what activities and forms of communication might foster a “community of practice” among health influencers engaged in brief tobacco cessation interventions. Four lessons regarding cessation intervention training and sustainability emerged in this data: First, participants felt that formal training provided them with a sense of legitimacy that carried over in their interventions. Second, health influencers were concerned about the impact of their cessation promotion on their social relationships (“social risk.”) This concept refers to the threat posed to social relationships during the process of brief interventions. We suggest that effective and sustainable training of lay health influencers rests on the acknowledgement of social risk. Third, the role of material resources is crucial to health influencers, enabling them to initiate and follow through on brief interventions. Different forms of material resources were deemed appropriate in different social contexts. A strong message we received from participants in this study was that, when designing materials, it is necessary to look beyond the clarity of presentation and educational value of materials. Consideration of the social life of materials was equally important, that is, how they might be used in different social situations, how convenient they were to carry around, and what materials might be used in the initial stages of a brief intervention and then in latter stages. Finally, we address the issue of sustaining health influencer motivation and the creation of a “community of smoking cessation practice” in which health influencers feel they are members. Supported by National Cancer Institute R01CA093957. CORRESPONDING AUTHOR: Myra Muramoto, M.D., M.P.H., Assoc. Prof., University of Arizona, Familiy and Community Medicine, 1450 N. Cherry Ave, Tucson, AZ 85719, USA; tel: 520-626-1090; fax: 520-626-1080; email: myram@u.arizona.edu.
To: Mark Nichter Hi Mark I am a tobacco control consultant from ottawa canada. i am interested in the research i mention above. i did a project with Myra Muramoto a few years ago so emailed her to see if i could get some info...but i have not heard back. i am interested in the above research as i am working with the Inuit population here in Canada on the subject of smoking cessation...intervention by Community Resource Workers. More information about your project would be most appreciated! Cheers, Janet Nevala, RN BscN
Name: Marsha
email: mb_hughes@yahoo.com
Date: 2/23/2008
Time: 7:42:18 PM
a friend
your link to the AAA goes to the wrong place - a pain reliever site xxxooo
Name: steve
email: smarks@u.arizona.edu
Date: 2/18/2007
Time: 1:42:52 PM
Petryna Lakoff, Kleinman, eds.(2006) Global Pharmaceuticals.
Antrhopolgists on the pharmacy industry; edited volume; if you liked the recent ethnographies of "detail men" there is a relevant chapter on Argentina;