title: Forming a supplement intervention using a multi-theoretical behavior model.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Family and Preventive Medicine, Division of Public Health, University of Utah, Salt Lake City, UT, USA. sarah.willardson@utah.edu
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Willardson
authors.forename: Ty T
authors.initials: TT
authors.lastname: Dickerson
authors.forename: Jan Stucki
authors.initials: JS
authors.lastname: Wilson
authors.forename: Daniel
authors.initials: D
authors.lastname: Ansong
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bueler
authors.forename: Isaac
authors.initials: I
authors.lastname: Boakye
authors.forename: Joseph
authors.initials: J
authors.lastname: Marfo
authors.forename: Bernard
authors.initials: B
authors.lastname: Arhin
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Alder
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D019587:Dietary Supplements; D005260:Female; D005869:Ghana; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008960:Models, Psychological; D010349:Patient Compliance / Q000523:psychology*; D012424:Rural Population; D016896:Treatment Outcome; D014930:Women