title: Applying Intervention Mapping to develop a community-based intervention aimed at improved psychological and social well-being of unmarried teenage mothers in Uganda.
abstract: Out-of-wedlock pregnancy among adolescents in sub-Saharan Africa is a major concern, because of its association with health, social, psychological, economic and demographic factors. This article describes the development of the Teenage Mothers Project, a community-based intervention to improve psychological and social well-being of unmarried teenage mothers in rural Uganda. We used Intervention Mapping (IM) for systematically developing a theory and evidence-based comprehensive health promotion programme. A planning group consisting of community leaders, teenage mothers, staff of a community-based organization and a health promotion professional was involved in the six steps of IM: needs assessment, programme objectives, methods and applications, intervention design, planning for adoption and implementation and planning for evaluation. The programme includes five intervention components: community awareness raising, teenage mother support groups, formal education and income generation, counselling, and advocacy. The intervention components are based on a variety of theoretical methods, including entertainment education, persuasive communication, mobilization of social networks and social action. In conclusion, IM facilitated the planning group to structure the iterative, bottom-up, participatory design of the project in a real-life setting and to use evidence and theory. The article provides suggestions for the planning of support interventions for unmarried teenage mothers.
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA joanne.leerlooijer@wur.nl.
authors.forename: Joanne N
authors.initials: JN
authors.lastname: Leerlooijer
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Gerjo
authors.initials: G
authors.lastname: Kok
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Weyusya
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Arjan E R
authors.initials: AE
authors.lastname: Bos
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Robert A C
authors.initials: RA
authors.lastname: Ruiter
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Liesbeth E
authors.initials: LE
authors.lastname: Rijsdijk
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Nshakira
authors.affiliation: Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands, Department of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands, African Rural Development Initiatives, Manafwa, Uganda, School of Psychology, Open University, Heerlen, The Netherlands, Windesheim University of Applied Sciences, Windesheim Honours College, Zwolle, The Netherlands, Uganda Christian University, Mukono, Uganda and School of Public Health, University of Texas, Houston, TX, USA.
authors.forename: Leona K
authors.initials: LK
authors.lastname: Bartholomew
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003153:Community Health Services; D005260:Female; D006293:Health Promotion; D006801:Humans; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control / Q000523:psychology; D012657:Self-Help Groups; D015406:Single Parent; D012944:Social Support; D012959:Socioeconomic Factors; D014454:Uganda