Evidence map›Paper›PMID 30747395›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2019

Changing Social Norms: the Importance of "Organized Diffusion" for Scaling Up Community Health Promotion and Women Empowerment Interventions.

Beniamino Cislaghi, Elaine K Denny, Mady Cissé, Penda Gueye, Binita Shrestha, Prabin Nanicha Shrestha, Gemma Ferguson, Claire Hughes, Cari Jo Clark

Open access · hybridAbstract read
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
31.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 119 citations in OpenAlex.

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  19. Mothers' knowledge and practices on breastfeeding and complementary feeding in an urban slum area and rural area in Kenya: A cross-sectional interview study.Journal of child health care : for professionals working with children in the hospital and community · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Beniamino CislaghiDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. ben.cislaghi@lshtm.ac.uk.ORCID 0000-0002-6296-4644
Elaine K DennyUniversity of California, Merced, Merced, CA, USA.
Mady CisséTostan International, Dakar, Senegal.
Penda GueyeTostan International, Dakar, Senegal.
Binita ShresthaEqual Access International, Washington, DC, USA.
Prabin Nanicha ShresthaEqual Access International, Washington, DC, USA.
Gemma FergusonEqual Access International, Washington, DC, USA.
Claire HughesItad, Hove, UK.
Cari Jo ClarkEmory University, Atlanta, GA, USA.
ACCESS Health International · USTostan · SNEmory University · USItad (United Kingdom) · GBLondon School of Hygiene & Tropical Medicine · GBUniversity of California, Merced · US

Funding

Bill & Melinda Gates Foundation OPP1084451
6 · The paper itself

Abstract

Some harmful practices are sustained by social norms-collective beliefs about what people expect from each other. Practitioners and researchers alike have been investigating the potential of social norms theory to inform the design of effective interventions addressing these practices in low- and middle-income countries. One approach commonly used to facilitate social norms change is community-based dialogs and trainings. This approach has often been criticized for not being cost-effective, as it usually includes a relatively small number of direct participants and does not allow for scaling-up strategies. In spite of some evidence (as for instance, the SASA! Program) that community dialogs can achieve social norms change, little exists in the literature about how exactly participants in community dialogs engage others in their networks to achieve change. In this paper, we look at the potential of "organized diffusion" as a cost-effective strategy to expand the positive effects of community-based interventions to participants' networks, achieving sustainable normative shifts. We provide quantitative evidence from three case studies-Community Empowerment Program in Mali, Change Starts at Home in Nepal, and Voices for Change in Nigeria-showing that participants in community-based interventions can be effectively empowered to share their new knowledge and understandings systematically with others in their networks, eventually facilitating social norms change. Future community-based interventions intending to achieve social norms change would benefit from integrating ways to help participants engage others in their network in transformative conversations. Doing so has the potential to generate additional impact with little additional investment.

Indexed as

EmpowermentHealth PromotionResidence CharacteristicsSocial NormsAdolescentAdultCommunicationDeveloping CountriesFemaleHumansMaliNepalNigeriaYoung AdultGender equalityHealth promotionIntervention effectivenessLow and middle-income countriesOrganized diffusionSocial normsWomen empowerment

Identifiers

PMID30747395
PMCPMC6647388
OpenAlexW2911752276

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.