M Bovill1, Y Bar-Zeev2, M Gruppetta3, M Clarke4, K Nicholls2, P O'Mara2, B Bonevski2, J Reath5, G Gould2. 1. School of Medicine and Public Health, University of Newcastle, NSW, Australia. Electronic address: michelle.bovill@newcastle.edu.au. 2. School of Medicine and Public Health, University of Newcastle, NSW, Australia. 3. Wollotuka Institute, University of Newcastle, NSW, Australia. 4. OBGYN, Clarence Specialist Clinic, Australia. 5. School of Medicine, Western Sydney University, Australia.
Abstract
OBJECTIVES: To engage with health providers and Aboriginal women to understand what educational resources they want and need to support quit smoking attempts during pregnancy in order to develop a comprehensive evidence-based intervention. STUDY DESIGN: Resources were developed in partnership with Aboriginal people, communities and academics with the aim to be inclusive of diverse communities. We then recruited Aboriginal women of various ages for yarning circles (focus groups) held in three Australian states to explore the acceptability of the resources and seeking further guidance as to the needs of Aboriginal women to support smoking cessation during pregnancy. METHODS: Yarning circles were recorded and transcribed, and data were analysed independently by two researchers. Responses were coded using predetermined themes and further general inductive analysis for emergent themes. RESULTS: Twenty-four Aboriginal women reflected on the resources they included: one pregnant woman, 15 mothers and eight elders. Predetermined themes of attraction, comprehension, cultural acceptability, graphics and layout, persuasion and self-efficacy were explored. Women suggested the following: resources need to be visually attractive and interactive to enhance self-efficacy; additional scientific content on health consequences of smoking and combining with non-pharmacological approaches to quitting. CONCLUSION: Indigenous peoples prefer culturally targeted messages. However, developing effective Aboriginal health promotion requires more than a 'culturally appropriate' adaptation of mainstream resources. Consideration needs to be given to the diversity of Aboriginal communities when developing effective, evidence-based interventions. Aboriginal women are calling for innovative and interactive resources that enhance self-efficacy; the use of videos to explain medical and informational brochure content is well received. Requests for non-pharmacological cessation options were reported in New South Wales and Queensland and should be further explored.
OBJECTIVES: To engage with health providers and Aboriginal women to understand what educational resources they want and need to support quit smoking attempts during pregnancy in order to develop a comprehensive evidence-based intervention. STUDY DESIGN: Resources were developed in partnership with Aboriginal people, communities and academics with the aim to be inclusive of diverse communities. We then recruited Aboriginal women of various ages for yarning circles (focus groups) held in three Australian states to explore the acceptability of the resources and seeking further guidance as to the needs of Aboriginal women to support smoking cessation during pregnancy. METHODS: Yarning circles were recorded and transcribed, and data were analysed independently by two researchers. Responses were coded using predetermined themes and further general inductive analysis for emergent themes. RESULTS: Twenty-four Aboriginal women reflected on the resources they included: one pregnant woman, 15 mothers and eight elders. Predetermined themes of attraction, comprehension, cultural acceptability, graphics and layout, persuasion and self-efficacy were explored. Women suggested the following: resources need to be visually attractive and interactive to enhance self-efficacy; additional scientific content on health consequences of smoking and combining with non-pharmacological approaches to quitting. CONCLUSION: Indigenous peoples prefer culturally targeted messages. However, developing effective Aboriginal health promotion requires more than a 'culturally appropriate' adaptation of mainstream resources. Consideration needs to be given to the diversity of Aboriginal communities when developing effective, evidence-based interventions. Aboriginal women are calling for innovative and interactive resources that enhance self-efficacy; the use of videos to explain medical and informational brochure content is well received. Requests for non-pharmacological cessation options were reported in New South Wales and Queensland and should be further explored.
Authors: Michelle Bovill; Catherine Chamberlain; Jessica Bennett; Hayley Longbottom; Shanell Bacon; Belinda Field; Paul Hussein; Robert Berwick; Gillian Gould; Peter O'Mara Journal: Int J Environ Res Public Health Date: 2021-02-02 Impact factor: 3.390
Authors: Michelle Kennedy; Raglan Maddox; Kade Booth; Sian Maidment; Catherine Chamberlain; Dawn Bessarab Journal: Int J Equity Health Date: 2022-09-13
Authors: Gillian S Gould; Carl Holder; Christopher Oldmeadow; Maree Gruppetta Journal: Int J Environ Res Public Health Date: 2020-10-23 Impact factor: 3.390
Authors: Michelle Bovill; Yael Bar-Zeev; Billie Bonevski; Jennifer Reath; Christopher Oldmeadow; Alix Hall; I C A N Q U I T In Pregnancy Pilot Group; Gillian S Gould Journal: J Smok Cessat Date: 2021-01-13