TY - JOUR
T1 - Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff
T2 - A concept mapping approach
AU - Dawson, Anna P.
AU - Cargo, Margaret
AU - Stewart, Harold
AU - Chong, Alwin
AU - Daniel, Mark
N1 - Funding Information:
This project would not have been possible without the partnership of the AHCSA. We appreciate their continuing support. We thank the Aboriginal Health Workers and other health service personnel who volunteered time to participate in the research, and we thank the management of health services across South Australia who accepted our invitation to be involved in the study. We thank Stella Artuso for her contributions to the study design and data collection. Ethical approval was granted from the Human Research Ethics Committee, SA Health, Government of South Australia (256/09/2011), the Human Research Ethics Committee, University of South Australia (P240/08) and the Aboriginal Health Research and Ethics Committee, Aboriginal Health Council of South Australia (04-08-257). The views expressed in this manuscript are those of the authors and not the South Australian Minister for Health or the South Australian Department of Health. Margaret Cargo was supported by an Australian Research Council Future Fellowship (FT100100312).
PY - 2013/2
Y1 - 2013/2
N2 - Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n=74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were governmentcoordinated compared with communitycontrolled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs.
AB - Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n=74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were governmentcoordinated compared with communitycontrolled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs.
UR - http://www.scopus.com/inward/record.url?scp=84875759111&partnerID=8YFLogxK
U2 - 10.1093/her/cys111
DO - 10.1093/her/cys111
M3 - Article
C2 - 23221591
AN - SCOPUS:84875759111
SN - 0268-1153
VL - 28
SP - 31
EP - 45
JO - Health education research
JF - Health education research
IS - 1
ER -