Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach

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 A...

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Bibliographic Details
Published in:Health education research 2013-02, Vol.28 (1), p.31-45
Main Authors: Dawson, Anna P., Cargo, Margaret, Stewart, Harold, Chong, Alwin, Daniel, Mark
Format: Article
Language:English
Subjects:
Aborigines
Australia
Behavior Change
Brainstorming
Cessation
Community Health Services
Concept Mapping
Cultural Competency
Cultural Relevance
Female
Focus Groups
Foreign Countries
Health Behavior
Health Personnel
Health Promotion
Health Promotion - methods
Health services
Humans
Indigenous Populations
Interviews
Male
Multivariate Analysis
ORIGINAL ARTICLES
Prevention
Program Development
Public Health
Qualitative Research
Smoking
Smoking Cessation - ethnology
Stakeholders
Workshops
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Summary: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.
ISSN:0268-1153
1465-3648
1465-3648
DOI:10.1093/her/cys111