Population Health Research, South Australian Health and Medical Research Institute.
Cancer Council SA, South Australia.
Aust N Z J Public Health. 2017 Dec;41(6):631-634. doi: 10.1111/1753-6405.12727. Epub 2017 Oct 18.
To examine the barriers and facilitators among health professionals to providing referrals to Quitline for Aboriginal and Torres Strait Islander clients who smoke.
A brief online survey, based on the Theoretical Domains Framework, was completed by 34 health professionals who work with Aboriginal and Torres Strait Islander people in South Australia and the Northern Territory.
Respondents who frequently made referrals had higher domain scores than less frequent referrers for 'Skills and knowledge' (M=4.44 SD=0.39 vs. M=4.09 SD=0.47, p<0.05) and 'beliefs about capabilities' (M=4.33 SD=0.44 vs. M=3.88 SD=0.42, p<0.01). Barriers to providing referrals to Quitline were lack of client access to a phone, cost of a phone call, preference for face-to-face interventions, and low client motivation to quit.
Health professionals working with Aboriginal and Torres Strait Islander clients should be supported to build their skills and confidence to provide referrals to Quitline and other brief cessation interventions. Building capacity for face-to-face support locally would be beneficial where phone support is not preferable. Implications for public health: Engaging with health professionals who work with Aboriginal and Torres Strait Islander people to increase referrals to Quitline is strategic as it builds on their existing capacity to provide cessation support.
调查卫生专业人员在向吸烟的原住民和托雷斯海峡岛民患者转介至 Quitline 方面存在的障碍和促进因素。
在南澳大利亚和北领地工作的 34 名卫生专业人员在线完成了一项基于理论领域框架的简短调查。
与不常转介者相比，经常转介者在“技能和知识”（M=4.44 SD=0.39 与 M=4.09 SD=0.47，p<0.05）和“能力信念”（M=4.33 SD=0.44 与 M=3.88 SD=0.42，p<0.01）方面的得分更高。向 Quitline 转介的障碍包括客户缺乏电话访问、电话费用、偏好面对面干预以及客户戒烟动机低。
应支持为与原住民和托雷斯海峡岛民客户合作的卫生专业人员提供技能和信心，以向 Quitline 和其他简短戒烟干预措施转介。在不希望提供电话支持的情况下，在当地建立面对面支持的能力将是有益的。
与为原住民和托雷斯海峡岛民服务的卫生专业人员合作，以增加向 Quitline 的转介是具有战略意义的，因为这是在他们提供戒烟支持的现有能力基础上进行的。
