Khan Raquiba J, Poder Natasha, Kovai Vilas, Robinson Laurel, Wright Darryl, Spinks Mark, Heathcote Jeremy, Millen Elizabeth, Welsh Kerry, Bedford Karen
Health Promotion Service, South Western Sydney Local Health District, Liverpool Hospital, Liverpool, NSW, Australia.
Health Promotion Service, South Western Sydney Local Health District, Campbelltown, NSW, Australia.
Health Promot J Austr. 2021 Apr;32(2):264-273. doi: 10.1002/hpja.339. Epub 2020 Apr 8.
A community-based project was developed to support quit attempts and denormalise smoking in Aboriginal communities. This qualitative study evaluates the effectiveness of project strategies, messages and the partnership process, and explores impacts observed by Aboriginal community members, complementing findings from a quantitative evaluation.
The study comprised five focus groups (40 participants) and 14 in-depth interviews (with 15 community members). Data were analysed thematically by manual and NVivo software methods.
Results demonstrate that the project attracted community attention, was well recalled and messages were considered convincing and persuasive. Participants reported being more likely to quit and to discuss smoking with family and friends, and noticed that many people were quitting. Participants observed an increase in asking people not to smoke in the home and fewer people smoking at events, but noted that many smokers struggled to stay quit. The partnership and participation of Aboriginal Health Workers were viewed as crucial.
The qualitative findings reinforce quantitative evaluation findings suggesting that the project contributed to denormalising smoking and motivating quit attempts.
The evaluation provided insight into how the project changed attitudes and motivated community members to make quit attempts and provided ideas to meet the ongoing challenge.
开展了一个基于社区的项目，以支持原住民社区的戒烟尝试并使吸烟失去常态化。这项定性研究评估了项目策略、信息以及伙伴关系过程的有效性，并探讨了原住民社区成员所观察到的影响，对定量评估的结果起到补充作用。
该研究包括五个焦点小组（40名参与者）和14次深度访谈（涉及15名社区成员）。通过人工和NVivo软件方法对数据进行主题分析。
结果表明，该项目引起了社区关注，被很好地记住，信息被认为具有说服力。参与者报告称更有可能戒烟并与家人和朋友讨论吸烟问题，并且注意到许多人正在戒烟。参与者观察到在家中要求他人不吸烟的情况有所增加，活动中吸烟的人减少，但指出许多吸烟者难以保持戒烟状态。原住民卫生工作者的伙伴关系和参与被视为至关重要。
定性研究结果强化了定量评估结果，表明该项目有助于使吸烟失去常态化并激发戒烟尝试。
该评估深入了解了项目如何改变态度并激励社区成员进行戒烟尝试，并提供了应对持续挑战的思路。
