Clinical & Research Services, Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, AK, USA.
Department of Psychiatry and Psychology and Behavioral Health Research Program, Mayo Clinic, Rochester, MN, USA.
Nicotine Tob Res. 2021 May 24;23(6):1002-1009. doi: 10.1093/ntr/ntaa253.
Face-to-face tobacco cessation has had limited reach and efficacy in Alaska Native (AN) communities. We describe our two-phased approach to develop content for Connecting Alaska Native People to Quit Smoking, a Facebook group intervention to reduce barriers to evidence-based smoking cessation treatment for AN people in Alaska.
Phase 1 included semi-structured telephone interviews with 30 AN people who smoke and ten stakeholders. They provided feedback on existing content from the Centers for Disease Control and Prevention Tips campaign and AN digital stories. Phase 2 included an online survey with a new group of 40 AN smokers who provided feedback on existing content via a measure of perceived effectiveness and cultural relevance.
Phase I results revealed participants evaluated content based upon story strength, relevance to AN culture, emotional appeal, relatability to AN people, and favorite video. No single posting was rated highly across all themes. All perceived effectiveness (PE) and cultural relevance median scores fell between 3.5 and 4.4 (range 1-5). PE scores varied across participant demographic groups.
Content embodying characteristics perceived to be most appealing, effective, and culturally relevant were selected for the private Facebook group content library with refinements made to incorporate images of AN people engaged in AN activities. PE scores indicate a need for a wide variety of content that moderators could pull from when conducting the intervention.
Social media content targeting specific population sectors, such as American Indian/AN people for tobacco cessation needs to be culturally tailored. Our approach provides a model others can follow to determine what is appealing, relevant, and effective messaging.
NCT03645941.
面对面的戒烟干预在阿拉斯加原住民（AN）社区的效果有限，范围有限。我们描述了我们的两阶段方法，以开发 Connecting Alaska Native People to Quit Smoking 的内容，这是一个 Facebook 群组干预措施，旨在减少阿拉斯加 AN 人群接受基于证据的戒烟治疗的障碍。
第 1 阶段包括对 30 名吸烟的 AN 人和 10 名利益相关者进行半结构式电话访谈。他们对来自疾病控制与预防中心的“Tips”活动和 AN 数字故事的现有内容提供了反馈。第 2 阶段包括对新的 40 名 AN 吸烟者进行在线调查，他们通过感知有效性和文化相关性的衡量标准对现有内容提供反馈。
第 I 阶段的结果显示，参与者根据故事强度、与 AN 文化的相关性、情感吸引力、与 AN 人的相关性以及最喜欢的视频来评估内容。没有一个帖子在所有主题上都得到了高度评价。所有感知有效性（PE）和文化相关性的中位数得分在 3.5 到 4.4 之间（范围为 1-5）。PE 分数因参与者的人口统计学群体而异。
选择具有最吸引人、最有效和最具文化相关性的特征的内容纳入私人 Facebook 群组内容库，并进行改进，以纳入参与 AN 活动的 AN 人的图像。PE 分数表明需要各种各样的内容，主持人可以在进行干预时从中提取。
针对特定人口群体（如美国印第安人/AN 人）的社交媒体内容需要进行文化调整。我们的方法为其他人提供了一个模型，以确定吸引人、相关和有效的信息传递方式。
NCT03645941。
