Southern Cross University, Coffs Harbour, NSW.
The University of Newcastle, Newcastle, NSW.
Med J Aust. 2022 Jul 4;217(1):36-42. doi: 10.5694/mja2.51604.
About 44% of Indigenous Australian women smoke during pregnancy, compared with 12% of pregnant non-Indigenous women. Health care providers can assist smoking cessation, but they are not typically trained in culturally appropriate methods.
To determine whether a health care worker training intervention increases smoking cessation rates among Indigenous pregnant smokers compared with usual care.
Supporting Indigenous Smokers to Assist Quitting (SISTAQUIT) study is a multicentre, hybrid type 1, pragmatic, cluster randomised controlled trial that compares the effects of an intervention for improving smoking cessation by pregnant Indigenous women (16 years or older, 32 weeks' gestation or less) with usual care. Twenty-one health services caring for Indigenous people in five Australian jurisdictions were randomised to the intervention (ten sites) or control groups (eleven sites). Health care providers at intervention sites received smoking cessation care training based on the ABCD (ask/assess; brief advice; cessation; discuss psychosocial context) approach to smoking cessation for Indigenous women, an educational resource package, free oral nicotine replacement therapy for participating women, implementation support, and trial implementation training. Health care providers in control group services provided usual care.
abstinence from smoking (self-reported abstinence via survey, validated by carbon monoxide breath testing when possible) four weeks after enrolment in the study.
health service process evaluations; knowledge, attitudes, and practices of health care providers; and longer term abstinence, perinatal outcomes, and respiratory outcomes for babies (to six months). Ethics approval: The human research ethics committees of the University of Newcastle (H-2015-0438) and the Aboriginal Health and Medical Research Council of NSW (1140/15) provided the primary ethics approval. Dissemination of results: Findings will be disseminated in peer-reviewed publications, at local and overseas conferences, and via public and social media, and to participating health services in art-based formats and reports. Policy briefs will be communicated to relevant government organisations.
Australia New Zealand Clinical Trials Registry, ACTRN12618000972224 (prospective).
大约 44%的澳大利亚原住民女性在怀孕期间吸烟，而同期非原住民孕妇的这一比例为 12%。医疗保健提供者可以帮助这些孕妇戒烟，但他们通常未接受过文化适宜方法的相关培训。
评估针对医疗保健工作者的培训干预措施是否能提高原住民孕妇的戒烟率，与常规护理相比。
支持原住民戒烟以促进母婴健康（SISTAQUIT）研究是一项多中心、混合类型 1、实用、集群随机对照试验，比较了改善原住民孕妇（16 岁及以上，妊娠 32 周或以下）戒烟的干预措施与常规护理的效果。21 个为原住民提供服务的卫生服务机构在澳大利亚五个司法管辖区被随机分配到干预组（10 个地点）或对照组（11 个地点）。干预组的医疗保健提供者接受了基于 ABCD（询问/评估；简短建议；戒烟；讨论社会心理背景）方法的针对原住民女性的戒烟护理培训、教育资源包、免费的口服尼古丁替代疗法，以及实施支持和试验实施培训。对照组的卫生服务提供者提供常规护理。
在研究入组后四周，通过调查（在可能的情况下，通过一氧化碳呼气测试进行验证）报告的吸烟戒断情况。
卫生服务过程评估；医疗保健提供者的知识、态度和实践；以及婴儿的长期戒烟情况、围产期结局和呼吸道结局（至 6 个月）。
纽卡斯尔大学人类研究伦理委员会（H-2015-0438）和新南威尔士州原住民卫生和医学研究理事会（1140/15）提供了主要伦理批准。
研究结果将以同行评议的出版物、地方和海外会议、以及公共和社交媒体上发表，并以艺术形式和报告的形式传达给参与的卫生服务机构。政策简报将传达给相关政府组织。
澳大利亚新西兰临床试验注册中心，ACTRN12618000972224（前瞻性）。
