American Indian Cancer Foundation, Minneapolis, MN, USA.
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Nicotine Tob Res. 2024 Jan 1;26(1):39-45. doi: 10.1093/ntr/ntad142.
Innovative smoking cessation approaches that overcome barriers such as traveling to program site or that require the staff and infrastructure for sustaining are likely needed to improve smoking quit rates among American Indian (AI) peoples in the United States. In this study, qualitative methods identified recommendations from AI peoples to guide alignment of an evidence-based smoking cessation smartphone app (i.e., QuitGuide) to the culture and needs of AI persons.
Semi-structured interviews were conducted with AI adults who smoke (n = 40) and with public health professionals (n = 6). Questions included: "The app asks if something triggered you to slip and lists several options. What options were you expecting to see on this list?" as well as how to make the app more engaging such as "What would make the app more helpful for AI peoples, like you, who want to quit smoking?." Constant comparative techniques were used to develop codes and themes.
Loss, grief, and not accessing traditional tobacco were put forward as smoking triggers to be addressed in the app. Features that help users connect with and learn about AI cultures and promote healing, such as encouraging traditional tobacco use, being in community, embracing Native spirituality, and participating in cultural crafting were recommended. Some noted the need to motivate AI peoples to think about legacy and ability to care for younger generations and Indigenizing the app with Native imagery.
Themes pointed towards promotion of strengths-based factors, such as healing, cultural connectedness and traditional tobacco use, in the app.
Results will be used to culturally align a smartphone app for smoking cessation among AI peoples and may be insightful for other tribal, federal, and state public health efforts aimed at advancing health equity for AI peoples.
为了提高美国印第安人（AI）人群的戒烟率，可能需要创新的戒烟方法来克服旅行到项目地点的障碍，或者需要维持员工和基础设施。在这项研究中，定性方法确定了 AI 人群的建议，以指导将基于证据的戒烟智能手机应用程序（即 QuitGuide）与 AI 人群的文化和需求相匹配。
对吸烟的 AI 成年人（n=40）和公共卫生专业人员（n=6）进行了半结构化访谈。问题包括：“该应用程序询问是否有什么事情促使您复吸，并列出了几个选项。您期望在这个列表中看到哪些选项？”以及如何使应用程序更具吸引力，例如“为了使应用程序对想要戒烟的像您这样的 AI 人群更有帮助，您认为应该怎么做？”。使用恒比技术开发代码和主题。
失落、悲伤和无法获得传统烟草被提出作为应用程序中需要解决的吸烟触发因素。建议在应用程序中添加一些功能，例如帮助用户连接和了解 AI 文化并促进治疗的功能，如鼓励传统烟草使用、处于社区中、拥抱本土精神和参与文化创作。一些人指出，需要激发 AI 人群思考遗产和照顾年轻一代的能力，并通过使用本土图像来实现应用程序的本土化。
主题指出在应用程序中促进基于优势的因素，如治疗、文化联系和传统烟草使用。
结果将用于对 AI 人群的智能手机戒烟应用程序进行文化调整，并且可能为其他部落、联邦和州公共卫生努力提供有价值的见解，以促进 AI 人群的健康公平。
