A Qualitative Study about Creating Smoke-free Home Rules in American Indian and Alaska Native Households

Kegler, Michelle C.; Anderson, Katherine M.; Bundy, Łucja; Knauf, Deana; Halfacre, June; Escoffery, Cam; Cramblit, Andre; Henderson, Patricia Nez

doi:10.1007/s10900-019-00666-1

Cited by 5 publications

(5 citation statements)

References 33 publications

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“…Our results confirm the earlier finding that the habit of smoking inside the home is hard to break [26,27,44]. The smoking parents in our study had struggled, or were still struggling, with changing their habit of smoking indoors to smoking outdoors.…”

Section: Transforming Parental Smoking Habitssupporting

confidence: 91%

“…However, just as in other studies [26,27,44], weather conditions, along with the inconvenience of going outside, remained a major barrier for parents with a partial SFH. This indicates that this specific change in smoking habit may require environmental restructuring [31], not just inside the home [24], but especially outside.…”

Section: Transforming Parental Smoking Habitsmentioning

confidence: 75%

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Opportunities for Tailored Support to Implement Smoke-Free Homes: A Qualitative Study among Lower Socioeconomic Status Parents

Wijk

Overberg²,

Kunst

et al. 2019

IJERPH

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With the aim of preventing children from being exposed to secondhand smoke, we examined to which level lower socio-economic status (SES) households had implemented home smoking rules and the factors that hampered parents in their process of change toward a complete smoke-free home (SFH). We conducted a qualitative study including semi-structured in-depth interviews with 14 parents of young children living in a lower SES neighborhood of a provincial town in the Netherlands. Interview transcripts were subjected to a qualitative content analysis. Three distinct levels of SFH implementation emerged: complete SFH, flexible SFH, and partial SFH. Differences between parents at these three levels essentially concerned: (1) the role of child-related moral considerations in their motivation for an SFH; (2) whether they felt they had the agency to set and enforce home smoking rules; (3) the difficulties they experienced in changing their smoking habit from smoking indoors to smoking outdoors. Parents also had different opinions about the role their children could play in facilitating the parental process of change. We conclude that the current level of SFH implementation may serve as a starting point for developing tailored interventions. Such interventions should probably address other factors than the commonly used awareness–knowledge–commitment approach.

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Section: Transforming Parental Smoking Habitssupporting

confidence: 91%

Section: Transforming Parental Smoking Habitsmentioning

confidence: 75%

Opportunities for Tailored Support to Implement Smoke-Free Homes: A Qualitative Study among Lower Socioeconomic Status Parents

Wijk

Overberg²,

Kunst

et al. 2019

IJERPH

View full text Add to dashboard Cite

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“…The focus group guide was developed in collaboration with members of the work group and covered establishment and maintenance of smoke-free home rules, facilitators and barriers to a smoke-free home, exceptions to a ban, thirdhand smoke, electronic cigarettes, marijuana, and commercial tobacco use at home. Additionally, we discussed cultural elements that may impact smoke-free home rules, including respect for elders and traditional use of tobacco, and we asked focus group participants to review the original Smoke-Free Homes print materials and crude mock-ups of some alternatives (e.g., child playing basketball indoors) with the same theme of “Some Things are Better Outside” and a new theme recommended by the work group “Respect our Past, Protect our Future.” Our general findings related to establishing and maintaining a smoke-free home are reported elsewhere [26].…”

Section: Methodsmentioning

confidence: 53%

“…Members of the work group included individuals we knew through existing collaborations and those responding to an invitation sent to members of the Centers for Disease Control and Prevention’s Native Tobacco Network (https://keepitsacred.itcmi.org/). The work group advised on all stages of the process, including the decision to conduct focus groups, development of the focus group discussion guides, development of draft materials for focus group review, logistics and recruitment of community members for the focus groups, review of preliminary results, and revision of print materials [26].…”

Section: Methodsmentioning

confidence: 99%

Adaptation of a brief smoke-free homes intervention for American Indian and Alaska Native families

et al. 2019

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Background The goal of adaptation is to maintain the effectiveness of the original intervention by preserving the core elements that account for its success while delivering an intervention that is tailored to the new community and/or cultural context. The current study describes the process of adapting an evidence-based smoke-free homes (SFH) intervention for use in American Indian/Alaska Native (AI/AN) households. Methods We followed a systematic adaptation process. We first assessed the community through focus groups coordinated in collaboration with tribal partners. Because our team included the original developers of the intervention, the steps of understanding the intervention, selecting the intervention and consulting with experts were simplified. Additional steps included consulting with stakeholders through a national work group and collaboratively deciding what needed adaptation. Results A number of key themes pertinent to the adaptation of the SFH intervention were identified in the focus groups. These included the gravity of messaging about commercial tobacco use; respect, familialism, and intergenerationalism; imagery, including significant symbolism, colors, and representative role models; whether and how to address traditional tobacco; and, barriers to a SFH not adequately addressed in the original materials. Conclusions Adaptation of an intervention to create smoke-free homes in AI/AN families necessitated both surface structure changes such as appearance of role models and deep structure changes that addressed core values, and beliefs and traditions. Electronic supplementary material The online version of this article (10.1186/s12889-019-7301-4) contains supplementary material, which is available to authorized users.

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“… 20 Accordingly, she found the most common reason cited for instituting smoke-free home rules was to protect the family’s children and grandchildren from the adverse health effects of secondhand smoke. 21 …”

Section: Why Knowing Better Does Not Mean Doing Bettermentioning

confidence: 99%

On Target: Environmental Health Messaging That Hits the Mark

Nicole¹

2022

Environ Health Perspect

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A Qualitative Study about Creating Smoke-free Home Rules in American Indian and Alaska Native Households

Cited by 5 publications

References 33 publications

Opportunities for Tailored Support to Implement Smoke-Free Homes: A Qualitative Study among Lower Socioeconomic Status Parents

Opportunities for Tailored Support to Implement Smoke-Free Homes: A Qualitative Study among Lower Socioeconomic Status Parents

Adaptation of a brief smoke-free homes intervention for American Indian and Alaska Native families

On Target: Environmental Health Messaging That Hits the Mark

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