Development of an Online Smoking Cessation Curriculum for Pacific Islanders: A Community-Based Participatory Research Approach

Abstract

Background Pacific Islanders (PIs) have one of the highest rates of cigarette use, but evidence-based smoking cessation programs designed specifically for PIs are practically nonexistent. Objectives This paper reports on the development of a culturally tailored smoking cessation curriculum designed specifically for young adult PIs using a community-based participatory research (CBPR) approach. This paper demonstrates the shared leadership and equal contribution of community and academic partnerships. Methods Together community and academic partners conceptualized and developed a smoking cessation curriculum. Data from formative studies shaped the various components of the educational modules. Results Eight educational modules were developed through CBPR. Information on the dangers of cigarettes, benefits to cessation, and ways to cope with cravings and stress through cognitive behavioral therapy were offered in both narrative and non-narrative formats. Conclusions Use of CBPR is critical in the development of the curriculum because it allowed for the sharing of ideas and knowledge between academics and community members.

Development of a Culturally Specific Leadership Curriculum through Community-Based Participatory Research and Popular Education

“…Building trust was necessary to be able to discuss issues and potential solutions. The findings are similar to previous researchers in their work with Pacific Islanders regarding the crucial involvement of community partners to build trust and investing in long-term relationships to humanize the connection (Chung-Do et al, 2016;David et al, 2013;Kwan et al, 2017).…”

User-engagement in digital health applications: a scoping review

“…In addition, personalization (32,34,35,47,57,63), autonomy (48, 64), user community groups (32,34,36,42,44,62,65,66), motivation (21), and gami cation (21,33,35,44,53,56) are cited as effective techniques to engage users. In terms of intervention construction, basing the intervention on a theory (33,47,50) whether speci c to digital interventions (33) or behavior change models (50), has been found to be effective. Additionally, using BCTs (behavior change techniques), which are the smallest active components of an intervention that are capable of changing behavior, has proven to be an effective tool for engaging users (37).…”

Best Practices for Community-Engaged Research with Pacific Islander Communities in the US and USAPI: A Scoping Review

“…Community-based organizations.-The involvement of community leaders through community-based organizations was discussed in 80% of the articles. [62][63][64][65][66][67]69,70,[98][99][100][101][102][103][104][105][106][107][108][109][110][111][112]116,117,[120][121][122][123][124][125][126][127][128][129][130][131][132][133][134][135][136] The involvement of community-based organizations was cited as a way to leverage, build, and sustain leadership within the Pacific Islander community. 81 Community-based organizations (e.g., federally qualified community health centers and grassroots non-profit community-based organizations) were described as playing a direct role in the research design, study conduct, and dissemination of the results back to the community.…”

“…Group engagement.-Over half (55%) of the articles discussed the importance of implementing research in group settings citing using focus group discussions and collecting data via surveys in groups as examples. [62][63][64]66,67,[70][71][72]74,[76][77][78][79][80][81][85][86][87][88]90,92,93,[95][96][97]99,100,102,104,106,108,109,112,113,116,119,121,124,125,127,134,144,145 Group engagement in study activities supported increased community and participant comfort with research activities and was described as reflective of Pacific Islander cultural values, yielding enhanced involvement from Pacific Islander participants. For example, Kagawa-Singer et al documented that Pacific Islander participants may be more comfortable providing information if friends from their community were allowed to participate as well.…”

“…78 Family engagement.-More than a third (39%) of the articles reviewed discussed the importance of focusing on the family unit when conducting research and/or incorporating family into the intervention design. 62,63,66,68,[70][71][72][75][76][77][78][79]88,90,[96][97][98][99][100][101]104,109,110,112,113,118,119,121,125,127,134,145 The definition of family cited in some articles went beyond parents, children, and siblings to include extended family members such as aunts, uncles, and cousins. The definitions of family also extended beyond biology and included close friends or people from the same clan or island.…”