Feasibility of Implementing the All Nations Breath of Life Culturally Tailored Smoking Cessation Program for American Indians in Multi-Tribal Urban Communities

Daley, Christine Makosky; Daley, Sean M.; Pacheco, Christina; Smith, Thomas E.; Talawyma, Myrietta; McCloskey, Charlotte; Choi, Won Sik; Nazir, Niaman; Filippi, Melissa K.; McKinney, Dona; Gunville, Jordyn; Greiner, K. Allen

doi:10.1093/ntr/ntx030

Cited by 10 publications

(9 citation statements)

References 62 publications

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“…While there is clear support in the literature for addressing sacred uses of tobacco in intervention materials targeted towards AI/AN communities, [29–31, 35] the focus groups in our formative research found this to be contentious, with mixed opinions on whether or not it was appropriate to include in educational materials. While the ultimate consensus was that traditional uses of tobacco should not be neglected, concerns were iterated that traditional tobacco should not be associated with concerns about SHS in the home or commercial smoking, or did not need to be addressed given sufficient knowledge in communities.…”

Section: Discussionmentioning

confidence: 80%

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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Section: Discussionmentioning

confidence: 80%

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

et al. 2019

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“…Sixty percent of the studies reported Reach [ n = 12; ( 33 , 35–38 , 40 , 42 , 45–48 , 50 )] with information mainly focused on inclusion and exclusion criteria for participants along with recruitment strategies ( 33 , 35 , 36 , 40 , 42 , 45 , 46 , 48 , 50 ). For example, Campbell and colleagues ( 35 ) noted that they recruited 58.8% ( N = 40) out of the 68 clients that were eligible to participate in their study.…”

Section: Resultsmentioning

confidence: 99%

“…Trust was also emphasized in a few studies as another reason Reach was successful ( 36 , 37 ). A trusting relationship between the participants and the research team was key.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Out of the 20 studies reviewed, ten (50%) of them reported outcomes related to intervention effectiveness ( 1 , 34 , 36 , 38 , 40 , 41 , 45 , 48–50 ). There were several studies where the primary outcome was tobacco cessation [ n = 7; ( 32 , 36 , 38 , 45 , 47–49 )]. In a tobacco cessation program for pregnant Aboriginal women, self-reported 12-week 7-day point-prevalence abstinence was 13.6% ( 38 ).…”

Section: Resultsmentioning

confidence: 99%

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Coming together for something good: recommendations from a scoping review for dissemination and implementation science to improve indigenous substance use disorder treatment

Hirchak,

Oluwoye,

Nadeau

et al. 2023

Front. Public Health

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IntroductionDissemination and Implementation (D&I) science is growing among Indigenous communities. Indigenous communities are adapting and implementing evidence-based treatments for substance use disorders (SUD) to fit the needs of their communities. D&I science offers frameworks, models, and theories to increase implementation success, but research is needed to center Indigenous knowledge, enhancing D&I so that it is more applicable within Indigenous contexts. In this scoping review, we examined the current state of D&I science for SUD interventions among Indigenous communities and identified best-practice SUD implementation approaches.MethodsPubMed and PsycINFO databases were queried for articles written in English, published in the United States, Canada, Australia, and New Zealand. We included key search terms for Indigenous populations and 35 content keywords. We categorized the data using the adapted and extended Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework that emphasizes equity and sustainability. RE-AIM has also been used as a primary model to consistently identify implementation outcomes.ResultsTwenty articles were identified from the original unduplicated count of over 24,000. Over half the articles discussed processes related to Reach, Adoption, and Implementation. Effectiveness was discussed by 50% of the studies (n = 10), with 25% of the articles discussing Maintenance/sustainability (n = 4). Findings also highlighted the importance of the application of each RE-AIM domain for meaningful, well-defined community-engaged approaches.ConclusionFinding indicated a need to prioritize Indigenous methods to culturally center, re-align and adapt Western treatments and frameworks to increase health equity and improve SUD treatment outcomes. Utility in the use of the modified RE-AIM and the continued modification for Indigenous communities was also noted.

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One-Time Education Sessions to Help American Indian Smokeless Tobacco Users Quit

et al. 2019

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Feasibility of Implementing the All Nations Breath of Life Culturally Tailored Smoking Cessation Program for American Indians in Multi-Tribal Urban Communities

Cited by 10 publications

References 62 publications

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

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

Coming together for something good: recommendations from a scoping review for dissemination and implementation science to improve indigenous substance use disorder treatment

One-Time Education Sessions to Help American Indian Smokeless Tobacco Users Quit

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