Perceptions, Barriers, and Suggestions for Creation of a Tobacco and Health Website Among American Indian/Alaska Native College Students

Filippi, Melissa K.; McCloskey, Charlotte; Williams, Chandler; Bull, Julia White; Choi, Won Sik; Greiner, K. Allen; Daley, Christine Makosky

doi:10.1007/s10900-012-9634-0

Cited by 16 publications

(23 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Familialism was discussed and emphasized in the current research, taking multiple forms supported by previous literature: the influence of elders and intergenerational learning [11], the importance of depictions of family [31, 34], and the utility of targeting familialism and intergenerationalism in smoking interventions [31]. A preference for cultural design elements that are familiar to AI/AN populations, including colors reflective of AI/AN traditions has also been referenced in literature, and was re-iterated in our findings [10, 33].…”

Section: Discussionsupporting

confidence: 78%

“…The importance of visual depictions of AI/AN individuals and communities, acknowledging diversity within and across these communities, and accuracy and contemporaneity of these depictions has been noted repeatedly in literature on interventions in AI/AN populations, and is confirmed once again in this adaptation [10, 30–33]. Familialism was discussed and emphasized in the current research, taking multiple forms supported by previous literature: the influence of elders and intergenerational learning [11], the importance of depictions of family [31, 34], and the utility of targeting familialism and intergenerationalism in smoking interventions [31].…”

Section: Discussionmentioning

confidence: 71%

See 1 more Smart Citation

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

et al. 2019

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 71%

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

et al. 2019

View full text Add to dashboard Cite

show abstract

“…For example, one study combined training in videography with the tradition of storytelling common among AN cultural groups to increase knowledge and awareness of cancer among rural AN communities [60]. A culturally tailored website that distinguished between culturally appropriate uses of tobacco (e.g., ceremonial pipe-smoking) and tobacco abuse and addiction was developed for a smoking cessation study [86]. A study on the needs of AIAN youth transitioning into adulthood incorporated the community’s concept of the medicine wheel into a holistic approach to case management [87].…”

Section: Resultsmentioning

confidence: 99%

Health-Related Participatory Research in American Indian and Alaska Native Communities: A Scoping Review

Woodbury

Ketchum

Hiratsuka

et al. 2019

IJERPH

View full text Add to dashboard Cite

A scoping review was conducted to assess the state of the literature on health-related participatory research involving American Indian and Alaska Native communities. Online databases were searched for relevant articles published between 1/1/2000 and 5/31/2017. 10,000+ data points relevant to community-level engagement in and regulation of research, community research capacity and cultural adaptation were extracted from 178 articles. Community engagement varied across study components: 136 (76%) articles reported community participation in research-related meetings and other events and 49 (27%) articles reported community involvement in initiation of research. 156 (88%) articles reported use of community-level tools to guide or regulate research. 93 (52%) articles reported that community members received research-related training. 147 (82%) articles described some type of cultural adaptation. Across all articles, data points on community engagement were not reported in 3061 (40%) out of 7740 cases. Findings suggest a need for increased community engagement in early stages of the research process and for reporting guidelines for participatory research involving American Indian and Alaska Native communities. There is also need to further existing research on the impact of different components of participatory research on process and outcome measures and to develop funding mechanisms that account for the time and resource intensive nature of participatory research.

show abstract

“…They can also help to remedy the general lack of information on cell phone access and internet use among AI/ANs, while offering insight into the preferences of AI/AN college students regarding the use of digital media for health information 34 . Younger participants in the study were especially likely to own cell phones and to use digital media.…”

Section: Discussionmentioning

confidence: 99%

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Dotson¹,

Nelson²,

Young³

et al. 2017

Rural Remote Health

View full text Add to dashboard Cite

A B S T R A C TIntroduction: Cell phones and personal computers have become popular mechanisms for delivering and monitoring health information and education, including the delivery of tobacco cessation education and support. Tobacco smoking is prevalent among American Indians (AIs) and Alaska Natives (ANs), with 26% AI/AN adult men smoking compared to 19% of Caucasian adult males and 22% of African American adult males. Smoking is even more prevalent in Northern Plains AI populations, with 42% of men and women reporting current smoking. The literature on the availability and use of cell phones and computers, or the acceptability of use in health promotion among AIs and ANs, is scant. The authors report findings from a survey of AI students regarding their cell phone and computer access and use. The survey was conducted to inform the development and implementation of a text messaging smoking cessation intervention modeled on a program developed and used in Australia. Methods: A 22-item paper and pencil survey was administered to students at tribal colleges in rural Montana. The survey questions included cell phone ownership and access to service, use of cell phones and computers for health information, demographics, tobacco use habits, and interest in an intervention study. The study was reviewed and determined exempt by the institutional review boards at the tribal colleges and the lead research university. The study was conducted by researchers at the tribal colleges. Survey respondents received $10 when the survey was completed and returned. Data analysis was performed with the Statistical Package for the Social Sciences. Results: Among 153 AI respondents, the mean age was 29 years, range was 18-64 years. Overall, 40% reported smoking cigarettes with a mean age of 16 years at initiation. A total of 131 participants (86%) had cell phones and, of those, 122 (93%) had unlimited text messaging. A total of 104 (68%) had smart phones (with internet access), although 40% of those with smart phones reported that internet access on their phone was very slow or location limited. A total of 146 (95%) participants reported having access to a computer, although 32% of those did not have daily access. Students aged less than 23 years were more likely to have cell phones with internet access. Cell phone ownership differed by site (93% vs 77%, p=0.007). About 60% of the respondents who smoked indicated interest in participating in the intervention study.Conclusions: This study revealed that AI tribal college students in the rural communities surveyed had less cell phone, smart phone, and computer and internet access than that reported for undergraduate college students elsewhere in the USA. Research efforts and public health interventions must be culturally appropriate and technologically viable, therefore access to and acceptability of mobile technology must be evaluated when planning and implementing interventions for rural and other marginalized populations. The findings from this study contribute to the literature regard...

show abstract

Perceptions, Barriers, and Suggestions for Creation of a Tobacco and Health Website Among American Indian/Alaska Native College Students

Cited by 16 publications

References 16 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

Health-Related Participatory Research in American Indian and Alaska Native Communities: A Scoping Review

Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana

Contact Info

Product

Resources

About