<scp>SISTAQUIT</scp>: training health care providers to help pregnant Aboriginal and Torres Strait Islander women quit smoking. A cluster randomised controlled trial

Gould, Gillian Sandra; Ryan, Nicole; Kumar, Ratika; Stevenson, Leah; Carson‐Chahhoud, Kristin; Oldmeadow, Christopher; Foster, Joley; Deeming, Simon; Boydell, Katherine M.; Doran, Christopher M.; Searles, Andrew; Mattes, Joërg; Atkins, Louise; Clarke, Matthew

doi:10.5694/mja2.51604

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…The most commonly reported was the TIS program, which aims to reduce smoking through population health promotion activities. Quit for New Life (an LHD based program promoting quitting during pregnancy and after birth) 18 and SistaQuit (a trial aiming to improve healthcare provider skills in smoking cessation care for pregnant Aboriginal women) 19 The range of programs and program funding in the current study highlights a somewhat fragmented approach to program delivery and funding within the state of NSW, and supports calls for coordination and dedicated funds for the delivery of locally tailored Aboriginal TCPs. 9 For example, the 2010 TIS&HL program funded a national workforce of tobacco action workers and coordinators across 57 regions.…”

Section: Discussionmentioning

confidence: 79%

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Bryant

Noble

Eades

et al. 2023

Health Prom J of Aust

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Issue AddressedTo describe the characteristics of tobacco control programs (TCPs) delivered by Aboriginal Community Controlled Health Services (ACCHSs) in New South Wales (NSW), Australia.MethodsA key informant from each ACCHS in NSW completed a 30‐item online survey. For each TCP, ACCHSs were asked to provide: the target population group, program aims and activities, funding source, and whether the program had been monitored or evaluated and reflected principles of community control and engagement.ResultsTwenty‐five of 38 eligible ACCHSs completed the survey (66% response rate). Overall, 64% of services reported currently delivering at least one TCP, almost all of which aimed to promote quitting (95%). Programs involved brief intervention for tobacco cessation (71%), referral to quit services (67%), or use of printed resources (67%). Funding sources included Local Health Districts (52% of programs), the Commonwealth Government (48%) and NSW Ministry of Health (43%). Most programs were aimed at all Aboriginal people who smoke (76%); 19% targeted women or families during pregnancy/birth. Many TCPs used culturally tailored resources (86%) and employed Aboriginal staff (86%), and 48% had been evaluated.ConclusionsA third of participating ACCHS did not have a specific TCP to address smoking among Aboriginal people, and delivery of programs was characterised by an uncoordinated approach across the state. Aboriginal staff and culturally tailored messages were a focus of existing TCP programs.So What?Findings highlight the need for more investment in TCPs for Aboriginal people to ensure all ACCHSs can deliver evidence‐based programs.

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Section: Discussionmentioning

confidence: 79%

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Bryant

Noble

Eades

et al. 2023

Health Prom J of Aust

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Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service

Pervin,

Kearney,

Giudice

et al. 2024

Aust NZ J Obst Gynaeco

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AimTo examine low birth weight (LBW) in First Nations babies born in a large metropolitan health service in Queensland, Australia.Materials and MethodsA retrospective population‐based study using routinely collected data from administrative data sources. All singleton births in metropolitan health services, Queensland, Australia of ≥20 weeks gestation or at least 400 g birthweight and had information on First Nations status and born between 2019 and 2021 were included. The study measured birthweight and birthweight z‐score, and also identified the predictors of LBW. Multivariate regression models were adjusted by demographic, socioeconomic and perinatal factors.ResultsFirst Nations babies had higher rates of LBW (11.4% vs 6.9%, P < 0.001), with higher rates of preterm birth (13.9% vs 8.8%, P < 0.001). In all babies, the most important factors contributing to LBW were: maternal smoking after 20 weeks of gestation; maternal pre‐pregnancy underweight (body mass index <18.5 kg/m2); nulliparity; socioeconomic disadvantage; geographical remoteness; less frequent antenatal care; history of cannabis use; pre‐existing cardiovascular disease; pre‐eclampsia; antepartum haemorrhage; and birth outcomes including prematurity and female baby. After adjusting for all contributing factors, no difference in odds of LBW was observed between First Nations and non‐First Nation babies.ConclusionsFirst Nations status was not an independent factor influencing LBW in this cohort, after adjustment for identifiable factors. The disparity in LBW relates to modifiable risk factors, socioeconomic disadvantage, and prematurity. Upscaling culturally safe maternity care, focusing on modifiable risk factors is required to address LBW in Australian women.

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Effectiveness evaluation of an organisational intervention, targeting pregnancy and addiction care professionals, among women who have just given birth in maternity wards and smoked tobacco during pregnancy (5A-QUIT-N): study protocol for a stepped-wedge cluster randomised trial

Kervran,

Francis-Oliviero,

Kret

et al. 2024

BMJ Open

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IntroductionIn 2021, among French women who smoked when they knew they were pregnant, 59% still smoked at the end of pregnancy. Support for pregnant women to stop smoking must include a structured organisational perspective. The main objective of the study is to evaluate the effectiveness of the 5A-QUIT-N organisational intervention on smoking cessation at delivery among pregnant women who smoke during pregnancy.Methods and analysisThe overarching goal of the 5A-QUIT-N intervention, which aims to organise the healthcare professionals monitoring pregnancy, specialists in addiction and tobacco use, and clinical and training tools, using the 5As method. The 5A-QUIT-N intervention will be evaluated in a pragmatic stepped-wedge cluster randomised trial. Within each cluster, during the 6 months before (control) and after (intervention) the intervention, women who smoke tobacco during pregnancy will be enrolled during their maternity stay after delivery. A transition period is planned between the control and intervention periods to deploy the intervention. All participating women will be interviewed using a heteroquestionnaire to assess smoking cessation, tobacco use monitoring by healthcare professionals and individual factors associated with tobacco use during pregnancy. The primary outcome was the point prevalence of abstinence at delivery, which is the proportion of women reporting abstinence from smoking for at least 7 days at delivery. 4200 women who smoked tobacco during pregnancy will be recruited over the entire study period (33 months) to evaluate the effectiveness. An estimated 4585 participants will be included for all aims.Ethics and disseminationThe study will be implemented in accordance with French regulations. The study including the consent process has been independently reviewed and approved by the French ethical board ‘CPP Ile de France I’ on 10 February 2022 (No CPPIDF1-2022-DI08-cat.2). The results will be disseminated on various academic and non-academic platforms. The results will be reported in international peer-reviewed journals and presented at international and national conferences.

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SISTAQUIT: training health care providers to help pregnant Aboriginal and Torres Strait Islander women quit smoking. A cluster randomised controlled trial

Cited by 3 publications

References 25 publications

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

Being a First Nations baby is not independently associated with low birthweight in a large metropolitan health service

Effectiveness evaluation of an organisational intervention, targeting pregnancy and addiction care professionals, among women who have just given birth in maternity wards and smoked tobacco during pregnancy (5A-QUIT-N): study protocol for a stepped-wedge cluster randomised trial

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