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Type: Journal article
Title: Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach
Author: Dawson, A.
Cargo, M.
Stewart, H.
Chong, A.
Daniel, M.
Citation: Health Education Research, 2013; 28(1):31-45
Publisher: Oxford Univ Press
Issue Date: 2013
ISSN: 0268-1153
Statement of
Anna P. Dawson, Margaret Cargo, Harold Stewart, Alwin Chong and Mark Daniel
Abstract: Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n=74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were government coordinated compared with community controlled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs.
Keywords: Humans
Focus Groups
Smoking Cessation
Qualitative Research
Health Personnel
Health Promotion
Cultural Competency
Native Hawaiian or Other Pacific Islander
Rights: © The Author 2012. Published by Oxford University Press. All rights reserved. For permissions, please email:
DOI: 10.1093/her/cys111
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