An evaluation of tobacco brief intervention training in three indigenous health care settings in north Queensland

Harvey, Desley, Tsey, Komla, Cadet-James, Yvonne, Minniecon, Deanne, Ivers, Rowena, McCalman, Janya, Lloyd, Jacqui, and Young, Dallas (2002) An evaluation of tobacco brief intervention training in three indigenous health care settings in north Queensland. Australian and New Zealand Journal of Public Health, 26 (5). pp. 426-431.

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Abstract

Objective: To evaluate the pilot phase of a tobacco brief intervention program in three Indigenous health care settings in north Queensland.

Methods: A combination of in-depth interviews with health staff and managers and focus groups with health staff and consumers Results: The tobacco brief intervention initiative resulted in changes in clinical practice among health care workers in all three sites. Although health workers had reported routinely raising the issue of smoking in a variety of settings prior to the intervention, the training provided them with an additional opportunity to become more aware of new approaches to smoking cessation. Indigenous health workers in particular reported that their own attempts to give up smoking following the training had given them confidence and empathy in offering smoking cessation advice. However the study found no evidence that anybody had actually given up smoking at six months following the intervention. Integration of brief intervention into routine clinical practice was constrained by organisational, interpersonal and other factors in the broader socioenvironmental context.

Conclusion/implications: While modest health gains may be possible through brief intervention, the potential effectiveness in Indigenous settings will be limited in the absence of broader strategies aimed at tackling community identified health priorities such as alcohol misuse, violence, employment and education. Tobacco and other forms of lifestyle brief intervention need to be part of multi-level health strategies. Training in tobacco brief intervention should address both the Indigenous context and the needs of Indigenous health care workers.

Item ID: 712
Item Type: Article (Refereed Research - C1)
Keywords: tobacco, Indigenous, health care workers, brief intervention, smoking cessation
Additional Information:

2002 Copyright Public Health Association of Australia. Reproduced in accordance with publisher policy.

ISSN: 1753-6405
Date Deposited: 18 Oct 2006
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 100%
Citation Count from Web of Science Web of Science 22
Downloads: Total: 8
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