Should anti-tobacco media messages be culturally targeted for Indigenous populations? A systematic review and narrative synthesis

Gould, Gillian Sandra, McEwen, Andy, Watters, Tracey, Clough, Alan R., and van der Zwan, Rick (2013) Should anti-tobacco media messages be culturally targeted for Indigenous populations? A systematic review and narrative synthesis. Tobacco Control, 22 (4). pp. 1-10.

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Abstract

Objective: To summarise published empirical research on culturally targeted anti-tobacco media messages for Indigenous or First Nations people and examine the evidence for the effectiveness of targeted and non-targeted campaigns.

Methods: Studies were sought describing mass media and new media interventions for tobacco control or smoking cessation in Indigenous or First Nations populations. Studies of any design were included reporting outcomes of media-based interventions including: cognitions, awareness, recall, intention to quit and quit rates. Then, 2 reviewers independently applied inclusion criteria, which were met by 21 (5.8%) of the studies found. One author extracted data with crosschecking by a second. Both independently assessed papers using Scottish Intercollegiate Guidelines Network (SIGN; quantitative studies) and Daly et al (qualitative studies).

Results: A total of 21 studies were found (4 level 1 randomised controlled trials (RCTs), 11 level 2 studies and 6 qualitative studies) and combined with narrative synthesis. Eight evaluated anti-tobacco TV or radio campaigns; two assessed US websites; three New Zealand studies examined mobile phone interventions; five evaluated print media; three evaluated a CD-ROM, a video and an edutainment intervention.

Conclusions: Although Indigenous people had good recall of generic anti-tobacco messages, culturally targeted messages were preferred. New Zealand Maori may be less responsive to holistic targeted campaigns, despite their additional benefits, compared to generic fear campaigns. Culturally targeted internet or mobile phone messages appear to be as effective in American Indians and Maori as generic messages in the general population. There is little research comparing the effect of culturally targeted versus generic messages with similar message content in Indigenous people.

Item ID: 28750
Item Type: Article (Refereed Research - C1)
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ISSN: 1468-3318
Funders: National Health and Medical Research Council (NHMRC), National Heart Foundation
Projects and Grants: APP1039759
Date Deposited: 07 Aug 2013 05:36
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 30%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111712 Health Promotion @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111713 Maori Health @ 30%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 25%
92 HEALTH > 9202 Health and Support Services > 920205 Health Education and Promotion @ 50%
92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 25%
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