Evaluation of a community-based tobacco control intervention in five remote north Queensland Indigenous communities

Campbell, Sandra, Bohanna, India, McKeown-Young, Dallas, Esterman, Adrian, Cadet-James, Yvonne, and McDermott, Robyn (2014) Evaluation of a community-based tobacco control intervention in five remote north Queensland Indigenous communities. International Journal of Health Promotion & Education, 52 (2). pp. 78-89.

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Abstract

This study aimed to assess the impact of a complex community-based tobacco control program in eight remote north Queensland Indigenous communities with high rates of tobacco use. A community-based tobacco intervention trial was conducted over one year in five intervention sites and three control sites in far north Queensland with predominantly Aboriginal and Torres Strait Islander populations. The intervention was composed of six components: a school-based education program 'Smokin' No Way', 'SmokeCheck' tobacco brief intervention training for health workers, assistance to develop workplace smoke-free policies, an Event Support Program, 'Smoke Rings' support group and enforcement of tobacco sales legislation. Household surveys of self-reported tobacco use were conducted at baseline and one year after the interventions, along with interviews with key individuals and organisations, to assess intervention implementation. It was found that there was a modest effect on self-reported daily tobacco use and mean number of cigarettes smoked weekly after 12 months in intervention communities. There were non-significant declines in self-reported smoking and mean cigarettes smoked per week in aggregated control communities. Independent evaluation of fidelity of implementation found major shortcomings in actual program delivery. To enhance success of future interventions, fidelity of implementation should be ensured and a longer implementation period utilised.

Item ID: 33253
Item Type: Article (Refereed Research - C1)
Keywords: tobacco control, interventions, Indigenous
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ISSN: 2164-9545
Funders: Queensland Health, National Health and Medical Research Council of Australia (NHMRC)
Date Deposited: 06 Nov 2014 07:35
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111712 Health Promotion @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920414 Substance Abuse @ 50%
92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 50%
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