Using the risk behaviour diagnosis scale to understand Australian Aboriginal smoking — a cross-sectional validation survey in regional New South Wales

Gould, Gillian Sandra, Watt, Kerrianne, Cadet-James, Yvonne, and Clough, Alan R. (2015) Using the risk behaviour diagnosis scale to understand Australian Aboriginal smoking — a cross-sectional validation survey in regional New South Wales. Preventive Medicine Reports, 2. pp. 4-9.

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Abstract

Objective

To validate, for the first time, the Risk Behaviour Diagnosis (RBD) Scale for Aboriginal Australian tobacco smokers, based on the Extended Parallel Process Model (EPPM). Despite high smoking prevalence, little is known about how Indigenous peoples assess their smoking risks.

Methods

In a cross-sectional study of 121 aboriginal smokers aged 18–45 in regional New South Wales, in 2014, RBD subscales were assessed for internal consistency. Scales included measures of perceived threat (susceptibility to and severity of smoking risks) and perceived efficacy (response efficacy and self-efficacy for quitting). An Aboriginal community panel appraised face and content validity. EPPM constructs of danger control (protective motivation) and fear control (defensive motivation) were assessed for cogency.

Results

Scales had acceptable to good internal consistency (Cronbach's alpha = 0.65–1.0). Most participants demonstrated high-perceived threat (77%, n = 93); and half had high-perceived efficacy (52%, n = 63). High-perceived efficacy with high-threat appeared consistent with danger control dominance; low-perceived efficacy with high-threat was consistent with fear control dominance.

Conclusions

In these Aboriginal smokers of reproductive age, the RBD Scale appeared valid and reliable. Further research is required to assess whether the RBD Scale and EPPM can predict quit attempts and assist with tailored approaches to counselling and targeted health promotion campaigns.

Item ID: 36895
Item Type: Article (Refereed Research - C1)
Keywords: tobacco smoking; Australian Aborigines; Indigenous population; risk behaviours; behavioural medicine; validation studies; smoking cessation; health promotion; mass media; health communication
Additional Information:

© 2014 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license.

ISSN: 2211-3355
Funders: National Health and Medical Research Council (NHMRC), National Heart Foundation of Australia (NHF), Royal Australian College of General Practitioners, Australian Primary Health Care Research Institute, James Cook University
Projects and Grants: NHMRC grant number APP1039759, NHF grant number PP11S6181, NHMRC grant number APP1046773
Date Deposited: 02 Jun 2015 03:16
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 > 111799 Public Health and Health Services not elsewhere classified @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920414 Substance Abuse @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
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