State / TerritorySouth Australia
Funded OrganisationAboriginal Health Council of South Australia Incorporated
Program ObjectivesThis project will establish a socially attractive gathering space, a Male Health Shed. The Shed will be dedicated to males where Aboriginal art, social and cultural activities can be practised. It will promote smoking cessation and preventative health.
The project plans to provide Aboriginal males with a multi-faceted holistic tobacco cessation program (i.e. assessment, brief intervention, counselling, behaviour therapy, access to smoking cessation pharmacotherapy, health education, family support, skills building) that is tailored to their individual needs.
Target group/areaThe primary target group for this project is Aboriginal males aged 15 years and older who live in the two remote SA communities of Yalata and Coober Pedy. Given the high prevalence of smoking in Aboriginal males in remote communities and the low age of smoking uptake, the project is targeting all males aged 15 years and older.
A secondary target group for this program is Aboriginal men and women aged 15 years and older.
- Can an arts, social and culture -based Aboriginal Male’s Shed program support tobacco cessation in Aboriginal males aged 15 years and older in remote Aboriginal communities in SA?
- Can Aboriginal males as role models and ambassadors of tobacco cessation influence cessation in the wider community?
- What are the mechanisms by which the Aboriginal Male’s Shed program engages men and supports tobacco cessation, including their capacity to act as positive role models for the community?
- What cessation strategies are delivered to clients and what are the barriers and facilitators to program delivery?
Experimental designThe project will be evaluated through a quasi-experimental matched comparison group design. Each community will be matched to a comparison community in terms of (i) smoking prevalence (ii) age and gender profile and (iii) remoteness index.
The primary outcome measure is self-reported smoking status for two sets of samples (i) Aboriginal males aged 15 years and older, as exposed to the program, and (ii) Aboriginal men and women aged 15 years and older at the community level.
Information on this measure will be obtained from routinely collected national Key Performance Indicator data by health services.
Baseline data will be obtained the year prior to the program and the follow-up period will be the last 6 months of the funding period.
If the program is successful, it is anticipated there will be an observed change in the proportion of ex-smokers who quit less than 12 months ago and 12 months or more ago in the communities receiving the program, compared to the communities not receiving the program.
To understand the mechanisms by which the program engages Aboriginal males to support cessation and role modelling, participants in each site will be invited to participate in interviews.
To understand variations in implementation in the two sites and barriers/ facilitators to delivery, Project Officers and community stakeholders will be interviewed over the 2-year period in each site.
The outcome evaluation will establish whether the program was successful in impacting smoking prevalence; the process evaluation will provide insight into how the program worked to achieve the observed outcomes.