State / TerritoryNew South Wales
Funded OrganisationSouth Coast Women’s Health & Welfare Aboriginal Corporation
Program ObjectivesThe project is based on the hypothesis that the failure to reduce smoking in the target populations nationally results from a failure to: ensure access and maintain engagement; address underlying social and emotional wellbeing issues; and replace ‘a smoke and a yarn’ with alternative social connections.
Intervention objectives for the target populations are to:
- encourage and support attendance at Aboriginal women’s and young women’s groups (process);
- reduce psychological distress (outcome); and
- reduce nicotine dependence and increase quit attempts (impact).
Target group/areaThe Balaang and Binjilaang project targets Aboriginal women living in south-east NSW.
The two primary target populations are teenage women smokers and pregnant smokers. A secondary target population is Aboriginal women smokers of child-bearing age.
Research questions/objectivesResearch objectives are to:
- assess the impact, separately and together, of group attendance and reductions in psychological distress on tobacco use;
- assess the impact of the intervention on the intentions and confidence of Aboriginal women of child bearing age not to smoke when pregnant; and
- identify core components of the intervention that contribute to its effectiveness and can ensure successful scalability.
Does establishing ongoing, positive, gender-specific engagement with Aboriginal women who are pregnant, and Aboriginal young women, facilitate successful interventions to reduce nicotine dependence and encourage quit attempts?
Experimental designThe project will employ culturally safe action research methodologies that engage local Aboriginal communities, elders, and younger women in design, delivery and evaluation of interventions. Partners will collect and correlate data on nicotine dependence and psychological distress among target populations. Qualitative methods will be utilised to identify core components of the interventions most strongly linked to reduction of nicotine dependence.
The intervention will be determined to be effective if there are statistically significant changes in nicotine dependence over repeat measures in the three target populations and these are positively correlated to attendance and reduction in psychological distress.
The Balaang and Binjilaang project incorporates these rigorous quantitative research strategies within a community-based participatory action research project conducted in partnership with the Aboriginal community.