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Journal article
Koori Quit Pack: A feasibility study of a multi-component mailout smoking cessation support for Aboriginal and Torres Strait Islander people: "I would recommend it to anybody. It's just so much easier"
Nicotine & tobacco research, Vol.27(3), pp.418-428
2024
PMID: 38700502
Abstract
Introduction
Smoking is the leading cause of preventable death among Aboriginal and Torres Strait Islander people. The Koori1 Quit Pack study aimed to assess the feasibility of a multi-component mailout smoking cessation intervention to reduce smoking among Aboriginal and Torres Strait Islander people.
Methods
A non-randomised, single-group feasibility study conducted among Aboriginal and Torres Strait Islander people who reported current smoking. The intervention package included information pamphlets and resources on quitting, referral offer to Aboriginal Quitline and optional free Nicotine Replacement Therapies (NRT). Follow-up was conducted at 2-weeks, 6-weeks, 10-weeks and 6-months post recruitment. Feasibility outcomes were recruitment and retention rates, uptake of intervention components and smoking abstinence at 6-week follow-up (primary end point). Cessation outcomes were analysed using both a complete case analysis and intention-to-treat approach.
Results
165 participants were recruited, 111 (67.3%), 79 (47.9%), 59 (35.8%), and 94 (57%) participants completed the 2-week, 6-week, 10-week, and 6-month follow-up. At 10-week follow-up, 40.7% of participants used pamphlets and booklets, 13.6% used Quitline and > 90% used NRT. At 6-week follow-up, 87.3% reported a quit attempt and 46.8% sustained quitting. 46.8% were continuously smoke-free at the 6-week timepoint. The complete case analysis and the intention-to-treat analysis at 6-month shows a 7-day self-reported point prevalence abstinence of 34% and 19.4% respectively.
Conclusion
The Koori Quit Pack mailout smoking cessation program was feasible to support Aboriginal and Torres Strait Islander people. The intervention resulted in a high smoking cessation rate and should be upscaled, implemented and evaluated nationally.
Implications
Aboriginal and Torres Strait Islander people are disproportionately impacted by tobacco related harms, however the majority want to quit or wish they never took up smoking. Mailout cessation support is feasible, overcomes access barriers to evidence-based support and increases quitting success. We recommend a national mailout smoking cessation program is implemented for, and by Aboriginal and Torres Strait Islander people to accelerate declines in smoking prevalence to eliminate tobacco related death and disease.
Details
- Title
- Koori Quit Pack: A feasibility study of a multi-component mailout smoking cessation support for Aboriginal and Torres Strait Islander people: "I would recommend it to anybody. It's just so much easier"
- Authors/Creators
- Michelle Kennedy - University of Newcastle AustraliaRaglan Maddox - Australian National UniversityAmanual Getnet Mersha - University of Newcastle AustraliaCatherine Chamberlain - Murdoch UniversityCatherine Segan - Cancer Council VictoriaKerindy Clarke - Medibank Private, Sydney, New South Wales, AustraliaBelinda Donaldson - Victorian Aboriginal Health ServiceKayden Roberts Barker - College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, AustraliaJoley Forster - College of Health Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, AustraliaKade Booth - University of Newcastle AustraliaBillie Bonevski - Flinders University
- Publication Details
- Nicotine & tobacco research, Vol.27(3), pp.418-428
- Publisher
- Oxford University Press, Society for Research on Nicotine and Tobacco (SRNT)
- Identifiers
- 991005661660507891
- Copyright
- © The Author(s) 2024.
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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