Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial

Introduction Smoking is the leading preventable cause of death and the single most significant risk behaviour contributing to adverse health conditions among Aboriginal and Torres Strait Islander people. There is an urgent need for innovative approaches to support reductions in smoking prevalence. T...

Full description

Saved in:
Bibliographic Details
Main Authors: Raglan Maddox, Catherine Chamberlain, Billie Bonevski, Amanual Getnet Mersha, Jamie Bryant, Michelle Kennedy, Nathan Taylor, Cathy Segan, Kayden Roberts-Barker, Zabowie Mills, Kade Booth, Joley Foster
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e088501.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841537086781390848
author Raglan Maddox
Catherine Chamberlain
Billie Bonevski
Amanual Getnet Mersha
Jamie Bryant
Michelle Kennedy
Nathan Taylor
Cathy Segan
Kayden Roberts-Barker
Zabowie Mills
Kade Booth
Joley Foster
author_facet Raglan Maddox
Catherine Chamberlain
Billie Bonevski
Amanual Getnet Mersha
Jamie Bryant
Michelle Kennedy
Nathan Taylor
Cathy Segan
Kayden Roberts-Barker
Zabowie Mills
Kade Booth
Joley Foster
author_sort Raglan Maddox
collection DOAJ
description Introduction Smoking is the leading preventable cause of death and the single most significant risk behaviour contributing to adverse health conditions among Aboriginal and Torres Strait Islander people. There is an urgent need for innovative approaches to support reductions in smoking prevalence. This study will assess the implementation and effectiveness of a mailed smoking cessation support programme that includes nicotine replacement therapy (NRT) (Which Way Quit Pack) for Aboriginal and Torres Strait Islander people.Methods and analysis A hybrid type 1 effectiveness—implementation trial will be conducted in Australia from 2023 to 2025. A sample of 500 Aboriginal and Torres Strait Islander people aged over 16 who smoke will be recruited using social media. All participants will: (a) receive a mailed Which Way Quit Pack that includes pamphlets and resources on quitting, information about quit smoking support options (MyQuitBuddy App) and a selection of merchandise; (b) be offered a referral to Aboriginal Quitline; and (c) be offered a free 12-week mail out course of combination NRT. Outcome data will be obtained using quantitative surveys and qualitative Yarning. Effectiveness outcomes will include assessment of 7-day point prevalence, continuous abstinence and quit attempts at 3- and 6-month follow-up. Implementation outcomes will include assessment of recruitment and retention rates, intervention uptake and adherence, and intervention acceptability.Cessation data will be analysed using an intention-to-treat principle with all individuals lost to follow-up considered as smoking. Yarns will be analysed by Aboriginal and Torres Strait Islander members of the research team privileging Collaborative Yarning, with the support of a reflexive thematic analysis approach that will identify themes while also reflecting potential biases and perspectives of the researcher throughout the analysis process.Ethics and dissemination Ethics approvals were obtained from Aboriginal Health and Medical Research Council Ethics Committee of NSW (1894/21) and the University of Newcastle (H-2022-0174). Findings will be disseminated through publications, conference presentations and sharing with relevant government bodies.Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12623001021662).
format Article
id doaj-art-d0f0bb23d7d74f479ff3ea9ca76b2e1e
institution Kabale University
issn 2044-6055
language English
publishDate 2024-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-d0f0bb23d7d74f479ff3ea9ca76b2e1e2025-01-14T09:15:11ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-088501Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trialRaglan Maddox0Catherine Chamberlain1Billie Bonevski2Amanual Getnet Mersha3Jamie Bryant4Michelle Kennedy5Nathan Taylor6Cathy Segan7Kayden Roberts-Barker8Zabowie Mills9Kade Booth10Joley Foster11National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia4 The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia6 Flinders University College of Medicine and Public Health, Bedford Park, South Australia, Australia1 School of Medicine and Public Health, The University of Newcastle, Newcastle, New South Wales, Australia2 Equity in Health and Wellbeing Research Program, The University of Newcastle Hunter Medical Research Institute, New Lambton, New South Wales, Australia1 The University of Newcastle College of Health Medicine and Wellbeing, Callaghan, New South Wales, Australia8 Aboriginal Health & Medical Research Council, Sydney, New South Wales, Australia4 The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia1 The University of Newcastle College of Health Medicine and Wellbeing, Callaghan, New South Wales, Australia1 The University of Newcastle College of Health Medicine and Wellbeing, Callaghan, New South Wales, Australia1 The University of Newcastle College of Health Medicine and Wellbeing, Callaghan, New South Wales, Australia1 The University of Newcastle College of Health Medicine and Wellbeing, Callaghan, New South Wales, AustraliaIntroduction Smoking is the leading preventable cause of death and the single most significant risk behaviour contributing to adverse health conditions among Aboriginal and Torres Strait Islander people. There is an urgent need for innovative approaches to support reductions in smoking prevalence. This study will assess the implementation and effectiveness of a mailed smoking cessation support programme that includes nicotine replacement therapy (NRT) (Which Way Quit Pack) for Aboriginal and Torres Strait Islander people.Methods and analysis A hybrid type 1 effectiveness—implementation trial will be conducted in Australia from 2023 to 2025. A sample of 500 Aboriginal and Torres Strait Islander people aged over 16 who smoke will be recruited using social media. All participants will: (a) receive a mailed Which Way Quit Pack that includes pamphlets and resources on quitting, information about quit smoking support options (MyQuitBuddy App) and a selection of merchandise; (b) be offered a referral to Aboriginal Quitline; and (c) be offered a free 12-week mail out course of combination NRT. Outcome data will be obtained using quantitative surveys and qualitative Yarning. Effectiveness outcomes will include assessment of 7-day point prevalence, continuous abstinence and quit attempts at 3- and 6-month follow-up. Implementation outcomes will include assessment of recruitment and retention rates, intervention uptake and adherence, and intervention acceptability.Cessation data will be analysed using an intention-to-treat principle with all individuals lost to follow-up considered as smoking. Yarns will be analysed by Aboriginal and Torres Strait Islander members of the research team privileging Collaborative Yarning, with the support of a reflexive thematic analysis approach that will identify themes while also reflecting potential biases and perspectives of the researcher throughout the analysis process.Ethics and dissemination Ethics approvals were obtained from Aboriginal Health and Medical Research Council Ethics Committee of NSW (1894/21) and the University of Newcastle (H-2022-0174). Findings will be disseminated through publications, conference presentations and sharing with relevant government bodies.Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12623001021662).https://bmjopen.bmj.com/content/14/12/e088501.full
spellingShingle Raglan Maddox
Catherine Chamberlain
Billie Bonevski
Amanual Getnet Mersha
Jamie Bryant
Michelle Kennedy
Nathan Taylor
Cathy Segan
Kayden Roberts-Barker
Zabowie Mills
Kade Booth
Joley Foster
Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
BMJ Open
title Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
title_full Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
title_fullStr Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
title_full_unstemmed Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
title_short Mailed smoking cessation support for Aboriginal and Torres Strait Islander people who smoke: protocol for a hybrid type 1 effectiveness – implementation trial
title_sort mailed smoking cessation support for aboriginal and torres strait islander people who smoke protocol for a hybrid type 1 effectiveness implementation trial
url https://bmjopen.bmj.com/content/14/12/e088501.full
work_keys_str_mv AT raglanmaddox mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT catherinechamberlain mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT billiebonevski mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT amanualgetnetmersha mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT jamiebryant mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT michellekennedy mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT nathantaylor mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT cathysegan mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT kaydenrobertsbarker mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT zabowiemills mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT kadebooth mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial
AT joleyfoster mailedsmokingcessationsupportforaboriginalandtorresstraitislanderpeoplewhosmokeprotocolforahybridtype1effectivenessimplementationtrial