Reducing maternal smoking using Indigenous knowledge, practices, and online technologies

Area of Science:

• Public Health
• Indigenous Health
• Digital Health

Background:

• Maternal smoking poses significant risks to both mother and child, with disproportionately high rates among Indigenous populations.
• Addressing smoking-related inequities is a priority in New Zealand, particularly for pregnant Indigenous women.

Purpose of the Study:

• To assess the acceptability and potential efficacy of a novel smoking cessation program for pregnant Indigenous women.
• To evaluate a program integrating traditional Indigenous knowledge with modern digital technology.

Main Methods:

• A feasibility study using pre- and post-intervention questionnaires.
• Program delivery adapted to online formats (videos, social media, AR app) due to COVID-19.
• Targeted adult Māori women in their first or second trimester who currently smoked and wished to quit.

Main Results:

• The program demonstrated high acceptability, evidenced by rapid recruitment (>500 responses) and high retention (83% at 16 weeks).
• A significant proportion of participants (45%) reported not smoking by the program's end.
• The program enhanced participants' knowledge of Māori culture, particularly regarding pregnancy and postnatal care.

Conclusions:

• Traditional Indigenous knowledge combined with digital tools (apps, AR) can enhance smoking cessation programs for pregnant Indigenous women.
• Online delivery models are feasible and effective for reaching this population.
• The program shows promise for reducing smoking-related harms and promoting cultural connection.