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

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This study shows a novel smoking cessation program for pregnant Indigenous women was acceptable and effective. It combined traditional Māori knowledge with digital tools, achieving high retention and a 45% quit rate.

Keywords:
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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.