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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
REVIEW

Ngu-ng-gi-la-nha (to exchange) knowledge. How is Aboriginal and Torres Strait Islander people’s empowerment being upheld and reported in smoking cessation interventions during pregnancy: a systematic review

Michelle Bovill A E , Catherine Chamberlain B C D , Yael Bar-Zeev A , Maree Gruppetta A and Gillian S. Gould A
+ Author Affiliations
- Author Affiliations

A The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.

B Judith Lumley Centre, La Trobe University, Level 3, George Singer Building, Bundoora, Vic. 3086, Australia.

C Murdoch Children’s Research Institute, Flemington Road, Parkville, Vic. 3052, Australia.

D School of Public Health and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, Vic. 3004, Australia.

E Corresponding author. Email: michelle.bovill@newcastle.edu.au

Australian Journal of Primary Health 25(5) 395-401 https://doi.org/10.1071/PY18186
Submitted: 29 November 2018  Accepted: 1 August 2019   Published: 7 October 2019

Abstract

Smoking during pregnancy is a national priority to improve Aboriginal health. Empowerment approaches underpin the priorities set by the government to improve Aboriginal health and wellbeing; however, empowerment is seldom evaluated within interventions for Aboriginal people. Literature was searched to April 2018 and data was extracted using an assessment tool with domains of individual and community empowerment in smoking cessation during pregnancy studies with Aboriginal women. Three interventions were found in published and grey literature. Elements of individual empowerment were embedded in all interventions. Interventions considered barriers for Aboriginal women to quit smoking and areas for capacity building. Interventions used health education resources. There was limited reporting of community empowerment domains. Aboriginal ethics and capacity building was the only criterium addressed by all studies. Interventions are incorporating individual empowerment, but seldom report community empowerment. The development of reporting guidelines or extensions of current guidelines would be beneficial to set a consistently high standard reporting across Aboriginal health interventions, similar to the work conducted to develop the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Equity (PRISMA-E) for health equity in systematic review reporting. Reporting empowerment domains would reflect the government priority of empowerment to improve Aboriginal health, as well as enhancing knowledge translation into practice.


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