Second Wind, First Breath: Educational Materials for Pregnant Native Americans

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Second Wind, First Breath Educational Materials
for Pregnant Native Americans

• LaDonna BlueEye, MPH
• BlueEye Consulting
• Sarah Jane Carlson, MBA
• Ernestine Jennings, MS
• Smoke-Free Beginnings
• Oklahoma State Medical Association
• Cynthia Coachman, RN
• Muscogee (Creek) Nation
• Catherine Rohweder, DrPH
• Smoke-Free Families National Dissemination Office

BlueEye Consulting
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Outline

• Background
• Sacred use of tobacco
• Tobacco use among pregnant Native Americans
• Methods
• qualitative quantitative
• Results
• Conclusions

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Smoke-Free Beginnings

• Demonstration grant from Smoke-Free Families
  (SFF) to Oklahoma State Medical Association
  (OSMA)
• Grant objectives
• Increase use of the 5 As by prenatal care
  providers
• Develop sustainable framework for ongoing
  dissemination of 5 As among prenatal care
  providers

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Smoke-Free Beginnings

• Through SFB work determined great need for
  culturally relevant materials in Native American
  clinics
• Began coordination with SFF and National
  Partnership
• Needs assessment survey
• Recognized Oklahoma needs similar to national
• SFB awarded additional monies to begin work with
  Native American communities

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Second Wind Tobacco Cessation Program

• Background
• Created to address culturally specific needs
  within Native American communities
• Modified from ACS Fresh Start
• Used in Native American Communities
• OK, CA, OR, CT, UT, AK, AZ
• Evaluation
• 3 months 67 success at MCN
• TIHRC Increase in retention rate of Native
  Americans compared to ACS Fresh Start Freedom
  from Smoking

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Prevalence Rates
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Quantitative Methods

• 283 needs assessments
• IRB-approved, self-administered surveys
• Participants
• Tribal Support Centers Indian Health Service
  facilities
• Physicians, nurses, health educators, and other
  health care practitioners across North America

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Qualitative Methods

• Focus groups individual interviews
• Transcribed, coded, qualitative software
• Participants
• Pregnant Native Americans
• Health care providers in Native American
  communities

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Survey Results

• Nearly 72 of respondents provide self-help
  materials
• Few were pregnancy-specific
• Participants reported educational materials are
  culturally-relevant
• Generally only minor changes were made

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Survey Results

• Participants stated culturally-relevant materials
  are available
• Systematic review revealed that many materials
  are
• no longer in print
• have ownership or publication restrictions
• too regionally-specific
• not relevant outside of small region

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Conclusions

• Important for health care providers to recognize
  and honor traditional use of tobacco
• Capitalize on function of tribal relationships
• incorporating social support
• Incorporate appropriate images
• more modest, reflect the population
• Culturally-relevant tobacco educational
  materials
• must include input from population to be served
• need to address specific health beliefs of
  population

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Contact Information
Cynthia CoachmanMuscogee (Creek) Nation
918.756.6231 Cynthia.Coachman_at_mail.ihs.gov Cath
erine Rohweder Smoke-Free Families National
Dissemination Office 919.966.6879
rohweder_at_mail.schsr.unc.edu

• LaDonna BlueEye
• BlueEye Consulting
• 405.650.2817
• blueeyeconsulting_at_sbcglobal.net
• Sarah Jane Carlson
• Ernestine Jennings
• Smoke-Free Beginnings
• Oklahoma State Medical Association
• 405.843.9571 ext.117
• carlson_at_osmaonline.org
• jennings_at_osmaonline.org