Second Wind, First Breath: Educational Materials for Pregnant Native Americans - PowerPoint PPT Presentation

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

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Educational Materials for Pregnant Native Americans. LaDonna BlueEye, MPH. BlueEye Consulting ... among pregnant Native Americans. Methods. qualitative ... – PowerPoint PPT presentation

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


1
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
2
Outline
  • Background
  • Sacred use of tobacco
  • Tobacco use among pregnant Native Americans
  • Methods
  • qualitative quantitative
  • Results
  • Conclusions

3
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

4
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

5
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

6
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7
Prevalence Rates
8
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

9
Qualitative Methods
  • Focus groups individual interviews
  • Transcribed, coded, qualitative software
  • Participants
  • Pregnant Native Americans
  • Health care providers in Native American
    communities

10
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

11
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

12
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13
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14
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

15
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
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