NHMRC Translating Research Into Practice Fellow gilliangouldnewcastleeduau iSISTAQUITnewcastleeduau SISTAQUIT and iSISTAQUIT teams AProf Gillian Gould Dr Nicole Ryan Mrs Joley Foster ID: 1044573
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1. Associate Professor Gillian GouldNHMRC Translating Research Into Practice Fellowgillian.gould@newcastle.edu.auiSISTAQUIT@newcastle.edu.au
2. SISTAQUIT and iSISTAQUIT teamsA/Prof Gillian GouldDr Nicole RyanMrs Joley FosterMs Allison HartDr Gina La Hera FuentesDr Marilyn ClarkeMs Tabassum RahmanDr Amanual MershaDr Moana TaneMs Leah StevensonMs Rebecca HylandMrs Kerrie Bissett
3. Importance of helping women quit in pregnancySmoking is the main risk factor for low birth weightImproving birthweight is one of new CTG targets44% pregnant Aboriginal & Torres Strait Islander women smokeHigher rates in remote/very remote areasWomen are motivated but say they do not get enough help to quitHealth providers are not confident to provide assistance to pregnant womenTraining of providers can double quit rates (in general)Helping women quit helps babies avoid life-long health and behavioural problems
4. What are Australian health providers offering?Bar-Zeev Y, et al. Opportunities missed: A Cross-Sectional Survey of the Provision of Smoking Cessation Care to Pregnant Women by Australian GPs and Obs. Nic & Tob Res. 2017;19(5):636-41.*GP and Obstetricians (N=378)
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6. ABCD ApproachASK & ASSESS smoking BRIEF ADVICE to quitCESSATION – Behaviour Change Techniques (BCT) & Nicotine Replacement Therapy (NRT)DISCUSS family, social and cultural contextABCDGould GS, et al A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers. Journal of Smoking Cessation. 2015;10:96-105.
7. What is SISTAQUIT vs iSISTAQUIT?SISTAQUIT (funded by NHMRC/GACD)A randomized trial in 20+ servicesTraining in culturally competent evidence-based care for smoking cessation in pregnancy versus usual careHealth provider and service level data collectedPregnant women and babies recruited and followed up to 6 months post-partumiSISTAQUIT (funded by TIS and DOH)Implementation of training in 20 more servicesAll sites get the training and resourcesAll data collected at health professional and service level (women and babies not recruited)Additional social media campaign
8. Due to COVID19 – was temporary halt but now recruiting again However - Existing participants need to be followed up regularly Data needs to be supplied by servicesHealth providers now have $50 incentive for surveysStaff (CEOs, managers & research facilitators) mid-study interviews to start $50 incentive23 services recruited to the trial[20 ACCHS + 3 mainstream]7 sites are TIS regional teamsApunipima, Mawarnkarra, Carbal, Katherine West, Danila Dilba, Awabakal, Galambila90 health providers and >60 women recruited to the trial9 babies in the trial so farTrial extended to early 2022Data! Data! Data! I can’t make bricks without clay! Sir Arthur Conan Doyle
9. Recruiting Services - enquiries isistaquit@newcastle.edu.au i
10. iSISTAQUIT ResourcesTreatment manual and flip chartPatient BookletPostersOral NRT supplieseLearning Modules
11. iSISTAQUIT Media Campaign to launch Dec 2020
12. COVID19, Bushfires and smoking
13. Research Project:What else could we do to help Aboriginal and Torres Strait Islander women stay quit in pregnancy? You are TIS Team Coordinator You are an expert at what you doYou work closely with the communityYour experience is invaluable So, we look forward to learn from you through one-on-one talk. We are available here:Tabassum.Rahman@uon.edu.au