142nd APHA Annual Meeting and Exposition

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Motivating Pasifika against Cigarettes & Tobacco (MPACT): A community-academic partnership for smoking cessation in Native Hawaiian Pacific Islander communities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Paula H. Palmer, PhD , School of Community and Global Health, Claremont Graduate University, Claremont, CA
Cevadne Lee, MPH , School of Community and Global Health, Claremont Graduate University, Claremont, CA
Vanessa Tui'One , Tongan Community Service Center, Tongan Community Service Center, Hawthorne, CA
Tupou Toilolo , Union of Pan Asian Communities, San Diego, CA
Kaiwi Pang , Pacific Islander Health Partnership, Santa Ana, CA
Dorothy Vaivao, BA , Samoan National Nurses Association, Long Beach, CA
Annette Orne , Guam Communications Network, Long Beach, CA
Jonathan Lepule , Health Science, California State University, Fullerton, Fullerton, CA
Melanie Sabado, MPH , School of Community and Global Health, Claremont Graduate University, Claremont, CA
Bin Xie, PhD , School of Community and Global Health, Claremont Graduate University, Claremont, CA
Sora Park Tanjasiri, DrPH, MPH , Health Science, California State University, Fullerton, Fullerton, CA

Background/Significance: Despite declining tobacco use in the U.S., Native Hawaiian Pacific Islanders (NHPIs) have high rates of cigarette smoking. Tobacco control challenges affecting NHPIs include small population size and dispersed population density, which have seriously limited knowledge of their needs and delivery of services and programs to reduce tobacco use.

Objective/Purpose: Following a community-based participatory research (CBPR) model, five NHPI-led community-based organizations (CBOs), each with a long history of tobacco control advocacy, partnered with academic tobacco use researchers to develop a culturally attuned smoking cessation program for young adult NHPIs, a group at high risk for progression to addictive smoking. 

Methods:  Guiding the development of the cessation program was a CBPR model that defined the parameters of the community-academic partnership by promoting a shared vision and co-decision, providing a governance structure, detailing roles and responsibilities at each phase, and facilitating ongoing communication and problem solving through monthly team meetings.

Results: The resulting cessation program Motivating Pasifika against Cigarettes & Tobacco (MPACT) combined health promotion theory with communication technologies used by young adults and NHPI cultural values.  Intervention components include cell phone texting, a Facebook-hosted online eight-module tobacco education program and social support blog, and weekly check in phone call/text.

Discussion/Conclusions: The MPACT program benefitted from the CBPR partnership, which combined tobacco control science with the input of community insider knowledge to identify health concerns and their root causes, contribute to feasible intervention strategies, promote program sustainability, and empower communities to increase their capacity to address health challenges.

 

Learning Areas:

Diversity and culture
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe how community-based organizations and academic partners collaborated on the development of a smoking cessation program for Native Hawaiian Pacific Islander young adults

Keyword(s): Community-Based Research (CBPR), Asian and Pacific Islanders

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am a PhD student and last year was awarded an NIH funded F31 training grant, which is funding my research regarding tobacco cessation among Native Hawaiian Pacific Islander Young Adults. Specifically, I am working with my mentor, Dr. Palmer, on the development and testing of this CBPR program with Samoans, Tongans,and other Pacific Islanders.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.