The authors declare that they have no competing interest.
MG conceived of the study and was involved in all aspects of the study. AB participated in design of study, review of the literature and helped obtain ethics approval and drafted the manuscript. AW provided academic supervision for AB which involved advising on the design of the study, reviewing and critically contributing to the draft manuscript. AK participated in design of study, review of literature and critical revisions of the manuscript. NC and CP participated in design of study, website and iPad application and development of other study materials and documents. They provided input into and critical review of the manuscript. All authors read and approved the final manuscript.
Māori and Pacific Island people have significantly higher smoking rates compared to the rest of the New Zealand population. The main aim of this paper is to describe how knowledge of Indigenous people’s practices and principles can be combined with proven effective smoking cessation support into a cessation intervention appropriate for Indigenous people.
A literature review was conducted to identify what cultural principles and practices could be used to increase salience, and what competition elements could have an impact on efficacy of smoking cessation. The identified elements were incorporated into the design of a cessation intervention.
Cultural practices incorporated into the intervention include having a holistic family or group-centred focus, inter-group competitiveness, fundraising and ritual pledging. Competition elements included are social support, pharmacotherapy use, cash prize incentives and the use of a dedicated website and iPad application. A pre-test post-test will be combined with process evaluation to evaluate if the competition results in triggering mass-quitting, utilisation of pharmacotherapy and in increasing sustained smoking cessation and to get a comprehensive understanding of the way in which they contribute to the effect. The present study is the first to describe how knowledge about cultural practices and principles can be combined with proven cessation support into a smoking cessation contest. The findings from this study are promising and further more rigorous testing is warranted.