Exploring an adapted Risk Behaviour Diagnosis Scale among Indigenous Australian women who had experiences of smoking during pregnancy: a cross-sectional survey in regional New South Wales, Australia

Gillian Sandra Gould; Michelle Bovill; Simon Chiu; Billie Bonevski; Christopher Oldmeadow

doi:10.1136/bmjopen-2016-015054

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Exploring an adapted Risk Behaviour Diagnosis Scale among Indigenous Australian women who had experiences of smoking during pregnancy: a cross-sectional survey in regional New South Wales, Australia

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Exploring an adapted Risk Behaviour Diagnosis Scale among Indigenous Australian women who had experiences of smoking during pregnancy: a cross-sectional survey in regional New South Wales, Australia

Gillian Sandra Gould, Michelle Bovill, Simon Chiu, Billie Bonevski and Christopher Oldmeadow

BMJ Open, Vol.7(5), e015054

05/2017

DOI: https://doi.org/10.1136/bmjopen-2016-015054

PMCID: PMC5729996

PMID: 28566365

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Abstract

ObjectivesExplore Aboriginal women’s responses to an adapted Risk Behaviour Diagnosis (RBD) Scale about smoking in pregnancy.Methods and designAn Aboriginal researcher interviewed women and completed a cross-sectional survey including 20 Likert scales.SettingAboriginal Community Controlled Health Services, community groups and playgroups and Aboriginal Maternity Services in regional New South Wales, Australia.ParticipantsAboriginal women (n=20) who were pregnant or gave birth in the preceding 18 months; included if they had experiences of smoking or quitting during pregnancy.Primary and secondary outcome measuresPrimary outcomes: RBD constructs of perceived threat and perceived efficacy, dichotomised into high versus low. Women who had quit smoking, answered retrospectively. Secondary outcome measures: smoking status, intentions to quit smoking (danger control), protection responses (to babies/others) and fear control responses (denial/refutation). Scales were assessed for internal consistency. A chart plotted responses from low to high efficacy and low to high threat.ResultsRBD Scales had moderate-to-good consistency (0.67–0.89 Cronbach’s alpha). Nine women had quit and 11 were smoking; 6 currently pregnant and 14 recently pregnant. Mean efficacy level 3.9 (SD=0.7); mean threat 4.3 (SD=0.7). On inspection, a scatter plot revealed a cluster of 12 women in the high efficacy-high threat quadrant—of these 11 had quit or had a high intention of quitting. Conversely, a group with low threat-low efficacy (5 women) were all smokers and had high fear control responses: of these, 4 had low protection responses. Pregnant women had a non-significant trend for higher threat and lower efficacy, than those previously pregnant.ConclusionFindings were consistent with a previously validated RBD Scale showing Aboriginal smokers with high efficacy-high threat had greater intentions to quit smoking. The RBD Scale could have diagnostic potential to tailor health messages. Longitudinal research required with a larger sample to explore associations with the RBD Scale and quitting.

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Title: Exploring an adapted Risk Behaviour Diagnosis Scale among Indigenous Australian women who had experiences of smoking during pregnancy: a cross-sectional survey in regional New South Wales, Australia
Creators: Gillian Sandra Gould - Centre for Brain and Mental Health Research, School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, New South Wales, Australia
Michelle Bovill - Centre for Brain and Mental Health Research, School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, New South Wales, Australia
Simon Chiu - Clinical Research Design, Information Technology and Statistical Support, Hunter Medical Research Institute, / Kookaburra Circuit, New South Wales, Australia
Billie Bonevski - Centre for Brain and Mental Health Research, School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, New South Wales, Australia
Christopher Oldmeadow - Clinical Research Design, Information Technology and Statistical Support, Hunter Medical Research Institute, / Kookaburra Circuit, New South Wales, Australia
Publication Details: BMJ Open, Vol.7(5), e015054
Publisher: B M J Group
Identifiers: 991012958099702368
Copyright: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

Exploring an adapted Risk Behaviour Diagnosis Scale among Indigenous Australian women who had experiences of smoking during pregnancy: a cross-sectional survey in regional New South Wales, Australia

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