There is a need for tailored smoking cessation programs specifically for Indigenous fathers who want to quit smoking.The aim of this study was to engage Indigenous men and key informants in guiding cultural adaptations to the Dads in Gear (DIG) cessation program. In Phase 1 of this qualitative participatory study, Indigenous men were engaged in group sessions and key informants in semistructured interviews to gather advice related to cultural adaptations to the DIG program. These data were used to guide the development of program prototypes. In Phase 2, the prototypes were evaluated with Indigenous fathers who were using tobacco (smoking or chewing) or were ex-users. Data were analyzed inductively. Recommendations for programming included ways to incorporate cultural values and practices to advance men's cultural knowledge and the need for a flexible program design to enhance feasibility and acceptability among diverse Indigenous groups. Men also emphasized the importance of positive message framing, building trust by providing "honest information," and including activities that enabled discussions about their aspirations as fathers as well as cultural expectations of current-day Indigenous men. That the Indigenous men's level of involvement with their children was diverse but generally less prescriptive than contemporary "involved fathering" discourse was also a key consideration in terms of program content. Strategies were afforded by these insights for meeting the men where they are in terms of their fathering-as well as their smoking and physical activity. This research provides a model for developing evidence-based, gender-specific health promotion programs with Indigenous men.

译文

:有必要专门针对希望戒烟的土著父亲制定戒烟计划。这项研究的目的是让土著男子和主要信息提供者指导适应Gads in Gear(DIG)戒烟计划的文化适应。在该定性参与性研究的第一阶段,土著男子参加小组会议,并在半结构化访谈中为关键信息提供者,以收集与DIG计划的文化适应相关的建议。这些数据被用来指导程序原型的开发。在第2阶段中,对使用烟草(吸烟或咀嚼)或曾经使用过烟草的土著父亲进行了原型评估。对数据进行归纳分析。方案拟议的建议包括纳入文化价值观和做法以增进男子的文化知识的方式,以及需要灵活的方案设计以提高不同土著群体的可行性和可接受性。男子还强调了积极信息框架的重要性,通过提供“诚实的信息”来建立信任,并包括使人们能够讨论他们作为父亲的愿望以及对当今土著男子的文化期望的活动。就节目内容而言,土著男子与子女的参与程度是多种多样的,但通常比当代的“涉入父亲教养”话语规定更少。这些见解提供了相应的策略,使他们能够在父亲,吸烟和体育锻炼方面满足他们所处的位置。这项研究提供了一个模型,用于与土著男子一起开发基于证据的,针对性别的健康促进计划。

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