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A Qualitative Investigation of the Application of Behaviour Modification to Group-Quitting for Māori and Pacific Smokers

Published online by Cambridge University Press:  05 May 2015

Linda Jones*
Affiliation:
School of Psychology, Wellington Campus, Massey University
Hauora Pacific
Affiliation:
School of Psychology, Wellington Campus, Massey University
Adrienne Donnelly
Affiliation:
School of Psychology, Wellington Campus, Massey University Ngati Porou
Cynthia Harneiss
Affiliation:
School of Psychology, Wellington Campus, Massey University Nga Puhi and Ngati Ruahine
Dot Warbrick
Affiliation:
School of Psychology, Wellington Campus, Massey University Te Arawa
Kerry Swinn
Affiliation:
School of Psychology, Wellington Campus, Massey University Ngati Kahungunu
Lillian Malosi
Affiliation:
School of Psychology, Wellington Campus, Massey University Samoa I Sisifo
Ngaruna Kapinga
Affiliation:
School of Psychology, Wellington Campus, Massey University Ngati Porou/Rongowhakāta/Tuwharetoa
Talau Tonga-Tuiloma
Affiliation:
School of Psychology, Wellington Campus, Massey University Tonga
*
School of Psychology, Wellington Campus, Massey University, New Zealand. E-mail: L.M.Jones@massey.ac.nz

Abstract

Hauora Pacific (HP), a research group for Māori and Pacific nursing students, explored the adaptation of a behaviour modification programme as a health promotion strategy and smoking cessation resource for Māori and Pacific people. Each of seven HP members, supported by a mentor from their family or church, conducted a focus group with about six participants of their own ethnicity. The focus groups met twice. Data were collected on smoking beliefs, and what might aid smoking cessation. In the second meeting, themes common to the seven focus groups from the first meetings were validated, and a draft behaviour modification workbook for “quitting in groups” was discussed and edited. The initial surprise for HP members was that their participants did not share the dominant discourse on health risks from smoking; nor did they want to be told they should quit. Participants framed smoking as a positive activity. Discussion highlighted the common belief that “quitting in groups” would not be a preferred way to stop smoking, linked to personal shame from an inability to stop smoking; and the potential for a group to be too judgmental or pressuring. Although some work on the adaptation of a behaviour modification resource for “quitting in groups” did occur, participants felt that much more Māori or Pacific input would be required to shift an essentially western approach to behaviour change, into something another culture could feel ownership of. Addiction was seen as the issue that had been least well addressed in the past, and participants believed that having more trained-and-available people would be their preferred health resource.

Type
Articles
Copyright
Copyright © University of Papua New Guinea and Massey University, New Zealand/Aotearoa 2004

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