Indigenous counselling and nicotine (ICAN) Quit in pregnancy: developing an evidence-based intervention for smoking cessation for indigenous pregnant women

Yael Bar-Zeev, Michelle Bovill, Billie Bonevski, Gillian Gould

Research output: Contribution to journalMeeting Abstractpeer-review


Background: Smoking prevalence among Indigenous pregnant women is four times the rate in non-Indigenous women (49% vs.12%). An evidence practice gap exists in evidence-based primary care approaches for Indigenous pregnant smokers. Aims: To develop a culturally appropriate intervention to improve the provision of evidence-based smoking cessation care to pregnant women attending Aboriginal Community Controlled Health Services (ACCHS). The presentation will discuss the collaborative development of the intervention and the protocol. Methods: We developed a culturally competent evidence-based guide for smoking cessation care specific to Indigenous maternal smokers, with a multi-component intervention called ICAN QUIT in Pregnancy. The approach aims to empower women and involve them in shared decision making, using ABCD (Ask, Brief intervention, Cessation, and Discuss the psychosocial context), and recommends the expedited use of nicotine replacement therapy. The resources for provider training and clients were collaboratively developed with ACCHS in Hunter New England. The intervention, including provider training, will be pilot tested, and then a cluster randomised controlled trial will determine the efficacy of the ICANQUIT approach. Primary outcomes will be provider practices relating to an offer of NRT to Indigenous pregnant women (measured by audit of NRT prescription). Secondary outcomes will be mean scores on client checklists of care they received, and items of smoking cessation care recorded on client notes. Results: The outcomes of the collaborative development of the intervention will be discussed. The pilot study is planned to commence in2016.Conclusions: Evidence-based smoking cessation interventions have not yet been effectively translated into the maternal Indigenous context. The authors aim to meet a vital need to improve the provision of culturally competent best-practice approaches by training and supporting ACCHS, GPs and multidisciplinary teams. Translational research aspect: If successful the approach could be scaled up and potentially standardise the care of Indigenous maternal smokers.
Original languageEnglish
Article numberPP12
Pages (from-to)8-9
Number of pages2
JournalAsia-Pacific Journal of Clinical Oncology
Issue numberS5
Publication statusPublished - Dec 2015
Externally publishedYes


  • Indigenous pregnant women
  • Health Services
  • Aboriginal Community


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