welcome to the northern territory tis jurisdictional ......natsiss 2014 / 15 • the proportion of...
TRANSCRIPT
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Welcome to the
Northern Territory TIS
Jurisdictional Workshop
28/03/2018
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Welcome to Country
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Intro & Overview of
TIS ProgramProfessor Tom Calma
AO
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TIS NBPU NT Regional Workshop 2018
Smoking & Prevention
28 March 2018
Prof Tom Calma AO
National Coordinator Tackling Indigenous Smoking
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5
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63% < 30yo
46% < 20yo
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AIHW Australian Health Status Report 2014
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Risk of death to age 65, by Indigenous status, Australia 2010
Dead by age 65:
30% Indigenous Australians
9% non-IndigenousAustralians 0
10
20
30
40
0 10 20 30 40 50 60 70
Indigenous
Non-Indigenous
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Most common broad causes of death in Indigenous peoples
Broad causes of death
25%
20%
15%
9%
8%
6%
17%
Cardiovascular disease
Cancer
External causes
Endocrine, metabolic & nutritionaldisordersRespiratory diseases
Digestive diseases
Australian Institute of Health and Welfare 2015. The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples 2015. cat. No. IHW 147. Canberra: AIHW.
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Chronic Disease Risk Factors – 2012-13 (popn impact)
Aboriginal and Torres Strait Islander Health Performance Framework 2014 Report
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Aboriginal and Torres Strait Islander Smoking
Source: ABS Aboriginal and Torres Strait Islander Health Survey 2012-13*Data for non-Indigenous people are for 2011-12, from the Australian Health Survey 2011-13.
19.0
44.7
54.6
48.9 48.5
27.0
5.4
18.8
22.520.1 20.8
10.8
0.0
10.0
20.0
30.0
40.0
50.0
60.0
15-17 18-24 25-34 35-44 45-54 55 years and over
Aboriginal and Torres Strait Islander Non-Indigenous
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AIHW: Cancer in Aboriginal and Torres Strait Islander peoples of Australia An overview October 2013
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NATSISS 2014 / 15
• The proportion of Aboriginal and Torres Strait Islander children aged 0–14 years who were living in a household in which there was at least one daily smoker was 56.7% in 2014–15, down from 63.2% in 2008 (Table 8).
• About six in 10 (60.3%) Aboriginal and Torres Strait Islander people aged 15 years and over were living in a household in which there was at least one daily smoker in 2014–15 (Table 16), down from 67.5% in 2008.
• In 2014–15, the proportion of Aboriginal and Torres Strait Islander people aged 15 years and over who were daily smokers was 38.9%, down from 44.6% in 2008 and 48.6% in 2002. Between 2002 and 2014–15, there was a significant improvement in non-remote areas (down 11.4 percentage points) (Table 1).
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https://nacchocommunique.com/2018/01/19/naccho-aboriginal-heart-health-heartaust-nickysmessage-heart-disease-is-the-number-one-killer-of-aboriginal-and-torres-strait-islander-peoples/
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Lessons learnt
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The Tobacco Control Story
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What is the Tackling
Indigenous Smoking
initiative?
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National Indicators
1. Quality and reach of community engagement
2. Organisations involved in tobacco
reduction in the region
3. Building capacity to support quitting
4. Referrals to appropriate quitting support
5. Supporting smoke-free environments
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The New TIS Programme up to July 2018 • Grant Recipients (GR)
• Whole of service approach – population health + smoking cessation
• Greater discretion to GR – outcomes focused
• Smoking cessation and healthy lifestyle
• No healthy lifestyle funded
• NCTIS
• Quit Skills support & Quitline enhancement
• Dedicated TIS policy section at national office – amalgamated in March 2017 – Preventive Health & Renal Policy Section
• Grants Services Division - Health State Network (HSN)
• NBPU
• Evaluation Framework
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What is Tackling Indigenous Smoking initiative?
• National Coordinator Tackling Indigenous Smoking
• National Best Practice Unit
• Grants – 37 orgs funded (GRs) – national coverage
• Evaluation Framework……………………………………………………………………………………………………………………………………………………………………………….
• Quit skills training
• Quitline enhancement
• Targeted / Innovation projects – pregnant mothers, youth and remote
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Innovation Grants 2016/17The innovation projects have now commenced. The projects are as follows:
• Aboriginal Males Shedding the Smokes - Aboriginal Health Council of South Australia Inc.
• Growing a smoke-free story - Metro South Hospital and Health Service, Queensland Health
• The Top End Smoke-Free Spaces Project - Aboriginal Resource and Development Services Aboriginal
Corporation (ARDS)
• Smoking, Nutrition, Alcohol and Physical Activity ‘SNAP’ - National Drugs and Alcohol Research
Centre, University of New South Wales
• The Balaang and Binjilaang Aboriginal Women Tobacco Intervention Project - South Coast Women’s
Health & Welfare Aboriginal Corporation
• Growing the Smoke Free Generation - Northern Territory Department of Health
• Tackling Indigenous Smoking Innovation Grant Project - Western Australian Centre for Remote and
Rural Medicine Ltd
http://www.health.gov.au/internet/main/publishing.nsf/Content/indigenous-tis-innovation-grants
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NBPU initiated and supported initiatives
• HealthInfoNet TIS Portal
• NBPU TIS website
• Social media accounts
• Mailing list/ register protocols
• eNews
• Promotion strategy
• Performance monitoring, analysis and reporting systems in association with program evaluators
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Engagement with grant recipients and other stakeholders and disseminating evidence and information on best practice for the
TIS program
NBPU TIS team works with grant recipients to discuss
• Priorities for NBPU TIS organisational support and workforce
development including developing and implementing local performance
indicators
• Existing systems for data collection and reporting
• Process and timing for reviewing grant recipient action plans
• Tackling Indigenous Smoking Resource and Information Centre – Prev
called National Operational Guidelines see Portal
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Leveraging the mainstream
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Targeted sports
social media
campaigns
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AIHW Australian Health Status Report 2014
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Information Booths reach
the community especially if associated
with activities
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… the estimated discarded waste from global
cigarette consumption in 2014 could be
anywhere between 340–680 million kg. is does
not include the weight of remnant tobacco and
other by-products of the discarded waste.
… other waste products associated with
tobacco use such as the 2 million tonnes of
paper, ink, cellophane, foil and glue that are
used in tobacco product packaging.
… standard toxicity assessment protocols to
show that cigarette butts soaked in either fresh
or salt water for 96 hours have a lethal
concentration that killed half the exposed test fish.
http://apps.who.int/iris/bitstream/handle/10665/255574/9789241512497-
eng.pdf;jsessionid=458B1BF6595E38BD6A465E1BD445B085?sequence=1
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What do we need to focus on?
• Evaluation findings
• Demonstrate reach
• Demonstrate impact
• Demonstrate community buy-on
• Demonstrate responsiveness and resilience
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http://www.naccho.org.au/member-services/www-what-where-when-in-aboriginal-health/
NACCHO140+ member orgs
TIS37 Grant Recipients
Other providersClinicalPop Health teamsNGOs
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Do services cover the State/ Territories?
• The TIS Program is considered a national program.
• Funding is not just to support the GR Organisation but a geographic region sometimes covering multiple ACCHO regions
Map is not complete and is displayed to seek inputs from GRs to confirm service areas
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Quick Runs
• Smoke free workplaces
• Local events
• Commonwealth, State / Territory & Local Politicians
• Media engagement
• Uploading to the TIS Portal
• Contracting / engaging support to achieve outcomes
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ORIC Yearbook 2015/16
Pg 17
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Tackling Indigenous Smoking Programme 2018 - 22
http://www.health.gov.au/internet/main/publishing.nsf/Content/indigenous-tis-lp
• We must learn from past experience
• We must gather the evidence as we deliver our services
• We must perform – strategically and regionally
• We must report accurately and timely
• We must leverage the support of the community, NGOs
and other stakeholders including States/ Territory and
local Govts
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What works?
• Community involvement and engagement
• Adequate resourcing, and planned and comprehensive interventions
• Respect for language and culture
• Working together through partnerships, networks and shared leadership
• Development of social capital
• Commitment to doing projects with, not for, Indigenous people
• Creative collaboration which builds bridges between public agencies
and the community and coordination between communities, non-
government and government to prevent duplication of effort
• Understanding that issues are complex and contextual
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What doesn’t work
• One size fits all approaches
• Lack of collaboration (which can result in inaccessible services)
• External authorities imposing change and reporting requirements
• Interventions without local Indigenous community control and culturally appropriate adaptation
• Short-term one-off funding, piecemeal interventions, provision of services in isolation and failure to develop Indigenous capacity to provide services
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Health
infoNet
TIS
Portal
http://aodknowledg
ecentre.net.au/aod
kc/aodkc-
tobacco/tackling-
indigenous-
smoking
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Partner support
then National Aboriginal Community Controlled Health Organisation (NACCHO) Chair, Justin Mohammed said:
We’re only at the beginning of the journey to close the gap in life expectancy by 2030. We can’t turn back now because closing the gap needs long-term commitment and policy continuity. Aboriginal and Torres Strait Islander health in our hands is having an impact and we must keep supporting our people to deliver their own health outcomes.31
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Aboriginal and Torres Strait Islander Smoking
Source: ABS Aboriginal and Torres Strait Islander Health Survey 2012-13
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Current Smokers Ex-smokers Never smokers
2002 2008 2012-13
Current Closing the GapTarget of halving the 2008 smoking rate by 2018
COAG 2018 target
39% NATSISS 2014/15
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• Central to the model is the long delay between smoking and its associated
cancer mortality; even when the prevalence of smoking begins to decline, smoking-
attributable mortality continues to increase, reflecting the smoking behaviours of up
to three decades earlier.3,4
• The burden of tobacco-related cardiovascular disease is likely to continue to
decline in the short term as smoking prevalence continues to decline. The burden
of tobacco-related cardiovascular diseases among Indigenous people decreased
between 2003 and 2011, while the burden of tobacco-related cancer and
respiratory disease increased.1
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Stability and impactful
The revamped TIS program will:
• Continue the successful Regional
Tobacco Control grants scheme including
school and community education, smoke-
free homes and workplaces and quit
groups
• Expand programs targeting pregnant
women and remote area smokers
• Enhance the Indigenous quitline service
• Support local Indigenous leaders and
cultural programs to reduce smoking
• Continue evaluation to monitor the
efficiency and effectiveness of individual
programs, including increased regional
data collection "
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Extract from letter that went Grant Recipients
For the TIS program going forward, there will be specific requirements for TIS organisations, namely all will be required to:
• prioritise evidence-based population health approaches with maximum reach within their identified TIS region;
• ensure that Indigenous people who do not attend Aboriginal Community Controlled Health Services (ACCHS) or Aboriginal Medical Services (AMS’) are targeted and reached; and
• provide evidence of how their primary health care funding (where provided by the Commonwealth) is being used to complement TIS activities as part of a larger mix of tobacco cessation interventions.
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Population Health
approach
http://cbpp-pcpe.phac-aspc.gc.ca/population-health-approach-organizing-framework/
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http://www.who.int/campaigns/no-tobacco-day/2018/en/
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https://www.humanrights.gov.au/our-work/race-discrimination/projects/national-anti-racism-strategy-and-racism-it-stops-me-campaign
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“From self respect comes dignity;
from dignity comes hope; and
from hope comes resilience”
The Pledge is: As a citizen of the world
community, I stand with the United Nations
against Racism, Discrimination and Intolerance of
any kind.
Throughout my life I will try to promote equality,
justice and dignity among all people, in my home,
my community and everywhere in the world.
United Nations Pledge against Racism December 2001
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NBPU TIS UpdateDesley Thompson
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Acknowledgement of the Larrakia people, traditional
owners, custodians of the land on which we meet.
I pay respect to Elders, past and present and future and
also acknowledge Elders we have here today.
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➢ The NBPU has developed a strong and supportive
relationship with TIS organisations
➢ Established the NBPU TIS Advisory Group
➢ We have held a series of well-attended and highly successful
TIS Jurisdictional Workshops
➢ We provided intensive support to some organisations and we
responded to the identified needs of TIS organisations by
providing specific monitoring and evaluation workshops
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➢ We work closely with the National Co-ordinator TIS,
Professor Tom Calma AO
➢ Introduced Leadership Workshops
➢ Since its launch in early August 2016, the TIS Portal has
become an important and well-regarded source of
evidence-based information and support for TIS
organisations
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The TISRIC
The Tackling Indigenous Smoking Resource and Information Centre is the central section of the portal for grant recipients to access specific content on tackling smoking
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Planning
Covers:• Identifying and describing the problem• Developing a strategy• What is a multi-component approach to TIS?• A systems approach to tackling smoking.
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Activities that workCommunity health promotion activities:• Smoke-free• Mass media/social marketing• Social media and social networking• Mothers and babies• Adolescence/school based activities
Individual level activities:• Pharmacology• Brief intervention• Counselling• Quitline• Using physical activity to enhance quit
rates• Cold turkey
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Resources that work
Provides TIS workers with tools and resources to plan and support their tobacco control activities
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Tools and resources to support activities that work
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Does your program work?
A central hub for information on monitoring and evaluation, with three sections on:• Monitoring and evaluating
your project• TIS evaluation• Monitoring and evaluation
methods.
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Evaluation
Includes key information from the Department of Health and CIRCA around monitoring and evaluation.
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Other portal sections
Training, Organisations, Funding and Job opportunities
Listing of events from across Australia
Series of health promotion videos on smoking cessation
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*Session refers to a period of time that a user is actively engaged with the website
THE TACKLING INDIGENOUS SMOKING PORTAL
http://www.aodknowledgecentre.net.au/aodkc/aodkc-tobacco/tackling-indigenous-smoking
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*Session refers to a period of time that a user is actively engaged with the website
Future Directions for the NBPU TIS
Continue to support GRs
Workshops:• Jurisdictional Workshops • National Workshop• Leadership Workshops
Negotiate contract with Department of Health
National TIS Team Workshop
Await direction from Department of Health
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Desley ThompsonManager – NBPU TIS7 Hackney RoadAdelaide SA 5069Phone: 08 8211 0430Mobile: 0491 217 151Email: [email protected]: desley113
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Morning Tea
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Monitoring &
Evaluation 1:
FoundationSteve Fisher
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Measuring Local Change(or generating evidence from our work)
Northern Territory Workshop28th March 2018
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Three parts to this work….
1. Foundations
2. TIS activities
3. Developing our skills
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On 10th February 2018, The Age and the Sydney Morning Herald reported:
Lena-Jean Charles-Loffel, who leads a Victorian Aboriginal Health Service anti-smoking initiative, runs sessions every Friday at Yappera Children's Services. They include reading, games and an Aboriginal super hero called Deadly Dan to educate kids on the dangers of smoking.
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“It's important to target the younger generation because they are going to be our best smoke-free ambassadors not just because of the choices they can make when they are older but because they are having an influence on the people around them," Ms Charles-Loffel said.
A recent focus group conducted by her organisation had found families in the local community had gone completely smoke-free because of the influence of their children spreading the word.
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Purpose
To be an interactive session that enables us to practise and learn from each other about:
1. Methods for generating evidence in TIS work
2. What works best
3. How we can apply the methods in our work
4. How we can improve
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Three parts to this work….
1. Foundations
2. TIS activities
3. Developing our skills
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Steps for measuring change
Consider
National
Indicators
Develop
Action Plan
Work out
local
measures
Decide on methods
Collect data
What do
we want to
measure?
How do we
want to
measure it?
Then
analyse and
present it
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Data collection methodsMethod Remarks
Surveys, including online and social media
Flexible, adaptable but questions
need care
Case studies (eg. stories of reducing and quitting)
People-centred, based on
relationships
Focus groups (eg. school students or mums and bubs)
In-depth and enables opinions and
subtle changes to be picked up
Interviews (eg. council workers, AHWs, school principals)
Enables a community focus
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Choosing and combining methods
Data that tells a story
Quantitative
Numbers that tell us a little about a
lot of people
Qualitative
Conversation that tells us a lot about a few
people
Focus group at parent support
meeting
Small sample size and reach, but rich
data
Survey about smoke-free homes
Large sample size and reach, but gives limited information
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Using research methods
• Surveys
• Interviews
• Focus groups
• Case studies
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Focus Groups
• Small samples
• Enable variety of questions and exploration of answers
• Rich, complex data
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Challenges
Advice & Information
InfluencesServices
Actions
Mind MapQuitting SmokingSocialising
Smokos
Breaking habits
Quitline
TIS Worker
GP
Media
Shared stories Internet Resources
Enjoyment
Cost
Health
Reduction
Portion control
Nicotine Replacement
Therapy
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River of time method for focus group discussions
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Surveys
• Reach (and require) large samples
• Limited exploration of answers
• Simple to analyse, but limited data
• Can be done online and via social media (i.e. Survey Monkey)
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Interviews
• Very small samples
• Very rich data
• Time intensive
• Can be done via phone/skype
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Case Studies
• Examine stories, e.g.
• Individuals who have quit
• Homes becoming smoke-free
• Workplaces staying smoke-free
• Partnerships and networks
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Developing research questions
Target questions to gain information that is hard to gather from quantitative data:• How?• Why?
Answer questions of:• How many?• How often?• How much?
Useful for comparison
Mixed methods
Both reach and detail
Quantitative
Numbers that tell us a little about a
lot of people
Qualitative
Conversation that tells us a lot about a few
people
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Reminder of the three parts to this work….
1. Foundations
2. TIS activities
3. Developing our skills
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What TIS activities do we do?
Let’s get some examples and then work out how best to measure the results of those.
ACTIVITIES: USING DATA COLLECTION METHODS TO SUIT DIFFERENT SETTINGS
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Let’s do some practice sessions for these methods:
• Surveys
• Interviews
• Focus groups
• Case studies
The TIS Portal has downalodable guides as well as short videos showing examples.
SKILLS: USING DATA COLLECTION METHODS TO SUIT DIFFERENT SETTINGS
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Summary comments on data collection methods
Thinking about your local TIS program, what are the pros and cons of each method?
Method Remarks
Surveys, including online and social media
Flexible, adaptable but questions need
care
Case studies (eg. Janine’s story of reducing and quitting)
People-centred, based on relationships
Focus groups (eg. school students or mums and bubs)
In-depth and enables opinions and
subtle changes to be picked up
Interviews (eg. council workers, AHWs, school principals)
Enables a community focus
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Any questions and further discussion
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Lunch
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Quitline and Cancer
Council SA UpdatesNathan Rigney
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What is Quitline?
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Information, support and counselling
Quitline counsellors
• Trained counsellors, focus on Motivational Interviewing
• Up to date knowledge of smoking cessation
pharmacotherapy
Cost of a local call
(higher for mobiles, we can call you back)
Counsellors available from (-1hr for SA daylight savings)
8:30am – 8pm weekdays
2 – 5pm Saturdays
Register with the Quitline
quitlinent.org.au
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Why refer to Quitline?
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NT referrals
Since July 1st 2017
Aboriginal and Torres Strait Islander
Active 5
Self/verbal 17
Total 22 (out of 126)
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Quitline is effective1,2,3
Quit rates higher for those using Quitline
12mth quit rates 31.7% compared to 16.4% control4
Referral to Quitline is ‘Best Practice’ in smoking
cessation management (RACGP Smoking Cessation Guidelines 2011)
Referral to Quitline fulfils PBS authority when
prescribing smoking cessation pharmacotherapies
1 Stead, Lindsay; Perera, Rafael; Lancaster, Tim (2009) Telephone Counselling for Smoking Cessation, The Cochrane Library
2 Zhu, S-H, Anderson, C., Tedeschi, G.J., Rosbrook, B., Johnson, C., Byrd, M., et al. Evidence of real-world effectiveness of a telephone
quitline for smokers. N Eng J Med. 2002 3 October; 347 (14): 1087-93.
3 Borland, R., Segan, C., Livingston, P., Owen, N. The effectiveness of callback counselling for smoking cessation: a randomised
trial. Addiction. 2001; 96:881-9
4 TCRE Quitline SA Evaluation Dec 2012
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We have the time to talk to your clients and follow up
with ongoing support!
Proactive call back: a counsellor calls your client
Calls can be scheduled in the planning stages of quit
attempt
Receive feedback – tick ‘yes to reports’ on the referral
form
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Quitline Enhancement Model
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Quitline Enhancement
• Support for Health Professionals and
maintaining an ongoing work relationship
• 6 x unsuccessful call attempts
• Case management (if preferred)
• Attending community events
• Providing community based ‘Yarning Sessions’
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Talking about the Smokes
The survey interviewed a nationally representative sample of
2522 Aboriginal and Torres Strait Islander people from 35
locations, including 1643 smokers (1392 daily smokers)
• 70% of smokers wanted to quit
• 48% of daily smokers had made a quit attempt in the last year.
• 47% of daily smokers who had made an attempt in the last five years
had sustained an attempt for at least one month
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SAHMRI survey of health professionals
Barriers and facilitators to referring to Quitline
Of 56 Health Professionals invited to participate in the survey
33 responded with the following results.
• Promote active referrals
• Promote brief interventions
• Promote Quitline (particularly that Quitline can initiate)
• Continue to visit Health Services
• Continue to train Health Professionals
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How to refer to Quitline
• Online referral through Quitline NT website
quitlinent.org.au
Click on ‘I’m a Health Professional’
• Faxed Quitline referral form
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How do I refer someone to Quitline?
Click on
‘I’m a health professional’
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How do I refer someone to Quitline?
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Online Quitline Referral Form
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What will Quitline talk about?
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The three aspects of smoking
PhysicalNicotine
addiction
BehaviouralHabits/triggers
EmotionalTriggers
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Narrative Therapy
• A client-centred counselling approach
• Acknowledges client as the expert
• Views the problem as the problem, not the
person
• Supports client to identify skills, knowledge and
experience to overcome issues
• Takes into account context of family, culture and
community
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Motivational Interviewing
“Motivational interviewing is a collaborative
conversation to strengthen a person’s own
motivation for and commitment to change”
Miller & Rollnick (2009)
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Talking about Smoking
• Ask permission to talk about smoking
• Ask how your client feels about smoking at the
moment
Elicit more change talk and acknowledge sustain talk
• Ask about previous quit attempts – what has worked
in the past?
• Leave the next step to the client
Offer referral to Quitline
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Afternoon Tea
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Department of
Health
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Wrap-up &
Closing Remarks
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TIS NBPU NT Regional Workshop 2018
Round-up
28 March 2018
Prof Tom Calma AO
National Coordinator Tackling Indigenous Smoking
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National Indicators
1. Quality and reach of community engagement
2. Organisations involved in tobacco
reduction in the region
3. Building capacity to support quitting
4. Referrals to appropriate quitting support
5. Supporting smoke-free environments
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What do we need to focus on?
• Evaluation findings
• Demonstrate reach
• Demonstrate impact
• Demonstrate community buy-on
• Demonstrate responsiveness and resilience
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Do services cover the
State/ Territories?
• The TIS Program is
considered a national
program.
• Funding is not just to
support the GR
Organisation but a
geographic region
sometimes covering
multiple ACCHO regions
Map is not complete and is
displayed to seek inputs from
GRs to confirm service areas
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Quick Runs
• Smoke free workplaces
• Local events
• Commonwealth, State / Territory & Local
Politicians
• Media engagement
• Uploading to the TIS Portal
• Contracting / engaging support to achieve
outcomes
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ORIC
Yearbook
2015/16
Pg 17
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Targeted sports
social media
campaigns
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Tackling Indigenous Smoking Programme 2018 - 22
http://www.health.gov.au/internet/main/publishing.nsf/Content/indigenous-tis-lp
• We must learn from past experience
• We must gather the evidence as we deliver our services
• We must perform – strategically and regionally
• We must report accurately and timely
• We must leverage the support of the community, NGOs
and other stakeholders including States/ Territory and
local Govts
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Research and Evaluations
• Surveys
• Case Studies
• Interviews
• Focus Groups
Templates on the Portal
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Stability and impactful
The revamped TIS program will:
• Continue the successful Regional
Tobacco Control grants scheme including
school and community education, smoke-
free homes and workplaces and quit
groups
• Expand programs targeting pregnant
women and remote area smokers
• Enhance the Indigenous quitline service
• Support local Indigenous leaders and
cultural programs to reduce smoking
• Continue evaluation to monitor the
efficiency and effectiveness of individual
programs, including increased regional
data collection "
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Population
Health
approach
http://cbpp-pcpe.phac-
aspc.gc.ca/population-health-
approach-organizing-framework/
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Grant Agreement negotiations for 2018-22
… this letter does not constitute an offer of
funding. A formal offer by the Commonwealth
is subject to successful negotiations of a
funding agreement and no legal obligations
shall arise unless and until a funding
agreement is signed by the Commonwealth.
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Grant Agreement negotiations for 2018-22
For the TIS program going forward, there will be specific
requirements for TIS organisations, namely all will be required to:
• prioritise evidence-based population health approaches with
maximum reach within their identified TIS region;
• ensure that Indigenous people who do not attend Aboriginal
Community Controlled Health Services (ACCHS) or Aboriginal
Medical Services (AMS’) are targeted and reached; and
• provide evidence of how their primary health care funding
(where provided by the Commonwealth) is being used to
complement TIS activities as part of a larger mix of tobacco
cessation interventions.
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…negotiations will be based on a range of
information including:
• the above requirements;
• the IAHP Programme Guidelines;
• the TIS program evaluation (2015-16 to 2017-
18); and
• TIS organisations’ performance reports to the
Department.
Grant Agreement negotiations for 2018-22