iSISTAQUIT scale-up in Indigenous populations in Australia

Background

Health providers lack confidence, seldom provide assistance to help pregnant women quit or prescribe suitable pharmacotherapy. iSISTAQUIT (implementing Supporting Indigenous Smokers to Assist Quitting) is an evidence-based intervention co-designed with Aboriginal and Torres Strait Islander communities that provides free, online training in smoking cessation methods to health providers.

Aims

The main objectives of the proposed study are to perform a comprehensive assessment of scalability and readiness for iSISTAQUIT, and ultimately scale-up iSISTAQUIT Australia-wide.

Project plan

An adaptive trial design will be used to test different implementation strategies for iSISTAQUIT leading to roll-out of the optimal strategy nationally. The project will involve 6 stages:

Stage 1 (Scale-up analysis) will use a qualitative approach to explore systemic factors such as organisational readiness, barriers and facilitators for successful iSISTAQUIT scale up.
In Stage 2 (Variation designing), context-relevant strategies for implementing iSISTAQUIT will be designed and statistically modelled.
Stages 3 (Optimisation) and 4 (Roll-out and evaluation) will run concurrently and use an adaptive trial design to identify the best way/s to implement iSISTAQUIT into routine care, which will be then carried forward to full scale up. Interim analysis will be utilized to assess the best implementation strategy for iSISTAQUIT using the RE-AIM framework to evaluate the implementation impact across professional groups.
Stage 5 (Health Economic Assessment), Framework to Assess the Impact from Translational research (FAIT) will be used to comprehensively explore key economic, research translation and impact assessment questions.
The research is completed with a Stage 6 (Contextual factor analysis) to explore the overall success of the iSISTAQUIT implementation, barriers and facilitators via interviews, surveys and focus groups with stakeholders.

Publications and output

You can also visit the iSISTAQUIT project website for more information.

Principal investigators

Gillian Gould Southern Cross University, Australia

Team members

Brian Oldenburg Baker Institute, Australia
Tom Calma Kungarakan tribal group and Iwaidja tribal group, Australia
Marilyn Clarke Southern Cross University, Australia
Ratika Kumar University of Newcastle, Australia
Chris Doran Central Queensland University, Australia
Michelle Kennedy University of Newcastle, Australia
Chris Oldmeadow University of Newcastle, Australia
Faye McMillan University of New South Wales, Australia