{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T22:26:36Z","timestamp":1787610396821,"version":"build-2736575974"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R21CA261078"],"award-info":[{"award-number":["R21CA261078"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01MD014795"],"award-info":[{"award-number":["K01MD014795"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Innovative smoking cessation approaches that overcome barriers such as traveling to program site or that require the staff and infrastructure for sustaining are likely needed to improve smoking quit rates among American Indian (AI) peoples in the United States. In this study, qualitative methods identified recommendations from AI peoples to guide alignment of an evidence-based smoking cessation smartphone app (i.e., QuitGuide) to the culture and needs of AI persons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi-structured interviews were conducted with AI adults who smoke (n = 40) and with public health professionals (n = 6). Questions included: \u201cThe app asks if something triggered you to slip and lists several options. What options were you expecting to see on this list?\u201d as well as how to make the app more engaging such as \u201cWhat would make the app more helpful for AI peoples, like you, who want to quit smoking?.\u201d Constant comparative techniques were used to develop codes and themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Loss, grief, and not accessing traditional tobacco were put forward as smoking triggers to be addressed in the app. Features that help users connect with and learn about AI cultures and promote healing, such as encouraging traditional tobacco use, being in community, embracing Native spirituality, and participating in cultural crafting were recommended. Some noted the need to motivate AI peoples to think about legacy and ability to care for younger generations and Indigenizing the app with Native imagery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Themes pointed towards promotion of strengths-based factors, such as healing, cultural connectedness and traditional tobacco use, in the app.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications<\/jats:title><jats:p>Results will be used to culturally align a smartphone app for smoking cessation among AI peoples and may be insightful for other tribal, federal, and state public health efforts aimed at advancing health equity for AI peoples.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ntr\/ntad142","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T20:11:01Z","timestamp":1690920661000},"page":"39-45","source":"Crossref","is-referenced-by-count":8,"title":["American Indian Perspectives on Culturally Aligning a Digital Smoking Cessation Resource"],"prefix":"10.1093","volume":"26","author":[{"given":"Chelsea","family":"Cooley","sequence":"first","affiliation":[{"name":"American Indian Cancer Foundation , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyatt","family":"Pickner","sequence":"additional","affiliation":[{"name":"American Indian Cancer Foundation , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Widome","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota School of Public Health , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Jennings","sequence":"additional","affiliation":[{"name":"Sigurd Olsen Environmental Institute, Northland College , Ashland, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony","family":"Stately","sequence":"additional","affiliation":[{"name":"Native American Community Clinic , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley B","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Psychology, Oklahoma State University , Stillwater, OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Cash","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health , Saint Paul, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Dorr","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Hennepin Healthcare Research Institute; University of Minnesota Medical School , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Hernadez","sequence":"additional","affiliation":[{"name":"Minnesota Cancer Clinical Trials Network , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1108-2609","authenticated-orcid":false,"given":"Dorothy","family":"Hatsukami","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Businelle","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center, University of Oklahoma Health Sciences Center , Oklahoma City, OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4334-9515","authenticated-orcid":false,"given":"Dana Mowls","family":"Carroll","sequence":"additional","affiliation":[{"name":"Division of Environmental Health Sciences, University of Minnesota School of Public Health , Minneapolis, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"issue":"7","key":"2023122114163282000_CIT0001","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.2105\/AJPH.2016.303125","article-title":"Why the world will never be tobacco-free: reframing \u201ctobacco control\u201d into a traditional tobacco movement","volume":"106","author":"Boudreau","year":"2016","journal-title":"Am J Public Health."},{"issue":"13","key":"2023122114163282000_CIT0002","doi-asserted-by":"crossref","first-page":"7708","DOI":"10.3390\/ijerph19137708","article-title":"Tribal tobacco use project II: Planning, implementation, and dissemination using culturally relevant data collection among American Indian communities","volume":"19","author":"Roland","year":"2022","journal-title":"Int J Environ Res Public Health."},{"issue":"11","key":"2023122114163282000_CIT0003","first-page":"10905","article-title":"Environmental protection in Indian country: The fundamentals","volume":"47","author":"Harris","year":"2017","journal-title":"Envtl L Rep News Analysis"},{"key":"2023122114163282000_CIT0004","doi-asserted-by":"crossref","first-page":"534","DOI":"10.15585\/mmwr.mm6521a2","article-title":"Cigarette smoking among urban American Indian adults\u2014Hennepin and Ramsey Counties, Minnesota, 2011","volume":"65","author":"Forster","year":"2016","journal-title":"Morb Mortal Wkly Rep"},{"issue":"1","key":"2023122114163282000_CIT0005","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/00952990.2021.1977310","article-title":"Racial\/ethnic group comparisons of quit ratios and prevalences of cessation-related factors among adults who smoke with a quit attempt","volume":"48","author":"Carroll","year":"2021","journal-title":"Am J Drug Alcohol Abuse."},{"issue":"Suppl 1","key":"2023122114163282000_CIT0006","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1080\/14622200601083426","article-title":"Beliefs and experiences regarding smoking cessation among American Indians","volume":"9","author":"Burgess","year":"2007","journal-title":"Nicotine Tob Res."},{"issue":"1","key":"2023122114163282000_CIT0007","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1093\/ntr\/ntt111","article-title":"Designing and evaluating culturally specific smoking cessation interventions for American Indian communities","volume":"16","author":"Fu","year":"2014","journal-title":"Nicotine Tob Res."},{"issue":"5","key":"2023122114163282000_CIT0008","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.amepre.2016.05.021","article-title":"All nations breath of life: A randomized trial of smoking cessation for American Indians","volume":"51","author":"Choi","year":"2016","journal-title":"Am J Prev Med."},{"issue":"6","key":"2023122114163282000_CIT0009","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1177\/0011000014542601","article-title":"Culturally-tailored smoking cessation for adult American Indian smokers: A clinical trial","volume":"42","author":"Smith","year":"2014","journal-title":"Couns Psychol"},{"issue":"2","key":"2023122114163282000_CIT0010","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1007\/s13142-017-0492-2","article-title":"A systematic review of smartphone applications for smoking cessation","volume":"7","author":"Haskins","year":"2017","journal-title":"Transl Behav Med"},{"key":"2023122114163282000_CIT0011","article-title":"Common platforms and devices used to access news about Native Americans","author":"Schlichting","year":"2016"},{"key":"2023122114163282000_CIT0012","volume-title":"Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline","author":"Fiore","year":"2008"},{"issue":"4","key":"2023122114163282000_CIT0013","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1093\/ntr\/ntab213","article-title":"Efficacy and utilization of smartphone applications for smoking cessation among American Indians and Alaska natives: Results from the iCanQuit trial","volume":"24","author":"Santiago-Torres","year":"2021","journal-title":"Nicotine Tob Res."},{"key":"2023122114163282000_CIT0014","volume-title":"Focus Groups: A Practical Guide for Applied Research","author":"Krueger","year":"2014"},{"issue":"2","key":"2023122114163282000_CIT0015","doi-asserted-by":"crossref","first-page":"236","DOI":"10.15288\/jsa.2006.67.236","article-title":"Traditional practices, traditional spirituality, and alcohol cessation among American Indians","volume":"67","author":"Stone","year":"2006","journal-title":"J Stud Alcohol."},{"issue":"3-4","key":"2023122114163282000_CIT0016","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1023\/B:AJCP.0000027000.77357.31","article-title":"Conceptualizing and measuring historical trauma among American Indian people","volume":"33","author":"Whitbeck","year":"2004","journal-title":"Am J Community Psychol."},{"issue":"4","key":"2023122114163282000_CIT0017","doi-asserted-by":"crossref","first-page":"409","DOI":"10.15288\/jsa.2004.65.409","article-title":"Discrimination, historical loss and enculturation: culturally specific risk and resiliency factors for alcohol abuse among American Indians","volume":"65","author":"Les Whitbeck","year":"2004","journal-title":"J Stud Alcohol."},{"issue":"7","key":"2023122114163282000_CIT0018","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.2105\/AJPH.2012.301062","article-title":"Associations between health literacy and established predictors of smoking cessation","volume":"103","author":"Stewart","year":"2013","journal-title":"Am J Public Health."},{"issue":"8","key":"2023122114163282000_CIT0019","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1111\/j.1525-1497.2006.00532.x","article-title":"Brief report: Screening items to identify patients with limited health literacy skills","volume":"21","author":"Wallace","year":"2006","journal-title":"J Gen Intern Med."},{"issue":"1","key":"2023122114163282000_CIT0020","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1093\/ntr\/ntr137","article-title":"Determinants of tobacco use and renaming the FTND to the Fagerstr\u00f6m test for cigarette dependence","volume":"14","author":"Fagerstr\u00f6m","year":"2011","journal-title":"Nicotine Tob Res."},{"key":"2023122114163282000_CIT0021","first-page":"0920","volume-title":"Health Message Testing System Question Bank","author":"Strategic and Proactive Communication Branch, Division of Communication Services, Office of the Associate Director for Communication","year":"2011"},{"key":"2023122114163282000_CIT0022","article-title":"Initial mixed-methods findings from a smartphone based smoking cessation app with American Indian adults in Oklahoma","volume-title":"Society for Psychological Anthropology [Paper Presentation}.","author":"Cole","year":"2021"},{"key":"2023122114163282000_CIT0023","doi-asserted-by":"crossref","DOI":"10.4324\/9780203793206","volume-title":"Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser","year":"2017"},{"issue":"6","key":"2023122114163282000_CIT0024","first-page":"398","article-title":"Native pathways to health: A culturally grounded and asset-based CBPR project exploring the health of North Carolina\u2019s American Indian communities","volume":"82","author":"Irby","year":"2021","journal-title":"N C Med J."},{"issue":"1","key":"2023122114163282000_CIT0025","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/0020872810369119","article-title":"The case for asset-based interventions with Indigenous peoples: Evidence from Hawai\u2018i","volume":"54","author":"Rothwell","year":"2011","journal-title":"Int Soc Work"},{"key":"2023122114163282000_CIT0026","author":"Centers for Disease Control and Prevention","year":"2020"},{"issue":"4","key":"2023122114163282000_CIT0027","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1080\/02791072.2011.628913","article-title":"Historical trauma among Indigenous peoples of the Americas: Concepts, research, and clinical considerations","volume":"43","author":"Heart","year":"2011","journal-title":"J Psychoactive Drugs."},{"issue":"3","key":"2023122114163282000_CIT0028","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.appdev.2008.02.004","article-title":"Sociocultural factors, resilience, and coping: Support for a culturally sensitive measure of resilience","volume":"29","author":"Clauss-Ehlers","year":"2008","journal-title":"J Appl Dev Psychol"},{"key":"2023122114163282000_CIT0029","doi-asserted-by":"crossref","first-page":"194","DOI":"10.3389\/fpubh.2019.00194","article-title":"Instruments for measuring the resilience of indigenous adolescents: An exploratory review","volume":"7","author":"Jongen","year":"2019","journal-title":"Front Public Health."},{"issue":"3","key":"2023122114163282000_CIT0030","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/07347324.2010.488530","article-title":"The Multicultural Wellbriety Peer Recovery Support Program: Two decades of community-based recovery","volume":"28","author":"Moore","year":"2010","journal-title":"Alcohol Treat Q"}],"container-title":["Nicotine and Tobacco Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ntr\/advance-article-pdf\/doi\/10.1093\/ntr\/ntad142\/51175167\/ntad142.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ntr\/article-pdf\/26\/1\/39\/54708781\/ntad142.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ntr\/article-pdf\/26\/1\/39\/54708781\/ntad142.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T14:12:04Z","timestamp":1729865524000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ntr\/article\/26\/1\/39\/7236545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,3]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,8,3]]},"published-print":{"date-parts":[[2024,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ntr\/ntad142","relation":{},"ISSN":["1469-994X"],"issn-type":[{"value":"1469-994X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1,1]]},"published":{"date-parts":[[2023,8,3]]}}}