Kick the Smokes: Augmented Reality resources to provide smoking cessation information for Aboriginal South Australian tobacco users, and to provide culturally-tailored smoking cessation advice to health professionals.

The "Development and evaluation of evidence-based augmented reality resources to provide smoking cessation advice for Aboriginal South Australian tobacco users and training in culturally-tailored smoking cessation for health professionals - Qualitative" is a health promotion project. Aboriginal Australians are over-represented in the lower socioeconomic status index and tobacco use is a leading risk factor for development of cancer, premature mortality and chronic diseases. Educational information delivered via Augmented Reality (AR) has the potential to address issues of poor health literacy by using digital video, audio and graphical content to explain medical terms and techniques. This project will develop a workbook, and resource package as physical resources for the delivery of educational material to Aboriginal smokers and health professionals respectively. Both resources can be viewed using a smart-phone app that triggers complimentary AR content as virtual resources. Both physical and virtual resources will deliver educational material unique to their respective cohort. A co-design process will be separately undertaken with each cohort to ensure that resources are culturally appropriate and fit for purpose. During 'yarning circles' of Aboriginal smokers and ex-smokers will have the opportunity to review the workbook and its associated AR content. Although subject to co-design, the workbook will likely feature information on mindfulness, the physical effects of smoking, information on prescription medications (Champix and Zyban) and Nicotine Replacement Therapies (Patches, Lozenges, Gum and Mouth spray) as well as worksheets (e.g.: ‘How to beat cravings’) and other activities (e.g.: drawing). The AR content will overlay certain images within the workbook and provide educational content in the form of light-hearted (funny/engaging/motivating/empowering) facts and content individuals can view to help with distraction during cravings. The AR is accessed when a workbook image is scanned with a smartphone running the 'Kick the Smokes' app, thereby triggering linked virtual content (noting content audio will be in English or Pitjantjatjara). In the 1-on-1 interviews, health professionals will have the opportunity to review the resource package and its associated AR-enabled videos. This package will provide professional education on smoking cessation that will likely draw on the existing ‘Very Brief Advice on Smoking’ program. Information from this program will inform the physical and virtual elements of this resource package. Yarning circle participants and health professionals will be presented with versions of both the workbook, package and the app (respectively) and asked to provide their feedback during their session. Each session is designed to introduce participants to the resources and to obtain their thoughts on their aesthetic, functionality and content. There is no requirement for participants, from either cohort, to use the resources either prior to or after their session. A total of 42 Aboriginal smokers will be enrolled, this cohort will be comprised of the following groups: Female smokers (18-35 yrs) n=7 Male smokers (18-35 yrs) n=7 Female smokers (35+ yrs) n=7 Male smokers (35+ yrs) n=7 Female ex-smokers (18+ yrs) n=7 Male ex-smokers (18+ yrs) n=7 Each yarning circle participant is only required to attend one session, and it is anticipated that each session will run for approximately two and a half hours. A total of 16 health professionals will be enrolled, this cohort will be comprised of the following groups: Specialist medical officers n=4 Nurses n=4 Allied health professionals n=4 Trainee medical officers, advanced trainees, registrars n=4 Each health professional is only required to attend one interview, and it is anticipated that each interview will run for approximately one hour. Experienced research staff will run the yarning circles and the 1-on-1 interviews; both forums will be run in a semi-structured interview manner using a pre-defined moderator guide. Each guide contains a series of questions and has been developed in reference to its audience and the projects co-design aims. Where possible the yarning circles and 1-on-1 interviews will be held in person and within metropolitan Adelaide (South Australia). Due to the potential restriction for community engagement, a contingency has been included within the study design to enable the 1-on-1 interviews and yarning circles to be held via teleconferencing. It is anticipated that the focus group and 1-on-1 interviews will run between August 2020 and March 2021. Qualitative data obtained during the yarning circles and interviews will be examined using deductive thematic analysis. The purpose of this examination is to understand the barriers and facilitators faced by both Aboriginal smokers and health professionals. Using the ‘Theoretical Framework of Acceptability ’ (TFA) and the 'Theoretical Domains Framework' (TDF) researchers will identify the perceptions of each cohort towards the technology, and how these relate to the use of the resources in their personal and professional lives.