{
  "abstract": "Introduction: Birthing on Country is a culturally grounded maternity care model designed to improve outcomes for Aboriginal and Torres Strait Islander mothers and babies by providing care that is community-led, culturally safe and holistic. Despite strong evidence that these models enhance maternal and infant health, access across Australia remains limited due to a highly centralised maternity system and a lack of services tailored specifically for Aboriginal women. Additionally, smoking during pregnancy continues to be a major contributor to health inequities, with high prevalence rates and significant adverse outcomes. Aboriginal and Torres Strait Islander women often face barriers to accessing culturally appropriate smoking cessation support, particularly in regional and remote areas, highlighting the need for more responsive and integrated approaches.\n\nThis project aims to co-develop a culturally grounded Birthing on Country 5-year plan that integrates smoking cessation care across three Aboriginal Community Controlled Health Services (ACCHSs).\n\nMethods and analysis: Using a multiple-methods design, the project will embed research midwives at each site to support community engagement, data collection and the integration of smoking cessation strategies into routine maternity care.\n\nData will be collected through yarning circles and individual yarns with the community, health professionals and stakeholders. The Supporting Indigenous Smokers To Assist Quitting (SISTAQUIT) Ngurrajili smoking cessation resources will be adapted to the sites and staff will perform the training and evaluate the co-developed resources.\n\nResults will support the development of a Birthing on Country 5-year plan that reflects community priorities and needs.\n\nEthics and dissemination: Ethics approvals have been obtained from three Aboriginal Ethics Committees.\n\nFindings will be disseminated to communities, services and stakeholders through reports, workshops, peer-reviewed publications, conferences, newsletters and social media. Locally accessible outputs, including an illustrated book of women’s stories with Quick Response (QR)-linked videos, will be distributed. A policy report will be developed to inform stakeholders, and findings will be published in open-access journals and on the SISTAQUIT Ngurrajili website.",
  "abstract_shown": true,
  "affiliations": [
    "Southern Cross University, Coffs Harbour, New South Wales, Australia",
    "Southern Cross University, Bilinga, Queensland, Australia",
    "Southern Cross University, Lismore, New South Wales, Australia",
    "University of New England, Armidale, New South Wales, Australia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
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        0
      ],
      "name": "Gina La Hera Fuentes",
      "orcid": "0000-0002-6235-5582"
    },
    {
      "affs": [
        1
      ],
      "name": "Ratika Kumar",
      "orcid": "0000-0002-0205-1309"
    },
    {
      "affs": [
        0
      ],
      "name": "Marilyn J Clarke"
    },
    {
      "affs": [
        1
      ],
      "name": "Kym Yuke"
    },
    {
      "affs": [
        0
      ],
      "name": "Rebecca Hyland"
    },
    {
      "affs": [
        0
      ],
      "name": "Allison Hart"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Stuart Barlo"
    },
    {
      "affs": [
        1
      ],
      "name": "Lisa Charmer"
    },
    {
      "affs": [
        1
      ],
      "name": "Simone Druitt"
    },
    {
      "affs": [
        1
      ],
      "name": "Gillian S Gould"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/76zatpkw9h65k.bib",
  "cited_by": 0,
  "doi": "10.1136/bmjopen-2025-106101",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13723790/",
  "id": "76zatpkw9h65k",
  "issns": [
    "2044-6055",
    "2044-6055"
  ],
  "landing_url": "https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2025-106101",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
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  "native_subjects": [
    [
      "heading",
      "1506"
    ],
    [
      "heading",
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    [
      "heading",
      "Protocol"
    ],
    [
      "heading",
      "Public Health"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": "PMC13723790",
  "pmid": "42957290",
  "published": "2026-10-29",
  "publisher": "BMJ",
  "ris": "https://research.draconitic.com/paper/76zatpkw9h65k.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:44Z",
      "native_id": "10.1136/bmjopen-2025-106101",
      "source": "crossref",
      "url": "https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2025-106101"
    },
    {
      "first_seen": "2026-11-04T12:22:21Z",
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      "url": "https://doi.org/10.1136/bmjopen-2025-106101"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Public Health",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "The SISTABIRTH protocol: a co-developed multiple-methods study to design a Birthing on Country model and adapt the SISTAQUIT smoking cessation resources in three regional and remote Aboriginal Community Controlled Health Services",
  "title_text": "The SISTABIRTH protocol: a co-developed multiple-methods study to design a Birthing on Country model and adapt the SISTAQUIT smoking cessation resources in three regional and remote Aboriginal Community Controlled Health Services",
  "type": "peer-reviewed",
  "updated_at": "2026-11-05T12:20:32Z",
  "url": "https://research.draconitic.com/paper/76zatpkw9h65k",
  "venue": "BMJ Open",
  "versions": []
}