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A randomised controlled trial of a complex intervention to reduce children’s exposure to secondhand smoke in the home
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Abstract
- Objectives: Exposing children to secondhand tobacco smoke (SHS) causes significant harm and occurs predominantly through smoking by caregivers in the family home. We report a trial of a complex intervention designed to reduce secondhand smoke exposure of children whose primary caregiver feels unable or unwilling to quit smoking. Design: An open-label, parallel, randomised controlled trial. Setting: Deprived communities in Nottingham City and County, England Participants: Caregivers resident in Nottingham City and County in England who were at least 18 years old, the main caregiver of a child aged under 5 years living in their household, and reported that they were smoking tobacco inside their home. Interventions: We compared a complex intervention combining personalised feedback on home air quality, behavioural support and nicotine replacement therapy for temporary abstinence with usual care. Main outcomes: The primary outcome was change in air quality in the home, measured as average 16–24 hours levels of particulate matter of <2.5 µm diameter (PM2.5), between baseline and 12 weeks. Secondary outcomes included changes in maximum PM2.5, proportion of time PM2.5 exceeded WHO recommended levels of maximum exposure of 25 µg/mg3, child salivary cotinine, caregivers’ cigarette consumption, nicotine dependence, determination to stop smoking, quit attempts and quitting altogether during the intervention. Results: Geometric mean PM2.5 decreased significantly more (by 35.2%; 95% CI 12.7% to 51.9%) in intervention than in usual care households, as did the proportion of time PM2.5 exceeded 25 µg/mg3, child salivary cotinine concentrations, caregivers’ cigarette consumption in the home, nicotine dependence, determination to quit and likelihood of having made a quit attempt. Conclusions: By reducing exposure to SHS in the homes of children who live with smokers unable or unwilling to quit, this intervention offers huge potential to reduce children’s’ tobacco-related harm. Trial
Details
- Database :
- OAIster
- Notes :
- application/pdf, Ratschen, Elena, Thorley, Rebecca, Jones, Laura L., Opazo Breton, Magdalena, Cook, Juliette, McNeill, Ann, Britton, John, Coleman, Tim and Lewis, Sarah (2018) A randomised controlled trial of a complex intervention to reduce children’s exposure to secondhand smoke in the home. Tobacco Control, 27 (2). pp. 155-162. ISSN 1468-3318, English
- Publication Type :
- Electronic Resource
- Accession number :
- edsoai.on1358568061
- Document Type :
- Electronic Resource
- Full Text :
- https://doi.org/10.1136.tobaccocontrol-2016-053279