Healthy families: study protocol for a randomized controlled trial of a screening, brief intervention, and referral to treatment intervention for caregivers to reduce secondhand smoke exposure among pediatric emergency patients.

Autor: Mahabee-Gittens EM; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA. Melinda.Mahabee-Gittens@cchmc.org.; Division of Pediatric Emergency Medicine, Cincinnati, Ohio, USA. Melinda.Mahabee-Gittens@cchmc.org., Ammerman RT; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Behavioral Medicine & Clinical Psychology, Cincinnati, Ohio, USA., Khoury JC; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Biostatistics and Epidemiology, Cincinnati, Ohio, USA., Stone L; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Pediatric Emergency Medicine, Cincinnati, Ohio, USA., Meyers GT; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Pediatric Emergency Medicine, Cincinnati, Ohio, USA., Witry JK; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Pediatric Emergency Medicine, Cincinnati, Ohio, USA., Merianos AL; School of Human Services, University of Cincinnati, PO Box 210002, Cincinnati, OH, 45221, USA., Mancuso TF; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Pediatric Residency Training Program, Cincinnati, Ohio, USA., Stackpole KMW; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Center for Better Health and Nutrition (HealthWorks!), Cincinnati, Ohio, USA., Bennett BL; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.; Division of Pediatric Emergency Medicine, Cincinnati, Ohio, USA., Akers L; Oregon Research Institute, 1776 Millrace Drive, Eugene, Oregon, 97403, USA., Gordon JS; College of Nursing University of Arizona, 1305 N. Martin Avenue, Tucson, AZ, 85721, USA.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2017 May 02; Vol. 17 (1), pp. 374. Date of Electronic Publication: 2017 May 02.
DOI: 10.1186/s12889-017-4278-8
Abstrakt: Background: Involuntary exposure to secondhand smoke (SHSe) is an important cause of morbidity in children who present to the pediatric emergency department (PED) and urgent care (UC). SHSe interventions delivered in the PED and UC would benefit both the smoker and child, but there have been no large trials testing the efficacy of such interventions. The Healthy Families program is the first randomized controlled trial to test whether a screening, brief intervention, and referral to treatment (SBIRT) intervention delivered in the PED and UC will be effective in decreasing SHSe in children and increasing cessation in smokers.
Methods/design: This trial uses a randomized, two-group design in which caregiver-smokers of children 0-17 years old are recruited from the PED and UC. Eligible caregiver-smokers are randomized to either the: 1) SBIRT Condition with face-to-face, tailored counseling that focuses on the child's illness, the importance of reducing child SHSe, caregiver smoking cessation, and the option to receive nicotine replacement therapy; or 2) Healthy Habits Control Condition which includes face-to-face, tailored attention control "5-2-1-0" counseling that focuses on improving the child's health. Dyadic assessments are conducted in-person at baseline, and via email, phone, or in-person at 6-weeks and 6-months. The primary outcomes are biochemically-verified, 7-day point prevalence and prolonged smoking abstinence. Secondary outcomes are cigarettes smoked per week, 24 h quit attempts, and biochemically validated child SHSe at each time point. The costs of this intervention will also be analyzed.
Discussion: This study will test an innovative, multilevel intervention designed to reduce child SHSe and increase smoking cessation in caregivers. If effective and routinely used, this SBIRT model could reach at least one million smokers a year in the U.S., resulting in significant reductions in caregivers' tobacco use, SHSe-related pediatric illness, and healthcare costs in this population of children.
Trial Registration: ClinicalTrials.gov Identifier: NCT02531594. Date of registration: August 4, 2015.
Databáze: MEDLINE
Externí odkaz: