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Tytuł pozycji:

Randomised controlled trial of real-time feedback and brief coaching to reduce indoor smoking.

Tytuł:
Randomised controlled trial of real-time feedback and brief coaching to reduce indoor smoking.
Autorzy:
Hovell MF; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Bellettiere J; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Liles S; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Nguyen B; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Berardi V; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.; Psychology, Chapman University, Orange, CA, USA.
Johnson C; Pediatrics, Naval Medical Center, San Diego, California, USA.
Matt GE; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.; Psychology, San Diego State University, San Diego, California, USA.
Malone J; Department of Medicine, F Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Boman-Davis MC; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.; Community Health, National University, California, USA.
Quintana PJE; Environmental Health, San Diego State University, San Diego, California, USA.
Obayashi S; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Chatfield D; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Robinson R; Office on Smoking and Health, CDC, Atlanta, Georgia, USA.
Blumberg EJ; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Ongkeko WM; Surgery, University of California San Diego, La Jolla, California, USA.
Klepeis NE; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Hughes SC; Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California, USA.
Corporate Authors:
Fresh Air Research Group
Źródło:
Tobacco control [Tob Control] 2020 Mar; Vol. 29 (2), pp. 183-190. Date of Electronic Publication: 2019 Feb 15.
Typ publikacji:
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: London : BMJ Pub. Group, c1992-
MeSH Terms:
Air Pollution, Indoor/*analysis
Smoking Prevention/*methods
Tobacco Smoke Pollution/*analysis
Tobacco Smoking/*prevention & control
Adult ; Child ; Child, Preschool ; Feedback ; Female ; Humans ; Infant ; Interrupted Time Series Analysis ; Male ; Mentoring/methods ; Nicotine/analysis ; Vaping/prevention & control ; Young Adult
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Grant Information:
R01 ES027815 United States ES NIEHS NIH HHS; R01 HL103684 United States HL NHLBI NIH HHS; T32 HL079891 United States HL NHLBI NIH HHS; P30 CA023100 United States CA NCI NIH HHS; T32 GM084896 United States GM NIGMS NIH HHS
Contributed Indexing:
Keywords: Carcinogens; Harm Reduction; Nicotine; Secondhand smoke
Molecular Sequence:
ClinicalTrials.gov NCT01634334
Substance Nomenclature:
0 (Tobacco Smoke Pollution)
6M3C89ZY6R (Nicotine)
Entry Date(s):
Date Created: 20190217 Date Completed: 20210601 Latest Revision: 20210601
Update Code:
20240105
PubMed Central ID:
PMC6697236
DOI:
10.1136/tobaccocontrol-2018-054717
PMID:
30770436
Czasopismo naukowe
Background: Previous secondhand smoke (SHS) reduction interventions have provided only delayed feedback on reported smoking behaviour, such as coaching, or presenting results from child cotinine assays or air particle counters.
Design: This SHS reduction trial assigned families at random to brief coaching and continuous real-time feedback (intervention) or measurement-only (control) groups.
Participants: We enrolled 298 families with a resident tobacco smoker and a child under age 14.
Intervention: We installed air particle monitors in all homes. For the intervention homes, immediate light and sound feedback was contingent on elevated indoor particle levels, and up to four coaching sessions used prompts and praise contingent on smoking outdoors. Mean intervention duration was 64 days.
Measures: The primary outcome was 'particle events' (PEs) which were patterns of air particle concentrations indicative of the occurrence of particle-generating behaviours such as smoking cigarettes or burning candles. Other measures included indoor air nicotine concentrations and participant reports of particle-generating behaviour.
Results: PEs were significantly correlated with air nicotine levels (r=0.60) and reported indoor cigarette smoking (r=0.51). Interrupted time-series analyses showed an immediate intervention effect, with reduced PEs the day following intervention initiation. The trajectory of daily PEs over the intervention period declined significantly faster in intervention homes than in control homes. Pretest to post-test, air nicotine levels, cigarette smoking and e-cigarette use decreased more in intervention homes than in control homes.
Conclusions: Results suggest that real-time particle feedback and coaching contingencies reduced PEs generated by cigarette smoking and other sources.
Trial Registration Number: NCT01634334; Post-results.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)

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