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Article: Family-based smoking cessation intervention for smoking fathers and nonsmoking mothers with a child: a randomized controlled trial
Title | Family-based smoking cessation intervention for smoking fathers and nonsmoking mothers with a child: a randomized controlled trial |
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Authors | |
Keywords | father secondhand smoke smoking cessation cotinine child |
Issue Date | 2017 |
Citation | Journal of Pediatrics, 2017, v. 182, p. 260-266.e4 How to Cite? |
Abstract | © 2016 Elsevier Inc.Objective To examine whether a family-based intervention targeting both smoking fathers and nonsmoking mothers in well-child health clinics is effective in increasing fathers' abstinence from cigarette smoking. Study design This parallel 2-arm randomized controlled trial recruited a total of 1158 families with a daily-smoking father, a nonsmoking mother, and a child aged 0-18 months from the 22 maternal and child health centers in Hong Kong. The intervention group received the family-based intervention, including 6 nurse-led individual face-to-face and telephone counseling sessions within 1 month after recruitment and a voluntary face-to-face family counseling session (FCS). The control group received a leaflet, a self-help booklet, and brief quitting advice only. Father-reported 7-day and 6-month abstinence, smoking reduction, quit attempts, mother-reported help and support, and child salivary cotinine level were assessed at 12 months. Generalized estimating equation models were used to compare these outcomes between the 2 study groups. Results Compared with the control group, the intervention group reported a greater prevalence of 7-day (13.7% vs 8.0%; OR, 1.92; 95% CI, 1.16-3.17; P < .01) and 6-month self-reported abstinence (13.4% vs. 7.5%; OR, 2.10; 95% CI, 1.30-3.40; P < .01). Within the intervention group, compared with receipt of individual counseling only, participation in the FCS was associated with increases in fathers' self-reported abstinence (20.2% vs 12.3%; P = .02), mothers' help (66.1% vs 43.8%; P < .01), and support to the fathers (55.0% vs 45.4%; P < .01). Conclusions The family-based smoking cessation intervention for the families in the well-child healthcare setting was effective in increasing the fathers' self-reported abstinence. Additional participation in the FCS increased mothers' help and support to the fathers. Trial registration Controlled-trials.com: ISRCTN99111655; Hkuctr.com: HKUCTR-465. |
Persistent Identifier | http://hdl.handle.net/10722/237722 |
ISSN | 2023 Impact Factor: 3.9 2023 SCImago Journal Rankings: 1.043 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, SSC | - |
dc.contributor.author | Cheung, YTD | - |
dc.contributor.author | Fong, DYT | - |
dc.contributor.author | Emmons, K | - |
dc.contributor.author | Leung, YMA | - |
dc.contributor.author | Leung, DYP | - |
dc.contributor.author | Lam, TH | - |
dc.date.accessioned | 2017-01-20T02:27:26Z | - |
dc.date.available | 2017-01-20T02:27:26Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Journal of Pediatrics, 2017, v. 182, p. 260-266.e4 | - |
dc.identifier.issn | 0022-3476 | - |
dc.identifier.uri | http://hdl.handle.net/10722/237722 | - |
dc.description.abstract | © 2016 Elsevier Inc.Objective To examine whether a family-based intervention targeting both smoking fathers and nonsmoking mothers in well-child health clinics is effective in increasing fathers' abstinence from cigarette smoking. Study design This parallel 2-arm randomized controlled trial recruited a total of 1158 families with a daily-smoking father, a nonsmoking mother, and a child aged 0-18 months from the 22 maternal and child health centers in Hong Kong. The intervention group received the family-based intervention, including 6 nurse-led individual face-to-face and telephone counseling sessions within 1 month after recruitment and a voluntary face-to-face family counseling session (FCS). The control group received a leaflet, a self-help booklet, and brief quitting advice only. Father-reported 7-day and 6-month abstinence, smoking reduction, quit attempts, mother-reported help and support, and child salivary cotinine level were assessed at 12 months. Generalized estimating equation models were used to compare these outcomes between the 2 study groups. Results Compared with the control group, the intervention group reported a greater prevalence of 7-day (13.7% vs 8.0%; OR, 1.92; 95% CI, 1.16-3.17; P < .01) and 6-month self-reported abstinence (13.4% vs. 7.5%; OR, 2.10; 95% CI, 1.30-3.40; P < .01). Within the intervention group, compared with receipt of individual counseling only, participation in the FCS was associated with increases in fathers' self-reported abstinence (20.2% vs 12.3%; P = .02), mothers' help (66.1% vs 43.8%; P < .01), and support to the fathers (55.0% vs 45.4%; P < .01). Conclusions The family-based smoking cessation intervention for the families in the well-child healthcare setting was effective in increasing the fathers' self-reported abstinence. Additional participation in the FCS increased mothers' help and support to the fathers. Trial registration Controlled-trials.com: ISRCTN99111655; Hkuctr.com: HKUCTR-465. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Pediatrics | - |
dc.subject | father | - |
dc.subject | secondhand smoke | - |
dc.subject | smoking cessation | - |
dc.subject | cotinine | - |
dc.subject | child | - |
dc.title | Family-based smoking cessation intervention for smoking fathers and nonsmoking mothers with a child: a randomized controlled trial | - |
dc.type | Article | - |
dc.identifier.email | Chan, SSC: nssophia@hkucc.hku.hk | - |
dc.identifier.email | Cheung, YTD: takderek@hku.hk | - |
dc.identifier.email | Fong, DYT: dytfong@hku.hk | - |
dc.identifier.email | Leung, YMA: angela.leung.hku414@gmail.com | - |
dc.identifier.email | Lam, TH: hrmrlth@hkucc.hku.hk | - |
dc.identifier.authority | Chan, SSC=rp00423 | - |
dc.identifier.authority | Fong, DYT=rp00253 | - |
dc.identifier.authority | Leung, YMA=rp00405 | - |
dc.identifier.authority | Lam, TH=rp00326 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.jpeds.2016.11.021 | - |
dc.identifier.scopus | eid_2-s2.0-85008420018 | - |
dc.identifier.hkuros | 270954 | - |
dc.identifier.hkuros | 271871 | - |
dc.identifier.volume | 182 | - |
dc.identifier.spage | 260 | - |
dc.identifier.epage | 266.e4 | - |
dc.identifier.isi | WOS:000396252400042 | - |
dc.identifier.issnl | 0022-3476 | - |