PURPOSE: Assess the effectiveness of a two-step health education program by nurses delivered through nonsmoking mothers to help fathers of sick children quit smoking. DESIGN: Randomized, controlled trial. SETTING:General pediatric wards of four major hospitals in Hong Kong. SUBJECTS:Nonsmoking mothers who had a live-in smoking spouse were recruited when they brought sick children to the hospital. A total of 752 mothers were randomized into the intervention arm and 731 into the control arm. INTERVENTION: The intervention group received standardized health advice, behavior modification booklets, and a 1-week telephone reminder. The control group received usual care. MEASUREMENTS: The main outcome measure was the quit rate (7-day point prevalence) of smoking fathers as determined by telephone follow-up with mothers at 3 and 12 months. Quit attempts and smoking reduction were secondary outcome measures. RESULTS: At 3 months, more fathers in the intervention group had quit smoking (7.4% vs. 4.8%; p = .03), reduced daily cigarette consumption by 50% or more (30.6% vs. 22.6%; p < .001), and reported quit attempts (6.5% vs. 3.6%; p = .01). The differences were not statistically significant by 12 months. CONCLUSION: A simple health education intervention provided by nurses to mothers of sick children has a short-term effect in helping smoking fathers quit, reduce consumption, and trigger quit attempts. Future studies should confirm the longer-term sustainability of the effect.
RCT Entities:
PURPOSE: Assess the effectiveness of a two-step health education program by nurses delivered through nonsmoking mothers to help fathers of sick children quit smoking. DESIGN: Randomized, controlled trial. SETTING: General pediatric wards of four major hospitals in Hong Kong. SUBJECTS: Nonsmoking mothers who had a live-in smoking spouse were recruited when they brought sick children to the hospital. A total of 752 mothers were randomized into the intervention arm and 731 into the control arm. INTERVENTION: The intervention group received standardized health advice, behavior modification booklets, and a 1-week telephone reminder. The control group received usual care. MEASUREMENTS: The main outcome measure was the quit rate (7-day point prevalence) of smoking fathers as determined by telephone follow-up with mothers at 3 and 12 months. Quit attempts and smoking reduction were secondary outcome measures. RESULTS: At 3 months, more fathers in the intervention group had quit smoking (7.4% vs. 4.8%; p = .03), reduced daily cigarette consumption by 50% or more (30.6% vs. 22.6%; p < .001), and reported quit attempts (6.5% vs. 3.6%; p = .01). The differences were not statistically significant by 12 months. CONCLUSION: A simple health education intervention provided by nurses to mothers of sick children has a short-term effect in helping smoking fathers quit, reduce consumption, and trigger quit attempts. Future studies should confirm the longer-term sustainability of the effect.
Authors: Janice Y Tsoh; Elisa K Tong; Ginny Gildengorin; Tung T Nguyen; Mary V Modayil; Ching Wong; Stephen J McPhee Journal: Addict Behav Date: 2010-11-27 Impact factor: 3.913
Authors: Mary Kate Mohlman; Dina N K Boulos; Maged El Setouhy; Ghada Radwan; Kepher Makambi; Irene Jillson; Christopher A Loffredo Journal: Nicotine Tob Res Date: 2013-01-17 Impact factor: 4.244
Authors: Cheryl A Oncken; Patricia M Dietz; VAN T Tong; José M Belizán; Jorge E Tolosa; Vincenzo Berghella; Robert L Goldenberg; Harry A Lando; Jonathan M Samet; Michele H Bloch Journal: Acta Obstet Gynecol Scand Date: 2010 Impact factor: 4.544