- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03062709
A Study of Tobacco Smoke and Children With Respiratory Illnesses
May 15, 2017 updated by: Deirdre Burns, MaineHealth
Urine Cotinine in Children and Parental Behavior Modification: A Pilot Study
This study aims to assess the feasibility of using an intervention for environmental smoke exposure in children that uses cotinine testing results with written materials and telephone counseling for a potential future study of parents whose children are admitted with respiratory illnesses to The Barbara Bush Children's Hospital in Portland, Maine.
Study Overview
Status
Completed
Conditions
Detailed Description
Children who are regularly exposed to environmental tobacco smoke (ETS) are at a greater risk for developing respiratory disease.
Given the strong relationship between parental smoking and child health, many studies have evaluated the efficacy of interventions to modify parental smoking behavior and thereby reduce children's exposure to second- and thirdhand tobacco smoke, including the use of cotinine levels in children.
There are several local ETS exposure intervention programs for The Barbara Bush Children's Hospital patient population and their families.
The state of Maine and MaineHealth fund a free 24-hour tobacco cessation hotline (The Maine Tobacco Helpline) which combines evidence-based behavioral counseling techniques and free nicotine replacement therapy (gum, lozenge, or patch).
MaineHealth also runs a tobacco cessation campaign (The Breathe Easy Coalition) that provides print materials and trainings aimed to reduce smoking in public housing, hospitals, behavioral health facilities, and higher education.
The Breathe Easy Coalition's Smoke-Free Housing program provides education about the effects of secondhand and thirdhand tobacco smoke and asks families to pledge to keep tobacco smoke out of their home.
This study aims to combine all three of these strategies (child cotinine feedback, tobacco cessation counseling, and written materials on ETS) to create a cohesive ETS exposure reduction program for the Barbara Bush Children's Hospital inpatient population, and determine the feasibility of a future study that would evaluate whether cotinine testing is helpful for changing smoking behaviors in this target population.
Study Type
Interventional
Enrollment (Actual)
3
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Maine
-
Portland, Maine, United States, 04101
- The Barbara Bush Children's Hospital at Maine Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
No older than 10 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- age 0 to 10 years old
- admitted to The Barbara Bush Children Hospital for bronchiolitis, pneumonia, bronchopulmonary dysplasia, or asthma
- the child lives with an adult who smokes cigarettes
Exclusion Criteria:
- Non-English-speaking and -reading adults will be excluded as our interventions are in English.
- Children over the age of 10 will be excluded as we wanted to avoid children who themselves smoke, given that we will not have a confidential way to assess this.
- Breastfeeding children will be excluded as nicotine is transferrable in breast milk.
- Families (meaning the parent or guardian, the child, and any smoking coinhabiting caregiver) will be excluded if the parent or the smoking adult is a minor, as they would not be able to give consent for participation.
- Children in foster care or whose guardian is the state will be excluded as we are unlikely to achieve timely consent.
- Families who do not reside in Maine will be excluded as The Maine Tobacco Helpline is not able to provide services for out-of-state residents.
- Children readmitted to the hospital during our study period will be excluded if they have already participated in this study during a previous admission.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: All Participants
Breathe Easy Coalition written materials provided to parent/guardian, plus Maine Tobacco Helpline referral provided to smoking adult in the home, plus testing of the child's urine cotinine and results reported to parent/guardian
|
written materials about secondhand and thirdhand environmental smoke exposure in children
referral to tobacco cessation counselor, helpline calls adult referred to provide counseling over the phone.
the child's urine is tested for cotinine, which is produced when the body absorbs nicotine.
These results are communicated to the child's parent/guardian.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of acceptance of a smoking cessation intervention
Time Frame: one month for each patient
|
Rate of acceptance of participation in each of the three smoking cessation interventions in this patient population at BBCH--written materials, phone counseling, and urine cotinine testing.
|
one month for each patient
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of positive urine cotinine in children admitted with positive tobacco smoke exposure history.
Time Frame: 24 hours for each patient
|
We will assess the number of children who have a positive smoke exposure history and whose urine is positive for cotinine.
|
24 hours for each patient
|
Staff hours required to provide a smoking cessation intervention
Time Frame: one month for each patient
|
The staff hours required to provide timely consent and sample collection, and the staff hours required to collect data and provide test results
|
one month for each patient
|
Rate of acceptance of follow-up urine cotinine testing
Time Frame: one month for each patient
|
Rate of parental acceptance of possible follow-up cotinine testing were it provided in a future study.
|
one month for each patient
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Deirdre Burns, MD, MPH, MaineHealth
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 12, 2017
Primary Completion (Actual)
March 30, 2017
Study Completion (Actual)
April 30, 2017
Study Registration Dates
First Submitted
February 20, 2017
First Submitted That Met QC Criteria
February 20, 2017
First Posted (Actual)
February 23, 2017
Study Record Updates
Last Update Posted (Actual)
May 16, 2017
Last Update Submitted That Met QC Criteria
May 15, 2017
Last Verified
May 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 986404-3
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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