- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05000632
Smoke Free SafeCare: Establishing a Smoke Free Home in CPS-involved Families (SFSC)
Establishing Smoke-free Homes With Families Involved in Child Protective Services: Effectiveness-implementation Trial of an Integrated Program
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Longitudinal studies have found beneficial effects of prevention and intervention efforts for children exposed to poverty and other adverse experiences on long-term health and a range of social and psychological outcomes. Evidence-based intervention programs exist for smoke-free homes and for child maltreatment risk. However, to our knowledge, no programs jointly target SHS (secondhand smoke) exposure and maltreatment risk, despite the evidence that these risk factors often co-occur for children living in low-SES households.
Some Things are Better Outside (STBO) is a brief intervention that is highly effective in promoting adoption of smoke-free home rules among low-SES households. Three randomized controlled trials (RCTs) documented significant intervention effects, with 40.0 to 62.9% of clients reporting a smoke-free home when reached for follow-up at 6 months post-baseline. Self-reported smoke-free homes were validated by air nicotine at 3-months post-baseline. STBO was also effective in a dissemination trial conducted with five 2-1-1 agencies across multiple states. The six-week intervention was designed to be easy to deliver, consisting of three mailings of print materials and a 15-20 minute coaching call.
SafeCare is a brief parenting intervention that is highly effective in reducing child maltreatment perpetration and improving behavioral outcomes for Child Protective Services-involved (CPS-involved) parents of young children (0 to 5 years) as the result of child physical abuse or neglect (the two most common forms of substantiated maltreatment). SafeCare is delivered in the home over 18-weeks, and the curriculum focuses on promotion of positive parenting skills, home safety, and child health. SafeCare is disseminated through the National SafeCare Training and Research Center (NSTRC) at Georgia State University (GSU), directed by Self-Brown (MPI) and Whitaker (Co-I).
In considering the best approaches for targeting SHS, it is imperative to consider how to integrate interventions with documented success for improving smoke-free rules and with high levels of parent engagement (which STBO has consistently demonstrated), into effective parenting intervention programs, such as SafeCare (which has also been demonstrated to be highly engaging). Thoughtful integration would ensure the maintenance of active ingredients for both programs, and parent engagement.
The goal of Smoke Free SafeCare is to conduct an effectiveness-implementation hybrid trial type 1 of the SFSC intervention for parents with substantiated maltreatment. This braided intervention will be compared to standard SafeCare.
The study aims are as follows:
- To conduct an effectiveness-implementation hybrid trial type 1.
- Compare SFSC to standard SafeCare on the addition of a full smoking ban in the home, and maintenance and stability of the smoking ban.
- Understand impact and sustainability of SFSC on parenting outcomes.
- Examine the variability in SFSC effects across sites and client characteristics.
This project will implement a mixed methods approach to gain insight about the perceived feasibility and impact of SFSC with mothers who report at least two risk factors at initial screening that are commensurate with child maltreatment perpetration risk. Understanding whether there is additive benefit to the integration of these programs will inform policy for best practices of programs serving low-SES families, and will further establish a structured approach for systematically integrating evidence-based programs for populations who have cumulative risk.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Michaela Cotner Research Associate
- Phone Number: (404) 413-1146
- Email: mcotner@gsu.edu
Study Contact Backup
- Name: Shannon Self-Brown Principal Investigator
- Phone Number: 4044133500
- Email: sselfbrown@gsu.edu
Study Locations
-
-
Georgia
-
Atlanta, Georgia, United States, 30322
- Not yet recruiting
- Emory University
-
Contact:
- Michaela Cotner, MA
- Phone Number: 404-413-1146
- Email: mcotner@gsu.edu
-
Contact:
- Shannon Self-Brown, PhD
- Phone Number: 4044131283
- Email: sselfbrown@gsu.edu
-
Principal Investigator:
- Michelle Kegler, PhD
-
Atlanta, Georgia, United States, 30302
- Recruiting
- Georgia State University
-
Contact:
- Michaela Cotner, MA
- Phone Number: 404-413-1146
- Email: mcotner@gsu.edu
-
Contact:
- Shannon Self-Brown, PhD
- Phone Number: 4044131283
- Email: sselfbrown@gsu.edu
-
Principal Investigator:
- Shannon Self-Brown, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Provider Inclusion Criteria:
- SafeCare providers in this study must 1) have completed the SafeCare workshop and passed field Certification (9 sessions of SafeCare delivered with fidelity according to the SafeCare Fidelity Checklist); 2) be employed at an accredited SafeCare agency in a target state based on Centers for Disease Control and Prevention (CDC) adult smoking data or prior SafeCare research documenting high smoking rates.
Caregiver Inclusion Criteria:
- Caregivers in this study must meet the following inclusion criteria to participate: 1) Referred to a SafeCare Provider study participant; 2) Reports in-home smoking behavior by herself or another person (person must reside in the home 3 or more nights a week) 3) Caregiver must be aged 18 or older and 4) Mother must be a parent to a child between the ages of 0 and 5 (or 0 - 9 if in the state of Oklahoma).
Provider Exclusion Criteria:
- SafeCare providers will be excluded if they have planned for significant employment leave, resignation, or promotion during the study period.
Caregiver Exclusion Criteria:
- We will exclude those who 1) Report that no one smokes in the home; 2) Demonstrate an inability to understand their responsibilities as outlined in the consent form. This will be determined as the research staff verbally go through the consent form with the mothers. If mothers do not understand the consent form and subsequent procedures, they will be excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Smoke Free SafeCare (SFSC)
Providers randomized to this group will receive additional SFSC training and will disseminate SFSC program to families who report having a smoker in the home.
|
SFSC is the systematically braided curriculum which combines both SafeCare and STBO programs, but in a new delivery format.
To take full advantage of the home delivery mechanism of SafeCare, the content delivery of STBO has been adapted so that original mailings will be delivered in the SafeCare sessions.
STBO has been fully braided into the Health and Safety modules.
One of these interventions will be delivered first throughout the course of the study.
The Smoke Free SafeCare intervention will involve 25 providers receiving training for the SFSC program.
They will each recruit 10 mothers and conduct the SFSC program for each family.
Overall, 250 families will receive the SFSC intervention.
Other Names:
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Active Comparator: Standard SafeCare
Providers randomized to this group will disseminate the Standard SafeCare program to families who report having a smoker in the home.
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SafeCare is a brief parenting intervention that is highly effective in reducing child maltreatment perpetration and improving behavioral outcomes for CPS-involved parents of young children (0 to 5 years) as the result of child physical abuse or neglect (the two most common forms of substantiated maltreatment).
The Standard SafeCare intervention will involve 25 SafeCare providers delivering the SafeCare program as usual.
They will each recruit 10 mothers and conduct SafeCare for each family.
Overall, 250 families will receive the standard SafeCare.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Smoke Free Home Rules (Questionnaire)
Time Frame: This outcome will be assessed at baseline.
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Mothers will answer questions specific to smoke free home rules implemented in their home.
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This outcome will be assessed at baseline.
|
Change in Smoke Free Home Rules (Questionnaire)
Time Frame: This outcome will be assessed at the 8 week time point.
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Mothers will answer questions specific to smoke free home rules implemented in their home.
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This outcome will be assessed at the 8 week time point.
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Change in Smoke Free Home Rules (Questionnaire)
Time Frame: This outcome will be assessed at the 20 week time point.
|
Mothers will answer questions specific to smoke free home rules implemented in their home.
|
This outcome will be assessed at the 20 week time point.
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Change in Smoke Free Home Rules (Questionnaire)
Time Frame: This outcome will be assessed at the 1 year time point.
|
Mothers will answer questions specific to smoke free home rules implemented in their home.
|
This outcome will be assessed at the 1 year time point.
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Time-Weighted Average Airborne Nicotine - Smoke Free Home Validation
Time Frame: This outcome will be assessed at the 8-week time point.
|
Research staff will place an air nicotine monitor in one room in which the family spends the most time.
The monitors, the size of a petri dish, will be labeled and left in place for 7 days.
For quality assurance and control, one blank sample per 10 samples will be included, along with duplicate samples collected for 10% of the total sample.
Research staff will return to the home after 7 days to collect the monitor.
Time-weighted average airborne nicotine will be assayed.
The amount of nicotine collected is determined in the laboratory using gas chromatographic analysis.
The sensitivity of these devices is sufficient to quantify low levels of passive smoke exposures over a period of a few days.
Outcome is reported in micrograms of nicotine per cubed meter.
|
This outcome will be assessed at the 8-week time point.
|
Change in Time-Weighted Average Airborne Nicotine - Smoke Free Home Validation
Time Frame: This outcome will be assessed at the 1 year time point.
|
Research staff will place an air nicotine monitor in one room in which the family spends the most time.
The monitors, the size of a petri dish, will be labeled and left in place for 7 days.
For quality assurance and control, one blank sample per 10 samples will be included, along with duplicate samples collected for 10% of the total sample.
Research staff will return to the home after 7 days to collect the monitor.
Time-weighted average airborne nicotine will be assayed.
The amount of nicotine collected is determined in the laboratory using gas chromatographic analysis.
The sensitivity of these devices is sufficient to quantify low levels of passive smoke exposures over a period of a few days.
Outcome is reported in micrograms of nicotine per cubed meter.
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This outcome will be assessed at the 1 year time point.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parenting Young Children Survey (PYCS)
Time Frame: Assessed at baseline
|
Parenting behavior
|
Assessed at baseline
|
Parenting Young Children Survey (PYCS)
Time Frame: Assessed at 8-week
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Parenting behavior
|
Assessed at 8-week
|
Parenting Young Children Survey (PYCS)
Time Frame: Assessed at 20-week
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Parenting behavior
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Assessed at 20-week
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Parenting Young Children Survey (PYCS)
Time Frame: Assessed at 1 year
|
Parenting behavior
|
Assessed at 1 year
|
Perceived Stress Scale
Time Frame: Assessed at baseline
|
Measure of personal stress; Min: 0, Max: 5; Higher scores indicated higher perceived stress
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Assessed at baseline
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Perceived Stress Scale
Time Frame: Assessed at 8 week
|
Measure of personal stress; Min: 0, Max: 5; Higher scores indicated higher perceived stress
|
Assessed at 8 week
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Perceived Stress Scale
Time Frame: Assessed at 20 week
|
Measure of personal stress; Min: 0, Max: 5; Higher scores indicated higher perceived stress
|
Assessed at 20 week
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Perceived Stress Scale
Time Frame: Assessed at 1 year
|
Measure of personal stress; Min: 0, Max: 5; Higher scores indicated higher perceived stress
|
Assessed at 1 year
|
Parenting Stress Inventory (PSI)
Time Frame: Assessed at baseline
|
Parent stress
|
Assessed at baseline
|
Parenting Stress Inventory (PSI)
Time Frame: Assessed at 8-week
|
Parent stress
|
Assessed at 8-week
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Parenting Stress Inventory (PSI)
Time Frame: Assessed at 20 week
|
Parent stress
|
Assessed at 20 week
|
Parenting Stress Inventory (PSI)
Time Frame: Assessed at 1 year
|
Parent stress
|
Assessed at 1 year
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Smoking Cessation Questionnaire
Time Frame: Assessed at baseline
|
These questions assess parents attempts to stop or minimize smoking behaviors
|
Assessed at baseline
|
Smoking Cessation Questionnaire
Time Frame: Assessed at 8-week
|
These questions assess parents attempts to stop or minimize smoking behaviors
|
Assessed at 8-week
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Smoking Cessation Questionnaire
Time Frame: Assessed at 20-week
|
These questions assess parents attempts to stop or minimize smoking behaviors
|
Assessed at 20-week
|
Smoking Cessation Questionnaire
Time Frame: Assessed at 1 year
|
These questions assess parents attempts to stop or minimize smoking behaviors
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Assessed at 1 year
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Demographic - Number of Children
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
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Number of Children at the time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Demographic - Employment Status
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Employment status at the time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Demographic - Age
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Age at time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Demographic - Sex assigned at birth
Time Frame: Assessed at baseline
|
Sex assigned at birth
|
Assessed at baseline
|
Demographic - Gender
Time Frame: Assessed at baseline
|
Gender
|
Assessed at baseline
|
Demographic - Race
Time Frame: Assessed at baseline
|
Race
|
Assessed at baseline
|
Demographic - Ethnicity
Time Frame: Assessed at baseline
|
Ethnicity
|
Assessed at baseline
|
Demographic - Relationship status
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Relationship status at time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Demographic - Education
Time Frame: Assessed at baseline
|
Highest grade/level completed in school
|
Assessed at baseline
|
Demographic - Disability
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Supported by disability at time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Demographic - Household income
Time Frame: This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Household income at time of assessment
|
This item may change over time so it will be assessed at baseline, 8-week, 20-week, and 1-year (i.e. employment status, number of children, etc.)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Shannon Self-Brown, PhD, Georgia State University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- H21543
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- SAP
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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