亲子互动干预预防儿童家庭烟草烟雾环境暴露的效果
2015年5月6日 更新者：ping-ling Chen、Taipei Medical University
学龄儿童吸烟相关因素与运用理性行为理论的干预发展三年级项目
本项目的目的是开发和检验亲子互动计划的效果，以降低儿童在家中接触环境烟草烟雾 (ETS) 的水平，促进父母和儿童的预防策略、危害知识和态度反对环境烟草烟雾。
对学龄儿童及其父母进行了一项整群随机对照试验。
在基线、8 周和 20 周时测量结果指标、儿童在家中接触 ETS 的情况以及预防接触策略的增加情况。
其他结果，父母和孩子对ETS的知识和态度，家庭的反ETS气氛及其影响，以及孩子避免ETS的自我效能感也在同一时间点测量。
研究概览
详细说明
暴露于环境烟草烟雾 (ETS) 的儿童一直是全球公共卫生关注的问题。 家庭环境，尤其是父母吸烟，已被确定为儿童的主要暴露源。 因此，父母的参与在预防计划中变得至关重要。 该项目的目的是开发和检查亲子互动计划的效果，以减少儿童在家中接触环境烟草烟雾的水平，促进父母和儿童的预防策略、危害知识和对环境烟草的态度抽烟。 其他目的包括促进父母感知到的家庭反 ETS 气氛和儿童对 ETS 回避行为的自我效能感。
对来自台湾新北市六所小学的 75 名学龄儿童 (ITT) 及其子女（亲子二人组）的父母进行了整群随机对照试验。 干预组中的亲子二人组接受亲子互动计划，包括每周三场小组会议和一次单独的电话咨询会议，该项目在小组会议后 4 周进行。 对照组的参与者在同一时间段内四次收到与烟草信息相关的书面材料，以代替干预会议。 亲子互动干预是根据跨理论模型和I-change模型开发的。 干预的主要重点是灌输有关ETS有害影响机制的知识，纠正人们对导致家庭ETS暴露的吸烟模式以及减少ETS有效和无效策略的认识，并帮助亲子双方制定维持无烟家庭的战略。 邮寄给对照组参与者的书面材料包括有关ETS及其不良反应的信息、导致ETS的家庭吸烟行为和戒烟情况。
在基线、8 周和 20 周时测量结果指标。 主要结果包括儿童在家中接触 ETS 和预防儿童接触 ETS。 儿童在家中暴露于 ETS 的方法是通过过去 7 天父母在家吸烟和儿童在场的情况以及儿童尿液中的可替宁水平来衡量。 由于延迟接收尿液可替宁测量试剂盒，儿童尿液的最终收集是在干预后 6 个月而不是干预后 3 个月进行的。 通过家长报告的预防策略和儿童报告的回避行为来衡量 ETS 暴露的预防。 第二个结果包括父母/孩子报告的 ETS 知识和态度，父母报告的家庭反 ETS 氛围及其影响，以及孩子报告的避免 ETS 暴露的自我效能感。 收集的数据通过卡方检验和广义估计方程进行分析。 在这项研究之前，对来自两所小学的 10 对亲子进行了前后测试试点研究。
研究类型
介入性
注册 (实际的)
150
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
不
有资格学习的性别
全部
描述
纳入标准：
- 给家长：1. 当前吸烟者（一生中吸烟超过 100 支且在 30 天内吸烟的人）； 2. 过去 7 天在家吸烟
- 适用对象：小学三至六年级
排除标准：
- 根据学校老师的说法，患有肾病或认知障碍的儿童被排除在外。
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：亲子互动节目
亲子互动项目分为三个阶段：预想/沉思阶段、准备阶段、行动/维持阶段。
在第 1 阶段，主要重点是通过提供信息和了解儿童对 ETS 和吸烟的看法来促进积极性。
在第 2 阶段，主要重点是加强父母/孩子规划和实施无烟家庭的能力。
在第三阶段，干预重点是通过不断加强执行能力、识别和消除障碍以及巩固成功经验来维持行为改变和无烟家庭。
亲子互动设计为三个阶段，家长通过各个阶段感知孩子的反馈。
|
|
|
有源比较器：书面材料
邮寄的材料包括有关ETS及其不良影响的信息、导致ETS的家庭吸烟行为以及戒烟手册。
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
通过儿童尿液可替宁水平测量的儿童在家中环境烟草烟雾暴露的变化，以及父母及其子女报告的最近7天在家中吸烟和儿童在场的父母调查问卷。
大体时间：基线、8周和20周问卷调查/6个月儿童尿液可替宁水平。
|
该结果测量是一个复合结果，由生物标志物（可替宁）和自我报告的数据组成。
父母及其子女报告的最近7天在家中和有孩子在场的父母吸烟问题修改自成人吸烟行为调查和中文版全球青少年烟草调查中的相关项目。
|
基线、8周和20周问卷调查/6个月儿童尿液可替宁水平。
|
|
家长报告通过开发的调查问卷衡量防止儿童在家中接触环境烟草烟雾的策略的变化。
大体时间：基线、8 周和 20 周
|
该调查问卷是在定性研究的基础上制定的，由 6 位专家进行了内容效度测试，并以 182 名吸烟父母及其同居的学龄儿童为样本进行了内部一致性测试。
计算整个量表的平均项目内容有效性指数 (CVI)，导致平均项目 CVI 为 0.97。
在之前对 182 名父母吸烟者的调查中，该量表的 Cronbach α 系数为 0.72。
|
基线、8 周和 20 周
|
|
儿童报告通过开发的调查问卷测量的家庭环境烟草烟雾避免行为的变化。
大体时间：基线、8 周和 20 周
|
该问卷基于最初由 Martinelli 开发并由 Li 和 Wang 翻译和修订的 ETS 量表。
CVI 为 0.96，在之前对 182 名父母吸烟的孩子进行的研究中，量表的 Cronbach α 系数为 0.89。
|
基线、8 周和 20 周
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
父母和孩子报告了环境烟草烟雾危害知识的变化以及对环境烟草烟雾的态度，这是通过开发的问卷测量的。
大体时间：基线、8 周和 20 周
|
调查问卷是在定性研究的基础上制定的，由 6 位专家进行了内容有效性测试，并使用 182 名父母吸烟者及其同居的学龄儿童作为样本进行了内部一致性测试。
平均项目内容有效性指数 (CVI) 为 0.87 至 0.97。
在之前对 182 名父母吸烟者和儿童的调查中，该量表的 Cronbach's alpha/KR 20 为 0.72 至 0.89。
|
基线、8 周和 20 周
|
|
父母报告了家庭反吸烟反应的变化以及父母对家庭反吸烟反应的反应，这些反应是通过开发的问卷测量的。
大体时间：基线、8 周和 20 周
|
该调查问卷是在定性研究的基础上制定的，由 6 位专家进行了内容效度测试，并以 182 名吸烟父母及其同居的学龄儿童为样本进行了内部一致性测试。
平均项目内容有效性指数 (CVI) 为 0.94 至 0.97。
在之前对 182 名父母吸烟者的调查中，该量表的 Cronbach α 系数为 0.86 至 0.93。
|
基线、8 周和 20 周
|
|
儿童在避免环境烟草烟雾暴露方面的自我效能的变化，通过开发的问卷测量。
大体时间：基线、8 周和 20 周
|
该问卷基于最初由 Martinelli 开发并由 Li 和 Wang 翻译和修订的避免 ETS 量表的自我效能感。
CVI 为 0.94，量表的 Cronbach α 在之前对 182 名父母吸烟的孩子的研究中为 0.83。
|
基线、8 周和 20 周
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Ping-Ling Chen, Ph.D.、Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Office on Smoking and Health (US). The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2006. Available from http://www.ncbi.nlm.nih.gov/books/NBK44324/
- Craig, L., & Sawrikar, P. (2009). Work and Family: How Does the (Gender) Balance Change as Children Grow? Gender, Work & Organization, 16(6), 684-709. doi: 10.1111/j.1468-0432.2009.00481.x
- Grigsby, J. (1997). Telemedicine in the United States. In R. L. Bashshur, J. H. Sanders & G. W. Shannon (Eds.), Telemedicine: Theory and Practice (pp. 265-290). Springfield, IL: Charles C Thomas.
- Matt GE, Bernert JT, Hovell MF. Measuring secondhand smoke exposure in children: an ecological measurement approach. J Pediatr Psychol. 2008 Mar;33(2):156-75. doi: 10.1093/jpepsy/jsm123. Epub 2007 Dec 13.
- Nierkens V, Stronks K, de Vries H. Attitudes, social influences and self-efficacy expectations across different motivational stages among immigrant smokers: replication of the O pattern. Prev Med. 2006 Oct;43(4):306-11. doi: 10.1016/j.ypmed.2006.05.005. Epub 2006 Aug 17.
- World Health Organization. (2009). Exposure to secondhand tobacco smoke and early death, at WHO Report on the Global Tobacco Epidemic, 2009: Implementing smoke-free environments
- Abdullah AS, Hitchman SC, Driezen P, Nargis N, Quah AC, Fong GT. Socioeconomic differences in exposure to tobacco smoke pollution (TSP) in Bangladeshi households with children: findings from the International Tobacco Control (ITC) Bangladesh Survey. Int J Environ Res Public Health. 2011 Mar;8(3):842-60. doi: 10.3390/ijerph8030842. Epub 2011 Mar 15.
- Abdullah AS, Hua F, Xia X, Hurlburt S, Ng P, MacLeod W, Siegel M, Griffiths S, Zhang Z. Second-hand smoke exposure and household smoking bans in Chinese families: a qualitative study. Health Soc Care Community. 2012 Jul;20(4):356-64. doi: 10.1111/j.1365-2524.2011.01035.x. Epub 2011 Oct 27.
- Abdullah AS, Mak YW, Loke AY, Lam TH. Smoking cessation intervention in parents of young children: a randomised controlled trial. Addiction. 2005 Nov;100(11):1731-40. doi: 10.1111/j.1360-0443.2005.01231.x.
- Akhtar PC, Haw SJ, Currie DB, Zachary R, Currie CE. Smoking restrictions in the home and secondhand smoke exposure among primary schoolchildren before and after introduction of the Scottish smoke-free legislation. Tob Control. 2009 Oct;18(5):409-15. doi: 10.1136/tc.2009.030627. Epub 2009 Aug 10.
- Aveyard P, Massey L, Parsons A, Manaseki S, Griffin C. The effect of Transtheoretical Model based interventions on smoking cessation. Soc Sci Med. 2009 Feb;68(3):397-403. doi: 10.1016/j.socscimed.2008.10.036. Epub 2008 Nov 27.
- Baheiraei A, Kharaghani R, Mohsenifar A, Kazemnejad A, Alikhani S, Milani HS, Mota A, Hovell MF. Reduction of secondhand smoke exposure among healthy infants in Iran: randomized controlled trial. Nicotine Tob Res. 2011 Sep;13(9):840-7. doi: 10.1093/ntr/ntr085. Epub 2011 Apr 18.
- Baldwin SA, Christian S, Berkeljon A, Shadish WR. The effects of family therapies for adolescent delinquency and substance abuse: a meta-analysis. J Marital Fam Ther. 2012 Jan;38(1):281-304. doi: 10.1111/j.1752-0606.2011.00248.x. Epub 2011 Sep 6.
- Berman BA, Wong GC, Bastani R, Hoang T, Jones C, Goldstein DR, Bernert JT, Hammond KS, Tashkin D, Lewis MA. Household smoking behavior and ETS exposure among children with asthma in low-income, minority households. Addict Behav. 2003 Jan-Feb;28(1):111-28. doi: 10.1016/s0306-4603(01)00221-0.
- Binnie V, McHugh S, Macpherson L, Borland B, Moir K, Malik K. The validation of self-reported smoking status by analysing cotinine levels in stimulated and unstimulated saliva, serum and urine. Oral Dis. 2004 Sep;10(5):287-93. doi: 10.1111/j.1601-0825.2004.01018.x.
- Bolte G, Fromme H; GME Study Group. Socioeconomic determinants of children's environmental tobacco smoke exposure and family's home smoking policy. Eur J Public Health. 2009 Jan;19(1):52-8. doi: 10.1093/eurpub/ckn114. Epub 2008 Nov 25.
- Bottorff JL, Oliffe J, Kalaw C, Carey J, Mroz L. Men's constructions of smoking in the context of women's tobacco reduction during pregnancy and postpartum. Soc Sci Med. 2006 Jun;62(12):3096-108. doi: 10.1016/j.socscimed.2005.11.058. Epub 2006 Jan 18.
- Bureau of Health Promotion, D. o. H. (2010). Taiwan Tobacco Control Annual Report, 2010 Retrieved from http://tobacco.bhp.doh.gov.tw/Upload/FTB/UpFiles/2010.pdf
- Cahill K, Lancaster T, Green N. Stage-based interventions for smoking cessation. Cochrane Database Syst Rev. 2010 Nov 10;(11):CD004492. doi: 10.1002/14651858.CD004492.pub4.
- Chan S, Lam TH. Protecting sick children from exposure to passive smoking through mothers' actions: a randomized controlled trial of a nursing intervention. J Adv Nurs. 2006 May;54(4):440-9. doi: 10.1111/j.1365-2648.2006.03842.x.
- Chan SS, Lam TH, Salili F, Leung GM, Wong DC, Botelho RJ, Lo SL, Lau YL. A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study. Appl Nurs Res. 2005 Aug;18(3):178-81. doi: 10.1016/j.apnr.2005.01.002.
- Chen YT, Chung MC, Hsiao FH, Miao NF, Chen PL. Exploration of parental smokers' experience, perceptions, and family's influences on their smoking in the presence of children. ANS Adv Nurs Sci. 2012 Jan-Mar;35(1):E1-13. doi: 10.1097/ANS.0b013e3182445525.
- Chen YH, Chen PL, Huang WG, Chiou HY, Hsu CY, Chao KY. Association between social climate for smoking and youth smoking behaviors in Taiwan: an ecological study. Int J Nurs Stud. 2010 Oct;47(10):1253-61. doi: 10.1016/j.ijnurstu.2010.02.007. Epub 2010 Mar 15.
- Chen YT, Hsiao FH, Miao NF, Chen PL. Factors associated with parents’ perceptions of parental smoking in the presence of children and its consequences on children. Int J Environ Res Public Health. 2013 Jan 7;10(1):192-209. doi: 10.3390/ijerph10010192.
- Conway TL, Woodruff SI, Edwards CC, Hovell MF, Klein J. Intervention to reduce environmental tobacco smoke exposure in Latino children: null effects on hair biomarkers and parent reports. Tob Control. 2004 Mar;13(1):90-2. doi: 10.1136/tc.2003.004440.
- Curry SJ, Ludman EJ, Graham E, Stout J, Grothaus L, Lozano P. Pediatric-based smoking cessation intervention for low-income women: a randomized trial. Arch Pediatr Adolesc Med. 2003 Mar;157(3):295-302. doi: 10.1001/archpedi.157.3.295.
- Dhar P. Measuring tobacco smoke exposure: quantifying nicotine/cotinine concentration in biological samples by colorimetry, chromatography and immunoassay methods. J Pharm Biomed Anal. 2004 Apr 1;35(1):155-68. doi: 10.1016/j.jpba.2004.01.009.
- Dijk F, Reubsaet A, de Nooijer J, de Vries H. Smoking status and peer support as the main predictors of smoking cessation in adolescents from six European countries. Nicotine Tob Res. 2007 Sep;9 Suppl 3:S495-504. doi: 10.1080/14622200701587060.
- Ding D, Wahlgren DR, Liles S, Jones JA, Hughes SC, Hovell MF. Secondhand smoke avoidance by preteens living with smokers: to leave or stay? Addict Behav. 2010 Nov;35(11):989-94. doi: 10.1016/j.addbeh.2010.06.016. Epub 2010 Jun 22.
- Doubeni CA, Li W, Fouayzi H, Difranza JR. Perceived accessibility as a predictor of youth smoking. Ann Fam Med. 2008 Jul-Aug;6(4):323-30. doi: 10.1370/afm.841.
- Ekerbicer HC, Celik M, Guler E, Davutoglu M, Kilinc M. Evaluating environmental tobacco smoke exposure in a group of Turkish primary school students and developing intervention methods for prevention. BMC Public Health. 2007 Aug 10;7:202. doi: 10.1186/1471-2458-7-202.
- Emmons KM, Hammond SK, Fava JL, Velicer WF, Evans JL, Monroe AD. A randomized trial to reduce passive smoke exposure in low-income households with young children. Pediatrics. 2001 Jul;108(1):18-24. doi: 10.1542/peds.108.1.18.
- Escoffery C, McCormick L, Bateman K. Development and process evaluation of a web-based smoking cessation program for college smokers: innovative tool for education. Patient Educ Couns. 2004 May;53(2):217-25. doi: 10.1016/S0738-3991(03)00163-0.
- Farber HJ, Knowles SB, Brown NL, Caine L, Luna V, Qian Y, Lavori P, Wilson SR. Secondhand tobacco smoke in children with asthma: sources of and parental perceptions about exposure in children and parental readiness to change. Chest. 2008 Jun;133(6):1367-1374. doi: 10.1378/chest.07-2369. Epub 2008 Mar 13.
- Fossum B, Arborelius E, Bremberg S. Evaluation of a counseling method for the prevention of child exposure to tobacco smoke: an example of client-centered communication. Prev Med. 2004 Mar;38(3):295-301. doi: 10.1016/j.ypmed.2003.10.008.
- Green E, Courage C, Rushton L. Reducing domestic exposure to environmental tobacco smoke: a review of attitudes and behaviours. J R Soc Promot Health. 2003 Mar;123(1):46-51. doi: 10.1177/146642400312300115.
- Gursoy ST, Soyer MT, Ocek Z, Ciceklioglu M, Aksu F. Why are Turkish children at risk of exposure to environmental tobacco smoke in their homes? Asian Pac J Cancer Prev. 2008 Jul-Sep;9(3):467-72.
- Hannover W, Thyrian JR, Roske K, Grempler J, Rumpf HJ, John U, Hapke U. Smoking cessation and relapse prevention for postpartum women: results from a randomized controlled trial at 6, 12, 18 and 24 months. Addict Behav. 2009 Jan;34(1):1-8. doi: 10.1016/j.addbeh.2008.07.021. Epub 2008 Aug 3.
- Heck JE, Stucker I, Allwright S, Gritz ER, Haglund M, Healton CG, Kralikova E, Sanchez Del Mazo S, Tamang E, Dresler CM, Hashibe M. Home and workplace smoking bans in Italy, Ireland, Sweden, France and the Czech Republic. Eur Respir J. 2010 May;35(5):969-79. doi: 10.1183/09031936.00066809. Epub 2009 Nov 19.
- Hill SC, Liang L. Smoking in the home and children's health. Tob Control. 2008 Feb;17(1):32-7. doi: 10.1136/tc.2007.020990.
- Ho SY, Wang MP, Lo WS, Mak KK, Lai HK, Thomas GN, Lam TH. Comprehensive smoke-free legislation and displacement of smoking into the homes of young children in Hong Kong. Tob Control. 2010 Apr;19(2):129-33. doi: 10.1136/tc.2009.032003.
- Hollis JF, McAfee TA, Fellows JL, Zbikowski SM, Stark M, Riedlinger K. The effectiveness and cost effectiveness of telephone counselling and the nicotine patch in a state tobacco quitline. Tob Control. 2007 Dec;16 Suppl 1(Suppl 1):i53-9. doi: 10.1136/tc.2006.019794.
- Hovell MF, Meltzer SB, Wahlgren DR, Matt GE, Hofstetter CR, Jones JA, Meltzer EO, Bernert JT, Pirkle JL. Asthma management and environmental tobacco smoke exposure reduction in Latino children: a controlled trial. Pediatrics. 2002 Nov;110(5):946-56. doi: 10.1542/peds.110.5.946.
- Hovell MF, Zakarian JM, Matt GE, Hofstetter CR, Bernert JT, Pirkle J. Effect of counselling mothers on their children's exposure to environmental tobacco smoke: randomised controlled trial. BMJ. 2000 Aug 5;321(7257):337-42. doi: 10.1136/bmj.321.7257.337.
- Hovell MF, Zakarian JM, Matt GE, Liles S, Jones JA, Hofstetter CR, Larson SN, Benowitz NL. Counseling to reduce children's secondhand smoke exposure and help parents quit smoking: a controlled trial. Nicotine Tob Res. 2009 Dec;11(12):1383-94. doi: 10.1093/ntr/ntp148. Epub 2009 Oct 29.
- Hoving EF, Mudde AN, de Vries H. Predictors of smoking relapse in a sample of Dutch adult smokers; the roles of gender and action plans. Addict Behav. 2006 Jul;31(7):1177-89. doi: 10.1016/j.addbeh.2005.09.002. Epub 2005 Oct 19.
- Huang HL, Yen YY, Lin PL, Chiu CH, Hsu CC, Chen T, Hu CY, Lin YY, Lee CH, Chen FL. Household secondhand smoke exposure of elementary schoolchildren in Southern Taiwan and factors associated with their confidence in avoiding exposure: a cross-sectional study. BMC Public Health. 2012 Jan 17;12:40. doi: 10.1186/1471-2458-12-40.
- Hugg TT, Jaakkola MS, Ruotsalainen RO, Pushkarev VJ, Jaakkola JJ. Parental smoking behaviour and effects of tobacco smoke on children's health in Finland and Russia. Eur J Public Health. 2008 Feb;18(1):55-62. doi: 10.1093/eurpub/ckm053. Epub 2007 Jun 14.
- Hughes SC, Corcos IA, Hofstetter CR, Hovell MF, Irvin VL. Longitudinal study of household smoking ban adoption among Korean Americans. Am J Prev Med. 2009 Nov;37(5):437-40. doi: 10.1016/j.amepre.2009.06.015.
- Hyland A, Higbee C, Travers MJ, Van Deusen A, Bansal-Travers M, King B, Cummings KM. Smoke-free homes and smoking cessation and relapse in a longitudinal population of adults. Nicotine Tob Res. 2009 Jun;11(6):614-8. doi: 10.1093/ntr/ntp022. Epub 2009 Apr 3.
- Lampert T. Smoking and passive smoking exposure in young people: results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Dtsch Arztebl Int. 2008 Apr;105(15):265-71. doi: 10.3238/arztebl.2008.0265. Epub 2008 Apr 11.
- Li MF, Wang RH. Factors related to avoidance of environmental tobacco smoke among adolescents in southern Taiwan. J Nurs Res. 2006 Jun;14(2):103-12. doi: 10.1097/01.jnr.0000387568.41941.f0.
- Martinelli AM. Development and validation of the avoidance of environmental tobacco smoke scale. J Nurs Meas. 1998 Summer;6(1):75-86.
- Matt GE, Quintana PJ, Hovell MF, Bernert JT, Song S, Novianti N, Juarez T, Floro J, Gehrman C, Garcia M, Larson S. Households contaminated by environmental tobacco smoke: sources of infant exposures. Tob Control. 2004 Mar;13(1):29-37. doi: 10.1136/tc.2003.003889.
- Mills AL, Messer K, Gilpin EA, Pierce JP. The effect of smoke-free homes on adult smoking behavior: a review. Nicotine Tob Res. 2009 Oct;11(10):1131-41. doi: 10.1093/ntr/ntp122. Epub 2009 Jul 24.
- Mills LM, Semple SE, Wilson IS, MacCalman L, Amos A, Ritchie D, O'Donnell R, Shaw A, Turner SW. Factors influencing exposure to secondhand smoke in preschool children living with smoking mothers. Nicotine Tob Res. 2012 Dec;14(12):1435-44. doi: 10.1093/ntr/nts074. Epub 2012 Mar 15.
- Moore GF, Currie D, Gilmore G, Holliday JC, Moore L. Socioeconomic inequalities in childhood exposure to secondhand smoke before and after smoke-free legislation in three UK countries. J Public Health (Oxf). 2012 Dec;34(4):599-608. doi: 10.1093/pubmed/fds025. Epub 2012 Mar 23.
- Nattala P, Leung KS, Nagarajaiah, Murthy P. Family member involvement in relapse prevention improves alcohol dependence outcomes: a prospective study at an addiction treatment facility in India. J Stud Alcohol Drugs. 2010 Jul;71(4):581-7. doi: 10.15288/jsad.2010.71.581.
- Nierkens V, Stronks K, van Oel CJ, de Vries H. Beliefs of Turkish and Moroccan immigrants in The Netherlands about smoking cessation: implications for prevention. Health Educ Res. 2005 Dec;20(6):622-34. doi: 10.1093/her/cyh026. Epub 2005 Mar 21.
- Phillips R, Amos A, Ritchie D, Cunningham-Burley S, Martin C. Smoking in the home after the smoke-free legislation in Scotland: qualitative study. BMJ. 2007 Sep 15;335(7619):553. doi: 10.1136/bmj.39301.497593.55. Epub 2007 Sep 9.
- Roseby R, Waters E, Polnay A, Campbell R, Webster P, Spencer N. Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke. Cochrane Database Syst Rev. 2003;(3):CD001746. doi: 10.1002/14651858.CD001746.
- Prochaska JO, Velicer WF, Redding C, Rossi JS, Goldstein M, DePue J, Greene GW, Rossi SR, Sun X, Fava JL, Laforge R, Rakowski W, Plummer BA. Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Prev Med. 2005 Aug;41(2):406-16. doi: 10.1016/j.ypmed.2004.09.050.
- Robinson J, Kirkcaldy AJ. Disadvantaged mothers, young children and smoking in the home: mothers' use of space within their homes. Health Place. 2007 Dec;13(4):894-903. doi: 10.1016/j.healthplace.2007.03.001. Epub 2007 Mar 21.
- Robinson J, Kirkcaldy AJ. 'You think that I'm smoking and they're not': why mothers still smoke in the home. Soc Sci Med. 2007 Aug;65(4):641-52. doi: 10.1016/j.socscimed.2007.03.048. Epub 2007 May 7.
- Robinson J, Kirkcaldy AJ. 'Imagine all that smoke in their lungs': parents' perceptions of young children's tolerance of tobacco smoke. Health Educ Res. 2009 Feb;24(1):11-21. doi: 10.1093/her/cym080. Epub 2007 Dec 20.
- Rosen LJ, Ben Noach M. Systematic reviews on tobacco control from Cochrane and the Community Guide: different methods, similar findings. J Clin Epidemiol. 2010 Jun;63(6):596-606. doi: 10.1016/j.jclinepi.2009.09.010. Epub 2010 Jan 13.
- Rosen LJ, Noach MB, Winickoff JP, Hovell MF. Parental smoking cessation to protect young children: a systematic review and meta-analysis. Pediatrics. 2012 Jan;129(1):141-52. doi: 10.1542/peds.2010-3209. Epub 2011 Dec 26.
- Poole-Di Salvo E, Liu YH, Brenner S, Weitzman M. Adult household smoking is associated with increased child emotional and behavioral problems. J Dev Behav Pediatr. 2010 Feb-Mar;31(2):107-15. doi: 10.1097/DBP.0b013e3181cdaad6.
- Schumann A, John U, Ulbricht S, Ruge J, Bischof G, Meyer C. Computer-generated tailored feedback letters for smoking cessation: theoretical and empirical variability of tailoring. Int J Med Inform. 2008 Nov;77(11):715-22. doi: 10.1016/j.ijmedinf.2008.03.001. Epub 2008 Apr 15.
- Tanner-Smith EE, Wilson SJ, Lipsey MW. The comparative effectiveness of outpatient treatment for adolescent substance abuse: a meta-analysis. J Subst Abuse Treat. 2013 Feb;44(2):145-58. doi: 10.1016/j.jsat.2012.05.006. Epub 2012 Jul 2.
- Tyc VL, Hovell MF, Winickoff J. Reducing secondhand smoke exposure among children and adolescents: emerging issues for intervening with medically at-risk youth. J Pediatr Psychol. 2008 Mar;33(2):145-55. doi: 10.1093/jpepsy/jsm135. Epub 2008 Jan 11.
- Tyc VL, Huang Q, Nicholson J, Schultz B, Hovell MF, Lensing S, Vukadinovich C, Hudson MM, Zhang H. Intervention to reduce secondhand smoke exposure among children with cancer: a controlled trial. Psychooncology. 2013 May;22(5):1104-11. doi: 10.1002/pon.3117. Epub 2012 Jun 8.
- Wagener TL, Gregor KL, Busch AM, McQuaid EL, Borrelli B. Risk perception in smokers with children with asthma. J Consult Clin Psychol. 2010 Dec;78(6):980-5. doi: 10.1037/a0021094.
- Wamboldt FS, Balkissoon RC, Rankin AE, Szefler SJ, Hammond SK, Glasgow RE, Dickinson WP. Correlates of household smoking bans in low-income families of children with and without asthma. Fam Process. 2008 Mar;47(1):81-94. doi: 10.1111/j.1545-5300.2008.00240.x.
- Wang WL, Herting JR, Tung YY. Adolescents' avoidance of secondhand smoke exposure: model testing. West J Nurs Res. 2008 Nov;30(7):836-51. doi: 10.1177/0193945908319251. Epub 2008 May 30.
- Wilkinson AV, Shete S, Prokhorov AV. The moderating role of parental smoking on their children's attitudes toward smoking among a predominantly minority sample: a cross-sectional analysis. Subst Abuse Treat Prev Policy. 2008 Jul 14;3:18. doi: 10.1186/1747-597X-3-18.
- Wilson SR, Farber HJ, Knowles SB, Lavori PW. A randomized trial of parental behavioral counseling and cotinine feedback for lowering environmental tobacco smoke exposure in children with asthma: results of the LET'S Manage Asthma trial. Chest. 2011 Mar;139(3):581-590. doi: 10.1378/chest.10-0772. Epub 2010 Sep 23.
- Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, McMillen RC. Beliefs about the health effects of "thirdhand" smoke and home smoking bans. Pediatrics. 2009 Jan;123(1):e74-9. doi: 10.1542/peds.2008-2184.
- Woods SE, Springett J, Porcellato L, Dugdill L. 'Stop it, it's bad for you and me': experiences of and views on passive smoking among primary-school children in Liverpool. Health Educ Res. 2005 Dec;20(6):645-55. doi: 10.1093/her/cyh027. Epub 2005 Apr 13.
- Wu D, Ma GX, Zhou K, Zhou D, Liu A, Poon AN. The effect of a culturally tailored smoking cessation for Chinese American smokers. Nicotine Tob Res. 2009 Dec;11(12):1448-57. doi: 10.1093/ntr/ntp159. Epub 2009 Nov 13.
- Yilmaz G, Karacan C, Yoney A, Yilmaz T. Brief intervention on maternal smoking: a randomized controlled trial. Child Care Health Dev. 2006 Jan;32(1):73-9. doi: 10.1111/j.1365-2214.2006.00570.x.
- Young JM, Girgis S, Bruce TA, Hobbs M, Ward JE. Acceptability and effectiveness of opportunistic referral of smokers to telephone cessation advice from a nurse: a randomised trial in Australian general practice. BMC Fam Pract. 2008 Feb 28;9:16. doi: 10.1186/1471-2296-9-16.
- Yousey Y. Family attitudes about tobacco smoke exposure of young children at home. MCN Am J Matern Child Nurs. 2007 May-Jun;32(3):178-83. doi: 10.1097/01.NMC.0000269568.17432.72.
- Zakarian JM, Hovell MF, Sandweiss RD, Hofstetter CR, Matt GE, Bernert JT, Pirkle J, Hammond SK. Behavioral counseling for reducing children's ETS exposure: implementation in community clinics. Nicotine Tob Res. 2004 Dec;6(6):1061-74. doi: 10.1080/1462220412331324820.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2011年4月1日
初级完成 (实际的)
2012年7月1日
研究完成 (实际的)
2012年7月1日
研究注册日期
首次提交
2015年4月23日
首先提交符合 QC 标准的
2015年5月6日
首次发布 (估计)
2015年5月12日
研究记录更新
最后更新发布 (估计)
2015年5月12日
上次提交的符合 QC 标准的更新
2015年5月6日
最后验证
2015年5月1日
更多信息
与本研究相关的术语
其他研究编号
- NSC97-2314-B-038-043-MY3
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.