Effects of a family-assisted smoking cessation intervention based on motivational interviewing among low-motivated smokers in China

Huang, Fang; Jiao, Na Na; Zhang, Liu Yi; Yang, Lei; Zhang, Jingping

doi:10.1016/j.pec.2015.02.017

Cited by 22 publications

(27 citation statements)

References 31 publications

(39 reference statements)

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“…However, in traditional Chinese cultural norms, smoking is regarded as a symbol of a man’s personal freedom and social position [51], and Chinese women still hold a tolerant attitude towards men who smoke at home due to concerns about family harmony [52]. A study in China observed a significant difference in biochemically verified smoking abstinence between smokers with and without a family member who had received guidance in helping them to quit [53]. Significantly better results were also reported in the daily smoking of tobacco, quit attempts, and communication between smokers and their family members in the intervention group.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

Zhou

Mak

2019

IJERPH

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There are health consequences to exposure to secondhand smoke (SHS). About two-thirds of children in China live with at least one person, usually a parent, who smokes at home. However, none of the reviews of interventions for reducing SHS have targeted children in China. The purpose of this study was to review the effectiveness of interventions for reducing parental SHS exposure at home among children in China. We searched various electronic databases for English and Chinese publications appearing between 1997 and 2017. Thirteen relevant studies were identified. Common strategies used in intervention groups were non-pharmacological approaches such as counseling plus self-help materials, and attempting to persuade fathers to quit smoking. Family interactions and follow-up sessions providing counseling or using text messages could be helpful to successful quitting. Several encouraging results were observed, including lower cotinine levels in children (n = 2), reduced tobacco consumption (n = 5), and increased quit rates (n = 6) among parents. However, the positive effects were not sustained 3~6 months after the interventions. Self-reported quitting without bio-chemical validation was the most common outcome measure. A study design using biochemical validations, a longer follow-up period, and targeting all people living with children in the same household is recommended.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

Zhou

Mak

2019

IJERPH

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“…The study by Davis and colleagues 41 provided one 15-minute MI; the control group received 15 minutes of prescriptive counseling. Research by Huang and colleagues 45 examined the effectiveness of four 20-minute sessions of individual, tailored MI among a population who also reported having a family member willing to participate as a supporter. Treatment and control groups both received a self-help manual and a 25-minute group counseling session.…”

Section: Evidence Synthesismentioning

confidence: 99%

Smoking Cessation for Smokers Not Ready to Quit: Meta-analysis and Cost-effectiveness Analysis

Ali

Kaplan

Derefinko

et al. 2018

American Journal of Preventive Medicine

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“…Although more husbands attempted to quit smoking in the intervention group (30% vs 22%; P = .02), quit rates were low at 6 months (6.6% vs 4.2%; P = .26) . Another trial in China indicated that a family‐assisted, motivational interviewing intervention (4 sessions) had higher rates of past‐week smoker abstinence at 6 months than an individual‐based intervention . A social‐network, family‐assisted intervention (2 group sessions and 2 follow‐up calls) demonstrated that Chinese and Vietnamese American smokers had a 30‐day abstinence rate of 24% at 3 months .…”

Section: Discussionmentioning

confidence: 99%

Impact of a smoke‐free–living educational intervention for smokers and household nonsmokers: A randomized trial of Chinese American pairs

Tong

Saw

Fung³

et al. 2018

Cancer

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BACKGROUND: Chinese American men smoke at a high rate, which puts household nonsmokers at risk. The objective of this study was to evaluate the effectiveness of a brief-intensity versus moderate-intensity smoke-free-living educational intervention for household pairs. METHODS: The authors conducted a randomized controlled trial of Cantonese-speaking Chinese American smoker and household nonsmoker pairs in San Francisco, California. Pairs were randomized to moderate-intensity or brief-intensity group sessions with their household partner. The moderate-intensity group received 2 group sessions, a laboratory report of their baseline smoke exposure, as measured by 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), and 3 follow-up calls over 6 months. The briefintensity group received 1 group session on tobacco-cessation resources. Primary outcomes were biochemically validated, pastmonth smoking abstinence and elimination of nonsmoker household exposure at 12 months. RESULTS: Participant pairs (n 5 203) were male smokers, one-half of whom did not intend to quit within 6 months, with mostly female spouses as household nonsmokers. Approximately three-quarters of nonsmokers in both groups already had smoke-free home rules. At 12 months, smokers in both groups had similar biochemically validated 30-day abstinence rates (moderate-intensity group, 0%-20.7%; brief-intensity group, 0%-20.0%; P 5 .002 over time). More smokers in the moderate-intensity group used subsequent cessation group classes (moderateintensity group, 50%; brief-intensity group, 24%; P 5 .004). Household nonsmokers in both groups had similar biochemically validated rates of no home exposure (moderate-intensity group, 24.5%-42.2%; brief-intensity group, 24.8%-33.3%; P 5 .0001 over time). CONCLUSIONS: A moderate-intensity smoke-free-living educational intervention for Chinese-speaking household pairs was not more effective than a brief-intensity intervention for smoking abstinence and elimination of household nonsmoker exposure. Abstinence rates were similar to those achieved with standard group counseling. Cancer 2018;124:1590-8.

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Effects of a family-assisted smoking cessation intervention based on motivational interviewing among low-motivated smokers in China

Cited by 22 publications

References 31 publications

Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

Effectiveness of Interventions to Reduce Exposure to Parental Secondhand Smoke at Home among Children in China: A Systematic Review

Smoking Cessation for Smokers Not Ready to Quit: Meta-analysis and Cost-effectiveness Analysis

Impact of a smoke‐free–living educational intervention for smokers and household nonsmokers: A randomized trial of Chinese American pairs

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