Parental Smoking Cessation: Impacting Children’s Tobacco Smoke Exposure in the Home

Caldwell, Alice Little; Tingen, Martha S.; Nguyen, Joshua; Andrews, Jeannette O.; Heath, Janie; Waller, Jennifer L.; Treiber, Frank A.

doi:10.1542/peds.2017-1026m

Cited by 14 publications

(47 citation statements)

References 25 publications

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“…Electronic and hand searching identified 550 records, with 493 references remaining after the removal of duplicates. Based on title and abstract screening, 103 relevant articles were retrieved for full-text assessment, with the final inclusion of 16 primary controlled trials [ 5 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] (associated with 41 articles, Table S1 ). Twelve of these trials had previously been identified by Behbod and colleagues [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…Full trial characteristics are shown in Table S2 (including population, sample size, details of the intervention and control, outcome measures, and process indicators). Twelve trials [ 5 , 38 , 39 , 41 , 42 , 44 , 45 , 46 , 47 , 48 , 49 , 52 ] were randomised controlled trials (RCTs), three were cluster RCTs [ 40 , 50 , 51 ], and one was a non-randomised controlled trial [ 43 ]. Most trials were conducted in the USA [ 5 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 49 , 51 ], with the remaining trials in China [ 38 , 39 , 41 , 52 ], Germany [ 46 ], and Spain [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Twelve trials [ 5 , 38 , 39 , 41 , 42 , 44 , 45 , 46 , 47 , 48 , 49 , 52 ] were randomised controlled trials (RCTs), three were cluster RCTs [ 40 , 50 , 51 ], and one was a non-randomised controlled trial [ 43 ]. Most trials were conducted in the USA [ 5 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 49 , 51 ], with the remaining trials in China [ 38 , 39 , 41 , 52 ], Germany [ 46 ], and Spain [ 50 ]. Six trials were conducted exclusively in neonates [ 5 , 43 , 44 , 46 , 51 , 52 ], two in young infants (0–18 months) [ 41 , 50 ], five in children aged up to 5 years [ 38 , 39 , 42 , 47 , 48 ], and three in children aged up to 12 years [ 40 , 45 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Brown

Gentry

Bauld

et al. 2020

IJERPH

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Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined “promising” BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 “promising” BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Brown

Gentry

Bauld

et al. 2020

IJERPH

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“…The studies have shown that SHS exposure was high among youth if their parents/guardians smoke 38,39 . With knowledge, the smoking parent/guardian might be more motivated to smoke outside the house 40 ; in addition, community intervention recruiting the adults should be intensified to promote smoke-free homes and increase the smoking cessation rate, which will ultimately reduce the SHS exposure at home 41 . Studies revealed that the implementation of a smoke-free home is possible with the consent of parents/guardians, especially in the patriarchal society of Malaysia 9 .…”

Section: Shs Exposurementioning

confidence: 99%

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Lim¹,

Ghazali²,

Lim³

et al. 2020

Tob. Induc. Dis.

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disease having been a major contributor to mortality since 1980 3 , with a third of diseases due to smoking 4. Several nationwide studies have reported that more than 70% of smokers started to smoke before the age of 18 years; this is in line with other studies conducted ABSTRACT INTRODUCTION Periodic surveys on tobacco use patterns and other aspects of tobacco use among school-going adolescents in Malaysia provide information on the effectiveness of anti-smoking measures implemented. However, such information is limited in Malaysia. We investigated the prevalence of smoking and other related aspects among middle-secondary school students in Malaysia from the years 2003-2016 to fill this gap. METHODS We analyzed data from the Global Youth Tobacco Survey (GYTS) 2003, GYTS 2009, and the Tobacco and Electronic Cigarette Survey among Malaysia Adolescents (TECMA) 2016. The surveys employed multistage sampling to select representative samples of adolescents attending secondary school in Malaysia. Data were collected using a pre-validated self-administered anonymous questionnaire adopted from the GYTS. RESULTS Between 2003 and 2016, major changes occurred in which there were reductions in the prevalence of ever smoking, current smoking, and susceptibility to smoking. Reductions were also observed in exposure to SHS in public places and in the home. The proportion of school-going adolescents who support a ban on smoking in public places increased between 2013 to 2016, and there was a significant reduction in the proportion of respondents that were offered 'free' cigarettes by tobacco company representatives. However, there was no difference in the proportion of adolescents who initiated smoking before the age of 10 years and current smokers seeking advice to quit smoking across the time period. CONCLUSIONS Our study indicates that the smoking policies and measures have been effective in reducing smoking prevalence, secondhand smoke exposure, and access to cigarettes, among school-going adolescents in Malaysia. However, measures to reduce smoking initiation and increase smoking cessation need to be strengthened to reduce the burden of smoking-related diseases in Malaysia in the long-term.

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“…39 For example, it is well established that the combination of tobacco cessation counseling and first-line pharmacotherapy is more effective than either alone. 40 As well, caregiver smokers are more likely F I G U R E 3 Summary of solutions [Color figure can be viewed at wileyonlinelibrary.com] OATES ET AL.| 2337to quit when their children are simultaneously enrolled in a tobacco prevention program 41. To maximize success, interventions may aim to enroll all family members of the smoke-exposed child with CF in a tobacco cessation and prevention program.…”

mentioning

confidence: 99%

Tobacco smoke exposure in pediatric cystic fibrosis: A qualitative study of clinician and caregiver perspectives on smoking cessation

Oates

Harris

Gutierrez

et al. 2020

Pediatric Pulmonology

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Objective Tobacco smoke exposure has negative impacts on the lung health of children with cystic fibrosis (CF), yet evidence‐based strategies for smoking cessation have not been tested with or tailored to CF caregivers. This qualitative study identified barriers and facilitators of smoking cessation in this population and outlined potential interventional approaches. Methods We conducted semi‐structured interviews with CF familial caregivers who were current or former smokers, and with members of the CF care team. We asked about experiences, practices, and prerequisites for a successful program. Interviews were recorded, transcribed verbatim, and coded by two investigators. Analysis used a thematic approach guided by the PRECEDE model, which identifies predisposing (intrapersonal), reinforcing (interpersonal), and enabling (structural) factors relevant to health behaviors and programs. Results Seventeen interviews were conducted—eight with familial caregivers and nine with CF team members. Whereas caregivers provided greater insight into internal difficulties and motivators to quit smoking, clinicians offered more extensive input on barriers and solutions related to the clinical environment. Based on study recommendations, a successful tobacco cessation program should include (a) family education about the harms of smoke exposure for children with CF; (b) screening for exposure, ideally with biochemical verification; (c) access to trained tobacco counselors; (d) affordable pharmacotherapy; and (e) outpatient follow‐up of those undergoing tobacco treatment. Conclusion This qualitative study revealed intrapersonal, interpersonal, and structural barriers to eliminating tobacco smoke exposure in children with CF, outlined opportunities to address these barriers, and made recommendations for a comprehensive tobacco cessation strategy.

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Parental Smoking Cessation: Impacting Children’s Tobacco Smoke Exposure in the Home

Abstract: This study provides evidence that tailored cessation offered to Ps/Cs in their children's schools during their children's enrollment in tobacco prevention may contribute to more robust success in P/C cessation and a reduction of tobacco smoke exposure in children.

Cited by 14 publications

References 25 publications

Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Tobacco smoke exposure in pediatric cystic fibrosis: A qualitative study of clinician and caregiver perspectives on smoking cessation

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