Smoking cessation intervention in parents of young children: a randomised controlled trial.

OBJECTIVE: To examine whether telephone counselling based on the stages of change component of Transtheoretical model of behaviour change together with educational materials could help non-motivated smoking parents of young children to cease. DESIGN: Randomised controlled trial. SETTING: Hong Kong S...

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Publicado en:Addiction Vol. 100; no. 11; pp. 1731 - 1741
Autores principales: Abdullah ASM, Mak YW, Loke AY, Lam T
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Nov2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2005
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1360-0443.2005.01231.x
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        atl: Smoking cessation intervention in parents of young children: a randomised controlled trial.
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        au:
          Abdullah ASM
          Mak YW
          Loke AY
          Lam T
        affil: Department of Community Medicine, University of Hong Kong, Hong Kong; asm.abdullah@graduate.hku.hk
      sug:
        subj:
          Parents
          Smoking Cessation
          Adult
          Bivariate Statistics
          Breath Tests
          Chinese Persons
          Randomized Controlled Trials
          Confidence Intervals
          Cotinine Urine
          Counseling
          Data Analysis Software
          Female
          Funding Source
          Hong Kong
          Interviews
          Male
          Middle Age
          Odds Ratio
          Outcomes (Health Care)
          Print Materials
          Questionnaires
          Random Assignment
          Self Report
          Telephone
          Transtheoretical Stages of Change Model
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: To examine whether telephone counselling based on the stages of change component of Transtheoretical model of behaviour change together with educational materials could help non-motivated smoking parents of young children to cease. DESIGN: Randomised controlled trial. SETTING: Hong Kong Special Administrative Region, PR China. PARTICIPANTS: 952 smoker fathers and mothers of Chinese children aged 5 years. INTERVENTION: Participants were randomly allocated into two groups: the intervention group received printed self-help materials and three-session telephone-based smoking cessation counselling delivered by trained counsellors; the control group received printed self-help materials only. A structured questionnaire was used for data collection at baseline and at 1, 3 and 6 month follow up. MAIN OUTCOME MEASURES: The main outcome is 7 day point prevalence quit rate at 6 months (defined as not smoking during the 7 days preceding the 6 month follow up) determined by self reports. Other secondary outcomes were self reported 24 h point prevalence quit rate and self-reported continuous quit rate and bio-chemically validated quit rate at 6 months. RESULTS: A total of 952 smoker fathers and mothers were randomized to the intervention (n = 467) and control (n = 485) groups. Most were daily smokers (92.4%) and the mean number of cigarettes smoked per day was 14.5 (SD = 8.9). By using intention-to-treat analysis, the 7 day point prevalence quit rate at 6 month follow up was significantly greater in the intervention group (15.3%; 68/444) than the control group (7.4%; 34/459) (P < 0.001). The absolute risk reduction was 7.9% (95% confidence interval: 3.78% to 12.01%). The number needed to treat to get one additional smoker to quit was 13 (95% CI: 8-26). The crude odds ratio of quitting was 2.3(95% CI: 1.5-3.5). The adjusted odds ratio was 2.1 (95% CI: 1.4-3.4) (adjusted for age, number of years smoked, and alcohol dependency). CONCLUSION: Proactive telephone counselling is an effective aid to promote smoking cessation among parents of young children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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