Protecting children from secondhand smoke: a mixed-methods feasibility study of a novel smoke-free home intervention

Marsh, John; McNeill, Ann; Lewis, Sarah; Coleman, Tim; Bains, Manpreet; Larwood, Alexandra; Purdy, Jacqueline; Jones, Laura L.

Abstract

Background: Globally, 40 % of children under 14 years are regularly exposed to secondhand smoke (SHS), typically in their homes. There is limited evidence of the effectiveness of interventions to reduce children’s SHS exposure,and so the aim of this study was to test the feasibility and acceptability of a novel intervention to help parents and carers (caregivers) to reduce their children’s exposure to SHS at home.

Methods: A novel multi-component intervention to support caregivers to reduce their children’s SHS exposure athome was tested in a two-phase feasibility study. The 12-week intensive intervention delivered in the homeconsisted of three components: behavioural support, nicotine replacement therapy (NRT) for temporary abstinenceand feedback on levels of SHS exposure in the form of children’s salivary cotinine (phase 1) or home air quality (PM2.5) (phase 2). Participants were caregivers who smoked inside their homes and had at least one child under the age of 5 years living with them the majority of the time. Mixed-methods were used to explore the acceptability and feasibility of the intervention as well as processes, particularly around recruitment and retention, for an exploratory efficacy trial.

Results: Twelve caregivers completed the study, all received personalised feedback on SHS exposure and behavioural support to help them to make their homes smoke-free and the majority at least tried NRT. Saliva cotinine results were variable in phase 1, and therefore, measures of PM2.5 were used for feedback in phase 2.Behavioural support was well received with personalised feedback reported as being the key motivator for initiating and maintaining behaviour change.

Conclusions: Recruiting disadvantaged caregivers was labour intensive, but once recruited, this novel intervention was both feasible and acceptable in supporting caregivers to reduce their children’s exposure to SHS at home. It is appropriate to test the efficacy of this novel intervention in an exploratory randomised controlled trial.

Citation

Marsh, J., McNeill, A., Lewis, S., Coleman, T., Bains, M., Larwood, A., Purdy, J., & Jones, L. L. (2016). Protecting children from secondhand smoke: a mixed-methods feasibility study of a novel smoke-free home intervention. Pilot and Feasibility Studies, 2, Article 53. https://doi.org/10.1186/s40814-016-0094-7

• Journal Article Type: Article
• Acceptance Date: Aug 17, 2016
• Publication Date: Sep 12, 2016
• Deposit Date: Sep 16, 2016
• Publicly Available Date: Sep 16, 2016
• Journal: Pilot and Feasibility Studies
• Electronic ISSN: 2055-5784
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 2
• Article Number: 53
• DOI: https://doi.org/10.1186/s40814-016-0094-7
• Keywords: Secondhand smoke, Smoke-free homes, Complex intervention, PM2.5, Feasibility study, Acceptability,; Mixed-methods, Recruitment
• Public URL: https://nottingham-repository.worktribe.com/output/818257
• Publisher URL: http://dx.doi.org/10.1186/s40814-016-0094-7
• Contract Date: Sep 16, 2016