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Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure

BACKGROUND: Tobacco smoke exposure (TSE) is a serious threat to child health. Roughly 40% of children worldwide are exposed to tobacco smoke, and the very young are often "captive smokers" in homes in which others smoke. The goal of this research project is to develop and evaluate an inter...

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Autores principales: Rosen, Laura J, Guttman, Nurit, Hovell, Melbourne F, Noach, Michal Ben, Winickoff, Jonathan P, Tchernokovski, Shosh, Rosenblum, Joseph K, Rubenstein, Uri, Seidmann, Vered, Vardavas, Constantine I, Klepeis, Neil E, Zucker, David M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141467/
https://www.ncbi.nlm.nih.gov/pubmed/21711530
http://dx.doi.org/10.1186/1471-2458-11-508
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author Rosen, Laura J
Guttman, Nurit
Hovell, Melbourne F
Noach, Michal Ben
Winickoff, Jonathan P
Tchernokovski, Shosh
Rosenblum, Joseph K
Rubenstein, Uri
Seidmann, Vered
Vardavas, Constantine I
Klepeis, Neil E
Zucker, David M
author_facet Rosen, Laura J
Guttman, Nurit
Hovell, Melbourne F
Noach, Michal Ben
Winickoff, Jonathan P
Tchernokovski, Shosh
Rosenblum, Joseph K
Rubenstein, Uri
Seidmann, Vered
Vardavas, Constantine I
Klepeis, Neil E
Zucker, David M
author_sort Rosen, Laura J
collection PubMed
description BACKGROUND: Tobacco smoke exposure (TSE) is a serious threat to child health. Roughly 40% of children worldwide are exposed to tobacco smoke, and the very young are often "captive smokers" in homes in which others smoke. The goal of this research project is to develop and evaluate an intervention to reduce young child tobacco smoke exposure. The objective of this paper is to document our approach to building the intervention, to describe the planned intervention, and to explore the conceptual issues regarding the intervention and its evaluation. METHODS/DESIGN: This project is being developed using an iterative approach. We are currently in the middle of Stage 1. In this first stage, Intervention Development, we have already conducted a comprehensive search of the professional literature and internet resources, consulted with experts in the field, and conducted several Design Workshops. The planned intervention consists of parental group support therapy, a website to allow use of an "online/offline" approach, involvement of pediatricians, use of a video simulation game ("Dr. Cruz") to teach parents about child TSE, and personalized biochemical feedback on exposure levels. As part of this stage we will draw on a social marketing approach. We plan to use in-depth interviews and focus groups in order to identify barriers for behavior change, and to test the acceptability of program components. In Stage II, we plan to pilot the planned intervention with 5-10 groups of 10 parents each. In Stage III, we plan to implement and evaluate the intervention using a cluster randomized controlled trial with an estimated 540 participants. DISCUSSION: The major challenges in this research are twofold: building an effective intervention and measuring the effects of the intervention. Creation of an effective intervention to protect children from TSE is a challenging but sorely needed public health endeavor. We hope that our approach will contribute to building a stronger evidence base for control of child exposure to tobacco smoke. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01335178
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spelling pubmed-31414672011-07-23 Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure Rosen, Laura J Guttman, Nurit Hovell, Melbourne F Noach, Michal Ben Winickoff, Jonathan P Tchernokovski, Shosh Rosenblum, Joseph K Rubenstein, Uri Seidmann, Vered Vardavas, Constantine I Klepeis, Neil E Zucker, David M BMC Public Health Study Protocol BACKGROUND: Tobacco smoke exposure (TSE) is a serious threat to child health. Roughly 40% of children worldwide are exposed to tobacco smoke, and the very young are often "captive smokers" in homes in which others smoke. The goal of this research project is to develop and evaluate an intervention to reduce young child tobacco smoke exposure. The objective of this paper is to document our approach to building the intervention, to describe the planned intervention, and to explore the conceptual issues regarding the intervention and its evaluation. METHODS/DESIGN: This project is being developed using an iterative approach. We are currently in the middle of Stage 1. In this first stage, Intervention Development, we have already conducted a comprehensive search of the professional literature and internet resources, consulted with experts in the field, and conducted several Design Workshops. The planned intervention consists of parental group support therapy, a website to allow use of an "online/offline" approach, involvement of pediatricians, use of a video simulation game ("Dr. Cruz") to teach parents about child TSE, and personalized biochemical feedback on exposure levels. As part of this stage we will draw on a social marketing approach. We plan to use in-depth interviews and focus groups in order to identify barriers for behavior change, and to test the acceptability of program components. In Stage II, we plan to pilot the planned intervention with 5-10 groups of 10 parents each. In Stage III, we plan to implement and evaluate the intervention using a cluster randomized controlled trial with an estimated 540 participants. DISCUSSION: The major challenges in this research are twofold: building an effective intervention and measuring the effects of the intervention. Creation of an effective intervention to protect children from TSE is a challenging but sorely needed public health endeavor. We hope that our approach will contribute to building a stronger evidence base for control of child exposure to tobacco smoke. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01335178 BioMed Central 2011-06-28 /pmc/articles/PMC3141467/ /pubmed/21711530 http://dx.doi.org/10.1186/1471-2458-11-508 Text en Copyright ©2011 Rosen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Rosen, Laura J
Guttman, Nurit
Hovell, Melbourne F
Noach, Michal Ben
Winickoff, Jonathan P
Tchernokovski, Shosh
Rosenblum, Joseph K
Rubenstein, Uri
Seidmann, Vered
Vardavas, Constantine I
Klepeis, Neil E
Zucker, David M
Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title_full Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title_fullStr Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title_full_unstemmed Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title_short Development, design, and conceptual issues of project zero exposure: A program to protect young children from tobacco smoke exposure
title_sort development, design, and conceptual issues of project zero exposure: a program to protect young children from tobacco smoke exposure
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141467/
https://www.ncbi.nlm.nih.gov/pubmed/21711530
http://dx.doi.org/10.1186/1471-2458-11-508
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