Exploring a Cessation Intervention for Smokers
Completed · Not applicable
Conditions studied: Asthma
In brief
An estimated 6.6 million parents who smoke visit pediatric emergency departments (PED) annually. Up to 50% of these parental smokers are from low-income, racially/ethnically diverse households in which a variety of tobacco-related disparities (TRD) exist for both the parents and their children. The PED is an ideal setting in which to address these disparities, which include differences in tobacco use, pediatric second hand smoke exposure (SHSe), quit rates, access to cessation resources, and morbidity such as cancer. The team has conducted the only two small-scale randomized control trials (RCTs) investigating the efficacy of providing smoking cessation counseling to parents in the PED setting. This previous research indicates that parental smokers who visit the PED are aware of the pediatric effects of SHSe, motivated to quit, eager to receive cessation counseling in this setting, and show trends towards quitting. Parents with children who have a SHSe-related illness will have higher prolonged abstinence and point prevalence cessation rates, higher motivation to quit, greater number of quit attempts, and lower child SHSe compared to those parents who have a child with a non-SHSe-related illness at baseline.
Key facts
- Study ID
- NCT01728038
- Run by
- Children's Hospital Medical Center, Cincinnati
- People needed
- 230
- Starts
- 2012-03-01
- Expected to finish
- 2016-03-01
- Last updated by the study team
- 2017-08-30
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Hospital personnel: PED medical director, Chief of Staff, Chairman of Pediatrics, quality systems specialists, informational technology specialists, PED physicians, and PED registered nurses.
You may not qualify if…
- Non-hospital personnel
- Phase 2: Parental smokers who bring their children to the pediatric emergency department will be given brief smoking cessation counseling which includes advice on quitting, nicotine replacement therapy vouchers and direct Quitline connection.
- Inclusion Criteria:
- Parent/Legal Guardian (18 years or older), who are tobacco users, accompanying a child (0 to 18 years old) being treated in the PED with a non-urgent complaint/condition.
- Exclusion Criteria:
- Parent/Legal Guardian who is only a tobacco chewer.
- Parent/Legal Guardian who is enrolled in a smoking cessation program.
- Parent/Legal Guardian who is using Nicotine Replacement Therapy (NRT) or other cessation treatment.
- Parent/Legal Guardian who is moving within 8 months after enrollment.
- Phase 3: The same PED-based SBIRT cessation intervention will be given to these parental smokers as in Phase 2. However, parents will also be asked if they agree to have their child participate in saliva sample collection at baseline and at one month. Parents will also be asked if their child's leftover saliva can be stored for future research.
- Inclusion Criteria:
- Parent/Legal Guardian (18 years or older), who are tobacco users, accompanying a child (0 to 5 years old) being treated in the PED with a non-urgent second hand smoke exposure related complaint/condition.
- Exclusion Criteria:
- Parent/Legal Guardian who is only a tobacco chewer.
- Parent/Legal Guardian who is enrolled in a smoking cessation program.
- Parent/Legal Guardian who is using Nicotine Replacement Therapy (NRT) or other cessation treatment.
- Parent/Legal Guardian who is moving within 8 months after enrollment
- Parent/Legal Guardian who does not speak or read English
Where it is running
- Cincinnati Children's Hospital Medical Center — Cincinnati, Ohio, United States
Full record on ClinicalTrials.gov
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