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A process evaluation of an intervention to promote home smoking bans among low income households
Affiliation:1. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States;2. University of Texas School of Public Health, 7000 Fannin St., Suite 2668, Houston, TX 77030, United States;3. University of North Carolina at Chapel Hill, 200 N. Greensboro Street, Suite D-13, Carrboro, NC 27510, United States;1. Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly St, Suite 212, Columbia, SC 29208, United States;2. Department of Educational Studies, College of Education, University of South Carolina, Wardlaw College, Columbia, SC 29208, United States;3. Department of Health Promotion, Education and Behavior, University of South Carolina, 800 Sumter St, Columbia, SC 29208, United States;1. Faculty of Forestry, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;2. Institute of Tropical Forestry & Forest Products (INTROP), Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;1. Department of Rural Development Management, Faculty of Agriculture, Yasouj University, Yasouj, Iran;2. Department of Agricultural Extension and Education, College of Agriculture, Shiraz University, Shiraz, Iran;1. Centre for Behaviour Change, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK;2. Department of Epidemiology & Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK;3. Department of Clinical, Educational and Health Psychology, University College London, 26 Bedford Way, London, WC1H 0AP, UK;4. Department of Information Studies, University College London, Foster Court, London, WC1E 6BT, UK;5. Charles Perkins Centre, Prevention Research Collaboration, School of Public Health, Sydney Medical School, University of Sydney, Australia;1. University of North Carolina Wilmington, 601 S. College Road, 3039 McNeill Hall, Wilmington, NC 28403, United States;2. University of North Carolina Wilmington, 601 S. College Road, 3069 McNeill Hall, Wilmington, NC 28403, United States
Abstract:Exposure to secondhand smoke occurs primarily in the home due to passage of smoke-free legislation. Creation of a total household smoking ban can reduce associated health conditions such as asthma, lung cancer, heart disease and stroke. This paper describes the results of a randomized control trial of a minimal intervention to create smoke-free homes. 2-1-1 callers were invited to participate in the trial and were randomized to an intervention (mailings and a coaching call) or a control group (no intervention). We assessed reach, dose, fidelity, and receptivity to the intervention through program records and a 3-month follow-up survey with intervention participants. For the intervention materials, materials were mailed to 244 participants (99.2%) and 227 participants (92.3%) received the coaching call intervention. 92.3% received all intervention components. Participants who had full household bans at 3 months were more likely to conduct behaviors leading to a smoke-free home (i.e., making a list of reasons, having a family talk, posting a pledge) than were those with no/partial ban. The intervention materials also were rated higher in relevance and usefulness by non-smokers than smokers. Results demonstrate that this minimal intervention had high fidelity to the delivery of components and relatively high receptivity.
Keywords:Process evaluation  Smoking restrictions  Smoke-free home
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