Ainsworth Hannah, Shah Sarwat, Ahmed Faraz, Amos Amanda, Cameron Ian, Fairhurst Caroline, King Rebecca, Mir Ghazala, Parrott Steve, Sheikh Aziz, Torgerson David, Thomson Heather, Siddiqi Kamran
York Trials Unit, Department of Health Sciences, University of York, York, North Yorkshire YO10 5DD, England.
Trials. 2013 Sep 13;14:295. doi: 10.1186/1745-6215-14-295.
In the UK, 40% of Bangladeshi and 29% of Pakistani men smoke cigarettes regularly compared to the national average of 24%. As a consequence, second-hand smoking is also widespread in their households which is a serious health hazard to non-smokers, especially children. Smoking restrictions in households can help reduce exposure to second-hand smoking. This is a pilot trial of 'Smoke Free Homes', an educational programme which has been adapted for use by Muslim faith leaders, in an attempt to find an innovative solution to encourage Pakistani- and Bangladeshi-origin communities to implement smoking restrictions in their homes. The primary objectives for this pilot trial are to establish the feasibility of conducting such an evaluation and provide information to inform the design of a future definitive study.
METHODS/DESIGN: This is a pilot cluster randomised controlled trial of 'Smoke Free Homes', with an embedded preliminary health economic evaluation and a qualitative analysis. The trial will be carried out in around 14 Islamic religious settings. Equal randomisation will be employed to allocate each cluster to a trial arm. The intervention group will be offered the Smoke Free Homes package (Smoke Free Homes: a resource for Muslim religious teachers), trained in its use, and will subsequently implement the package in their religious settings. The remaining clusters will not be offered the package until the completion of the study and will form the control group. At each cluster, we aim to recruit around 50 households with at least one adult resident who smokes tobacco and at least one child or a non-smoking adult. Households will complete a household survey and a non-smoking individual will provide a saliva sample which will be tested for cotinine. All participant outcomes will be measured before and after the intervention period in both arms of the trial. In addition, a purposive sample of participants and religious leaders/teachers will take part in interviews and focus groups.
The results of this pilot study will inform the protocol for a definitive trial.
Current Controlled Trials ISRCTN03035510.
在英国，40%的孟加拉裔男性和29%的巴基斯坦裔男性经常吸烟，而全国平均吸烟率为24%。因此，二手烟在他们家中也很普遍，这对不吸烟者，尤其是儿童构成严重的健康危害。家庭中的吸烟限制有助于减少二手烟暴露。这是一项关于“无烟家庭”的试点试验，这是一个经过改编以供穆斯林宗教领袖使用的教育项目，旨在找到一种创新方法，鼓励巴基斯坦裔和孟加拉裔社区在其家中实施吸烟限制。该试点试验的主要目标是确定进行此类评估的可行性，并提供信息以指导未来确定性研究的设计。
方法/设计：这是一项关于“无烟家庭”的试点整群随机对照试验，包含嵌入式初步健康经济评估和定性分析。该试验将在约14个伊斯兰宗教场所进行。将采用均等随机化将每个整群分配到一个试验组。干预组将获得“无烟家庭”套餐（《无烟家庭：给穆斯林宗教教师的资源》），接受使用培训，随后在其宗教场所实施该套餐。其余整群在研究完成前不会获得该套餐，将构成对照组。在每个整群中，我们的目标是招募约50户家庭，每户至少有一名吸烟的成年居民以及至少一名儿童或一名不吸烟的成年人。家庭将完成一份家庭调查问卷，一名不吸烟的个体将提供一份唾液样本，用于检测可替宁。试验两组的所有参与者结果都将在干预期前后进行测量。此外，将有目的地抽取参与者以及宗教领袖/教师样本参加访谈和焦点小组。
该试点研究的结果将为确定性试验的方案提供信息。
当前受控试验ISRCTN03035510。
