Escoffery Cam, Mullen Patricia, Genkin Brooke, Bundy Lucja, Owolabi Shade, Haardörfer Regine, Williams Rebecca, Savas Lara, Kegler Michelle
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Department of Health Promotion & Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Health Educ Res. 2017 Dec 1;32(6):555-568. doi: 10.1093/her/cyx072.
Few community interventions exist to reduce secondhand exposure to tobacco smoke in the home. This study presents the coaching process of a larger intervention to promote smoke-free homes across an efficacy and 2 effectiveness trials. It furthers assesses the coaching call's reach and participants' satisfaction with the call across three intervention sites. The sources of the data were from baseline and 3-month follow-up surveys, coaching forms or online tracking system and interviews with coaches. Reach for the coaching call across trials was fairly high from 72% to 92%. Overall, the majority of participants were highly satisfied with the intervention (M = 3.76) and found it useful in creating a smoke-free home (M = 3.63). Common goals set were changing the environment to support a home smoking ban (e.g. putting up signs, removing ashtrays) (82%) or picking a date (60%). Challenges to a smoke-free home were consistent with other literature on barriers related to household smoking restrictions, including need for assistance in quitting, outside weather and smokers who do not want to quit. Additional research is needed to explore differential reach and reactions to the coaching call as it is disseminated and the impact of coaching call on the outcome of a smoke-free home.
几乎没有社区干预措施来减少家庭中的二手烟暴露。本研究展示了一项规模更大的干预措施的指导过程，该干预措施在一项效能试验和两项效果试验中推广无烟家庭。它进一步评估了指导电话的覆盖范围以及三个干预地点的参与者对该电话的满意度。数据来源包括基线调查和3个月随访调查、指导表格或在线跟踪系统以及对指导人员的访谈。各试验中指导电话的覆盖范围相当高，从72%到92%。总体而言，大多数参与者对干预措施高度满意（M = 3.76），并认为它有助于创建无烟家庭（M = 3.63）。设定的共同目标包括改变环境以支持家庭禁烟（例如张贴标志、移除烟灰缸）（82%）或确定一个日期（60%）。无烟家庭面临的挑战与其他关于家庭吸烟限制相关障碍的文献一致，包括戒烟需要帮助、室外天气以及不想戒烟的吸烟者。随着指导电话的传播，需要进行更多研究来探索其不同的覆盖范围和反应，以及指导电话对无烟家庭结果的影响。
