Department of Behavioral Sciences and Health Education, Emory Prevention Research Center, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, 27599, USA.
J Community Health. 2019 Feb;44(1):121-126. doi: 10.1007/s10900-018-0561-6.
Interventions to create smoke-free homes typically focus on parents, involve multiple counseling sessions and blend cessation and smoke-free home messages. Smoke-Free Homes: Some Things are Better Outside is a minimal intervention focused on smokers and nonsmokers who allow smoking in the home, and emphasizes creation of a smoke-free home over cessation. The purpose of this study is to conduct moderator analyses using pooled data from three randomized controlled trials of the intervention conducted in collaboration with 2-1-1 contact centers in Atlanta, North Carolina and Houston. 2-1-1 is a strategic partner for tobacco control as it connects over 15 million clients, largely socio-economically disadvantaged, to social and health resources each year. A total of 1506 2-1-1 callers participated across the three intervention trials. Outcomes from 6 months intent-to-treat analyses were used to examine whether sociodemographic variables and smoking-related characteristics moderated effectiveness of the intervention in establishing full home smoking bans. Intervention effectiveness was not moderated by race/ethnicity, education, income, children in the home or number of smokers in the home. Smoking status of the participant, however, did moderate program effectiveness, as did time to first cigarette. Number of cigarettes per day and daily versus nondaily smoking did not moderate intervention effectiveness. Overall, the intervention was effective across socio-demographic groups and was effective without respect to daily versus nondaily smoking or number of cigarettes smoked per day, although smoking status and level of nicotine dependence did influence effectiveness.
干预措施旨在创建无烟家庭，通常以父母为重点，涉及多次咨询，并融合了戒烟和无烟家庭信息。《无烟家庭：有些事最好在户外》是一项针对家中允许吸烟的吸烟者和不吸烟者的最小干预措施，强调创建无烟家庭而非戒烟。本研究的目的是使用与亚特兰大、北卡罗来纳州和休斯顿的 2-1-1 联络中心合作进行的三项随机对照试验的汇总数据进行调节分析。2-1-1 是烟草控制的战略合作伙伴，因为它每年将超过 1500 万客户，主要是社会经济劣势客户，联系到社会和健康资源。共有 1506 名 2-1-1 来电者参加了三项干预试验。使用 6 个月意向治疗分析的结果来检验社会人口统计学变量和与吸烟相关的特征是否调节了干预措施在建立全面家庭禁烟方面的有效性。种族/民族、教育程度、收入、家中是否有孩子或家中吸烟者人数等因素并未调节干预效果。然而，参与者的吸烟状况和首次吸烟时间确实调节了计划的有效性。每天吸烟的数量和每日吸烟与非每日吸烟之间并没有调节干预的效果。总体而言，该干预措施在社会人口统计学群体中均有效，且无论是否每日吸烟或每天吸烟的数量如何，均有效，尽管吸烟状况和尼古丁依赖程度确实会影响效果。
