Scheffers-van Schayck Tessa, Wetter David W, Otten Roy, Engels Rutger C M E, Kleinjan Marloes
Epidemiology and Research Support, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
Department of Interdisciplinary Social Sciences, Utrecht University, Utrecht, the Netherlands.
Tob Prev Cessat. 2021 Apr 26;7:30. doi: 10.18332/tpc/133019. eCollection 2021.
Recently, a Dutch proactive parent-tailored telephone smoking cessation counselling program, Smoke-free Parents (SFP), was demonstrated to be effective in helping parents to quit smoking. This study aimed to examine the program's uptake and the costs of two recruitment approaches (i.e. healthcare vs mass media) for SFP. In addition, parent's barriers to participating in SFP and the characteristics of participating parents were assessed.
As part of an effectiveness-implementation hybrid trial, 402 smoking parents were recruited via healthcare settings and mass media for an informal, proactive, and free phone call with a smoking cessation counsellor about SFP (the Netherlands, September 2016 - September 2018). Parents were asked whether they wanted to participate in SFP. If parents refused, reasons for decline and additional information (e.g. educational level) were collected.
Results revealed that 26.4% of the recruited parents participated in SFP. Although the program uptake of parents recruited via mass media was slightly, but not significantly, higher than via healthcare (27.3% vs 26.8%, p=0.92), the healthcare approach resulted in lower costs per participant (€99.62 vs €205.72). Smoking cessation counsellors were unable to reach almost one-third (32.7%) of the parents after they had agreed to be called about SFP.
The present study showed that more than a quarter of all recruited parents participated in SFP and that the mass media approach and healthcare approach can be used to recruit parents for SFP. To increase the number of parents participating in SFP, it is important to overcome the identified barriers that prevent parents from participating.
最近，一项荷兰的针对家长量身定制的主动式电话戒烟咨询项目“无烟父母”（SFP）被证明在帮助家长戒烟方面是有效的。本研究旨在考察该项目的接受情况以及SFP两种招募方式（即医疗保健机构招募与大众媒体招募）的成本。此外，还评估了家长参与SFP的障碍以及参与项目的家长的特征。
作为一项有效性-实施混合试验的一部分，通过医疗保健机构和大众媒体招募了402名吸烟家长，让他们与戒烟咨询师就SFP进行一次非正式、主动且免费的电话沟通（荷兰，2016年9月至2018年9月）。询问家长是否想参与SFP。如果家长拒绝，收集拒绝原因及其他信息（如教育水平）。
结果显示，26.4%的招募家长参与了SFP。尽管通过大众媒体招募的家长对该项目的接受率略高于通过医疗保健机构招募的家长，但差异不显著（27.3%对26.8%，p = 0.92），然而医疗保健机构招募方式的每位参与者成本更低（99.62欧元对205.72欧元）。在同意就SFP接受电话沟通后，戒烟咨询师几乎无法联系到三分之一（32.7%）的家长。
本研究表明，超过四分之一的招募家长参与了SFP，并且大众媒体招募方式和医疗保健机构招募方式均可用于为SFP招募家长。为增加参与SFP的家长数量，克服已确定的阻碍家长参与的障碍很重要。
