Feasibility and efficacy of an intervention to reduce secondhand smoke exposure among infants discharged from a neonatal intensive care unit

Stotts, Angela L.; Green, Charles; Northrup, Thomas F.; Dodrill, Carrie L.; Evans, Patricia W.; Tyson, Jon E.; Velasquez, Mary M.; Hammond, S. K.; Hovell, Melbourne F.

doi:10.1038/jp.2013.43

Cited by 33 publications

(65 citation statements)

References 22 publications

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“…Our findings inform targeted trials to reduce SHS exposure among children, especially those with illnesses, who live in homes of hookah smokers (Stotts et al, 2011(Stotts et al, , 2013Tyc et al, 2012). Such trials are important in the context of the studies successfully completed in the last 20 years showing that SHS exposure can be reduced when families are coached to do so (Hovell et al, 1994(Hovell et al, , 2000(Hovell et al, , 2002(Hovell et al, , 2009Klepeis et al, 2013;Meltzer, Hovell, Meltzer, Atkins, & de Peyster, 1993).…”

Section: Continuedmentioning

confidence: 93%

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

Daffa

Liles

Jackson

et al. 2014

Nicotine &Amp; Tobacco Research

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We examined homes of hookah-only smokers and nonsmokers for levels of indoor air nicotine (a marker of secondhand smoke) and indoor surface nicotine (a marker of thirdhand smoke), child uptake of nicotine, the carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), and the toxicant acrolein by analyzing their corresponding metabolites cotinine, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and NNAL-glucuronides (total NNAL) and 3-hydroxypropylmercapturic acid.

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Section: Continuedmentioning

confidence: 93%

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

Daffa

Liles

Jackson

et al. 2014

Nicotine &Amp; Tobacco Research

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“…[20][21][22][23][24][25]28,29,[31][32][33]84,85,88,90,91,93,96 One study did not report the number of sessions. 34 …”

Section: Intervention Intensitymentioning

confidence: 99%

“…21,28,29,32,[85][86][87]90,[92][93][94]96 Fidelity Seven studies reported high fidelity, with at least 80% of participants receiving the full intervention 23,24,27,84,88,93,96 ; 6 studies had moderate fidelity, with 50% to 79% of participants receiving the intervention 25,[29][30][31][32][33] ; and the remaining 17 studies did not report fidelity. [20][21][22]26,28,34,83,[85][86][87][89][90][91][92]94,95,97 Intervention Effects…”

Section: Rosen Et Almentioning

confidence: 99%

“…[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97] The trials were published between 1994 and 2013. A flowchart describing the identification process is presented in Fig 1. Study characteristics of included trials are presented in Tables 1 and 2. …”

mentioning

confidence: 99%

“…83 1. PREP at follow-up.Seventeen studies (n = 6820), 20,23,[28][29][30][31][32][83][84][85][86]88,[90][91][92][93][94] were included in the analysis of PREP at follow-up (Fig 2A). Benefit was apparent in 88.2% (15/17) of studies, with 29.4% (5/ 17) showing a statistically significant advantage to the intervention group.…”

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confidence: 99%

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Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Rosen¹,

Myers²,

Hovell

et al. 2014

Pediatrics

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BACKGROUND AND OBJECTIVE: Worldwide, roughly 40% of children are exposed to the damaging and sometimes deadly effects of tobacco smoke. Interventions aimed at reducing child tobacco smoke exposure (TSE) have shown mixed results. The objective of this study was to perform a systematic review and meta-analysis to quantify effects of interventions aimed at decreasing child TSE.METHODS: Data sources included Medline, PubMed, Web of Science, PsycNet, and Embase. Controlled trials that included parents of young children were selected. Two reviewers extracted TSE data, as assessed by parentally-reported exposure or protection (PREP) and biomarkers. Risk ratios and differences were calculated by using the DerSimonian and Laird random-effects model. Exploratory subgroup analyses were performed.RESULTS: Thirty studies were included. Improvements were observed from baseline to follow-up for parentally-reported and biomarker data in most intervention and control groups. Interventions demonstrated evidence of small benefit to intervention participants at follow-up (PREP: 17 studies, n = 6820, relative risk 1.12, confidence interval [CI] 1.07 to 1.18], P , .0001). Seven percent more children were protected in intervention groups relative to control groups. Intervention parents smoked fewer cigarettes around children at follow-up than did control parents (P = .03). Biomarkers (13 studies, n = 2601) at follow-up suggested lower child exposure among intervention participants (RD 20.05, CI 20.13 to 0.03, P = .20).CONCLUSIONS: Interventions to prevent child TSE are moderately beneficial at the individual level. Widespread child TSE suggests potential for significant population impact. More research is needed to improve intervention effectiveness and child TSE measurement. KEY WORDS secondhand smoke exposure, tobacco smoke exposure, metaanalysis, systematic review, child ABBREVIATIONS CCR-cotinine/creatinine ratio CI-confidence interval CT-controlled trial PREP-parentally reported exposure or protection RCT-randomized controlled trial RD-relative difference RR-relative risk SHS-secondhand smoke THS-thirdhand smoke TSE-tobacco smoke exposure Dr Rosen conceptualized and designed the study, oversaw all aspects of the research, performed the systematic review of the literature, extracted data from the original studies, contributed to the statistical analysis, wrote sections of the manuscript, and edited the entire manuscript; Ms Myers contributed to systematically reviewing the literature, extracted data from the original articles, contributed to the data analysis, and contributed to the writing of the manuscript; Dr Hovell contributed to the design of the meta-analysis and interpretation of the data and edited the manuscript for scientific content; Dr Zucker assisted with various statistical issues in the analysis of the manuscript and edited the manuscript; Ms Ben Noach contributed to the design of the study, the systematic review of the literature, data extraction, data analysis, data interpretation, and writing of the m...

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Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke

Behbod

Sharma

Baxi

et al. 2018

Cochrane Database of Systematic Reviews

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Feasibility and efficacy of an intervention to reduce secondhand smoke exposure among infants discharged from a neonatal intensive care unit

Abstract: A need for SHSe interventions among NICU parents exists and initial evidence suggests MI can impact SHSe after discharge.

Cited by 33 publications

References 22 publications

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke

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