Impact of changes in home smoking bans on tobacco cessation among quitline callers

Yuan, Nicole P.; Nair, Uma S.; Crane, Tracy E.; Krupski, Laurie; Collins, Bradley N.; Bell, Melanie L.

doi:10.1093/her/cyz008

“…Home smoking bans among treatment-seeking adults are a potentially effective way to enhance cessation rates among all household members. A prior study found that the 30-day cessation rates were highest among Quitline callers who implemented a complete household smoking ban (51%) compared to those who implemented a partial ban (27%) or no ban (14%) 14 . In the thoracic surgery and oncology context, minimizing exposure to tobacco smoke is especially important to optimize treatment outcomes for the patient, and setting home and car smoking rules might also facilitate cessation among household members.…”

Section: Discussionmentioning

confidence: 94%

Feasibility of collecting computer-facilitated patient-reported tobacco use, interest, and preferences for smoking cessation in an outpatient thoracic surgery and oncology setting

Nayak¹,

Mazzola²,

Jaklitsch³

et al. 2022

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INTRODUCTION Effective strategies are needed to facilitate collection of tobacco use information and integrate smoking cessation treatment into the routine care of all high-risk patient populations to improve clinical outcomes. The objective of this study was to establish the feasibility of collecting computer-facilitated patientreported tobacco use, identify patient interest and preferences for smoking cessation in an outpatient thoracic surgery and oncology setting with higher prevalence of tobacco use than the general population. METHODS A brief patient-administered tobacco screening survey was handed out on an iPad in the waiting room of a thoracic surgery and oncology practice setting to sequential patients with varying diagnoses. Tobacco use, household exposure to tobacco, and interest and preferences for smoking cessation treatment were recorded. Descriptive statistics and Pearson's chi-squared test were used for analysis. RESULTS Of the 599 surveys administered, 594 (99%) were completed. Self-reported smoking status included 36.4% (n=218) never smokers, 53.3% (n=319) former smokers, and 10.4% (n=62) current smokers. Among current smokers, 45.2% (n=28) were interested in receiving smoking cessation treatment. Preferences for treatment included: 21.4% (n=6) who wanted Quitline only, 25% (n=7) medication alone, and 53.6% (n=15) combined Quitline plus medication. Current smokers (55.7%, n=34) were more likely to live in households with tobacco exposure compared to those with former (11.4%, n=36) or never smokers (8.3%, n=18) (p<0.0001). CONCLUSIONS Implementing a computer-facilitated system to screen for current smoking and provide smoking cessation services was feasible in the outpatient thoracic surgery and oncology setting. Almost half of the smokers indicated an interest in receipt of smoking cessation treatment. Household exposure was more frequent among current smokers, therefore routine screening for secondhand smoke exposure from other household members is an important consideration in developing smoking cessation treatment plans to mitigate health risks among vulnerable patient populations.

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“…34 Quit rates and harm reduction are also outcomes which will be reported as has been observed in other studies. 35,36 In order to assess the impact of the intervention on smokers perse FEV1/FEV6 was measured. This measure is a substitute for FEV1/FVC in diagnosing airflow obstruction and may better predict COPD-related pathology and morbidity.…”

Section: Revised Amendments From Versionmentioning

confidence: 99%

Protocol for a cluster randomised controlled trial to evaluate effectiveness of a self-help group intervention to encourage smoke-free homes in slums of Kochi(Kochi Intervention for tobacco smoke free homes-KIFT)

Sreedevi,

Krishnapillai,

Thulaseedharan

et al. 2024

F1000Res

0

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Background Exposure to second hand smoke (SHS) is a cause for heart disease and lung cancer among non- smokers. This cluster randomized control trial will evaluate the effectiveness of a tobacco smoke free home intervention in reducing exposure to second hand smoke. Protocol The intervention will be conducted among 30 clusters in urban and peri-urban areas of Kochi, India. The sample size is 300 per arm and 15 clusters to detect a minimal difference of 0.03ng/ml in cotinine levels between groups, at 80% power with a two-sided alfa of 0.05 considering variable cluster size. A baseline survey will be undertaken to identify smokers. Data related to smoking, indoor smoking, nicotine dependence, blood pressure (BP) of smokers, morbidity experienced, and lung volume Fev1/Fev6 of smokers will be measured. Urine cotinine, morbidity, BP of spouse and child will be assessed. Air quality monitors measuring PM2.5 will be placed in homes. Trained self-help group women and frontline health workers will implement the intervention. The intervention will consist of monthly home visits to educate the smoker on the harms of second-hand smoke using 3 A’s. The circle of influencers around the smoking men will also be contacted by the members of self-help group to provide support to stop smoking within homes and to quit. They will then organize two-three meetings of community leaders and heads of women’s groups, present data on harms of SHS, and explain the rationale for establishing smoke free homes in their community for a duration of six months. After the intervention a post assessment will be conducted and this will be repeated after six months. Ethics and dissemination The trial protocol was approved by the Institutional Ethical Committee of Amrita Institute of Medical Sciences. Results will be submitted to open access peer reviewed journals and shared with other stakeholders. Trial registration CTRI/2021/06/034478

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“…34 Quit rates and harm reduction are also outcomes which will be reported as has been observed in other studies. 35,36 In order to assess the impact of the intervention on smokers perse FEV1/FEV6 was measured. This measure is a substitute for FEV1/FVC in diagnosing airflow obstruction and may better predict COPD-related pathology and morbidity.…”

Section: Revised Amendments From Versionmentioning

confidence: 99%

“…34 Quit rates and harm reduction are also outcomes which will be reported as has been observed in other studies. 35,36 . They have been added with studies that have used them ( 33,44 ) In particular, what is the importance of measuring FeV1/FeV6 among smokers?…”

Section: Has Been Providedmentioning

confidence: 99%

“…"Quit rates and harm reduction are also outcomes which will be reported as has been observed in other studies. 35,36 " A study which investigated whether cessation rates varied by changes in home smoking ban implementation between enrollment and 7-month follow-up found a higher cessation among those who Among callers who did not live with other smokers in the home, the highest odds ratio of 30-day cessation was observed among callers. (…”

Section: Open Peer Reviewmentioning

confidence: 99%

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Protocol for a cluster randomised controlled trial to evaluate effectiveness of a self-help group intervention to encourage smoke-free homes in slums of Kochi(Kochi Intervention for tobacco smoke free homes-KIFT)

Sreedevi,

Krishnapillai,

Thulaseedharan

et al. 2023

F1000Res

0

View full text Add to dashboard Cite

Background Exposure to second hand smoke (SHS) is a cause for heart disease and lung cancer among non- smokers. This cluster randomized control trial will evaluate the effectiveness of a tobacco smoke free home intervention in reducing exposure to second hand smoke. Protocol The intervention will be conducted among 30 clusters in urban and peri-urban areas of Kochi, India. The sample size is 300 per arm and 15 clusters to detect a minimal difference of 0.03ng/ml in cotinine levels between groups, at 80% power with a two-sided alfa of 0.05 considering variable cluster size. A baseline survey will be undertaken to identify smokers. Data related to smoking, indoor smoking, nicotine dependence, blood pressure (BP) of smokers, morbidity experienced, and lung volume Fev1/Fev6 of smokers will be measured. Urine cotinine, morbidity, BP of spouse and child will be assessed. Air quality monitors measuring PM2.5 will be placed in homes. Trained self-help group women and frontline health workers will implement the intervention. The intervention will consist of monthly home visits to educate the smoker on the harms of second-hand smoke using 3 A’s. The circle of influencers around the smoking men will also be contacted by the members of self-help group to provide support to stop smoking within homes and to quit. They will then organize two-three meetings of community leaders and heads of women’s groups, present data on harms of SHS, and explain the rationale for establishing smoke free homes in their community for a duration of six months. After the intervention a post assessment will be conducted and this will be repeated after six months. Ethics and dissemination The trial protocol was approved by the Institutional Ethical Committee of Amrita Institute of Medical Sciences. Results will be submitted to open access peer reviewed journals and shared with other stakeholders. Trial registration CTRI/2021/06/034478

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Impact of changes in home smoking bans on tobacco cessation among quitline callers

Cited by 11 publications

References 23 publications

Feasibility of collecting computer-facilitated patient-reported tobacco use, interest, and preferences for smoking cessation in an outpatient thoracic surgery and oncology setting

Feasibility of collecting computer-facilitated patient-reported tobacco use, interest, and preferences for smoking cessation in an outpatient thoracic surgery and oncology setting

Protocol for a cluster randomised controlled trial to evaluate effectiveness of a self-help group intervention to encourage smoke-free homes in slums of Kochi(Kochi Intervention for tobacco smoke free homes-KIFT)

Protocol for a cluster randomised controlled trial to evaluate effectiveness of a self-help group intervention to encourage smoke-free homes in slums of Kochi(Kochi Intervention for tobacco smoke free homes-KIFT)

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