Promoting smoking cessation in China: a foot-in-the-door approach to tobacco control advocacy

Chan, Sophia Siu Chee; Cheung, Yee Tak Derek; Wong, David C. N.; Jiang, Chao Qiang; He, Yao; Yang, Li; Jiang, Bin; Wu, Lei; Tan, Shou Yong; Cheng, Kar Keung; Lam, Tai Hing

doi:10.1177/1757975917720799

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…The foot‐in‐the‐door approach offers the easiest first step to start with the idea that small demands are more accessible to meet (Freedman & Fraser, ). This step has been applied in various fields such as the promotion of tobacco control advocacy (Chan et al, & Wong, ). By taking this first step, the likelihood of increased regular activity increased by enhancing self‐efficacy and promoting self‐regulatory behaviours such as goal setting and action planning (Gomes, Morais, & Carneiro, ).…”

Section: Discussionmentioning

confidence: 99%

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Lai

Stewart

Wan

et al. 2019

Health Soc Care Community

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A brief intervention using Zero-time Exercise (ZTEx), a foot-in-the-door approach, was developed to reduce sedentary behaviour and increase physical activity. ZTEx refers to the integration of simple strength-and stamina-enhancing physical activity into daily life, which can be done anytime, anywhere and by anyone. This paper presents the development, feasibility, and preliminary evidence for the effectiveness of this intervention under the Hong Kong Jockey Club FAMILY Project. Needs assessments were conducted with social workers from the Christian Family Services Center(CFSC) and the Social Welfare Department (SWD). This single group prospective ZTEx intervention trial, guided by the Health Action Process Approach, included a 3-hr core session at baseline and a 1-hr booster session at 1-month follow-up. Fiftysix participants (social and service-related workers) from CFSC (n = 28) and SWD (n = 28) received the intervention and completed the self-administered questionnaires at baseline. Forty-nine and 43 participants completed the 1-month and 3month self-administered questionnaires, respectively. Fifteen participants attended the focus group interviews to share their feedback on ZTEx intervention after implementing their community-based ZTEx activities. Intention-to-treat analysis was conducted with missing data replaced by baseline values. Participants reported significant decreases in sitting time by 27 (2, 52) minutes (mean [95% confidence interval]) and 36 (0.2, 71) minutes on a weekday, increases in physical activity while seated by 0.7 (0.2, 1.4) days and 1.1 (0.6, 1.7) days in a week, and improvements in perceived knowledge, outcome expectancies and plan on doing ZTEx at the 1-month and 3month follow-up, respectively. Balance and muscle strength significantly improved at the 1-month follow-up. The effect ranged from small to large (Cohen's d: 0.27-1.05, all p < 0.05). The qualitative feedbacks support the quantitative findings. Our findings show early evidence that ZTEx effectively reduced sedentary behaviour and enhanced physical activity and fitness. Further trials on this simple and low-cost intervention as the first step to promote higher intensity exercise are warranted. K E Y W O R D S brief intervention, physical activity, sedentary behaviour, Zero-time Exercise e234 |

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Section: Discussionmentioning

confidence: 99%

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Lai

Stewart

Wan

et al. 2019

Health Soc Care Community

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“…Our intervention used a foot-in-the-door approach, a compliance tactic to start with the easiest first step, the idea being that small demands are easier to meet ( 47 ). This approach has been applied in various fields such as the promotion of tobacco control and regular physical activity ( 48 , 49 ). We promoted integrating simple strength- and stamina-enhancing physical activity into daily life and advocated that performing some physical activity (even a light amount) is better than not performing any physical activity.…”

Section: Discussionmentioning

confidence: 99%

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

Lai

Lam²,

Fabrizo

et al. 2020

Front. Public Health

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Background: Zero-time exercise (ZTEx) is an approach integrating simple strength-and stamina-enhancing physical activity into daily life. The study evaluated the effectiveness of a community-based lifestyle-integrated physical activity intervention using ZTEx to enhance participants' physical activity, family communication, perceived health and happiness, and family harmony. Methods: A parallel group, cluster randomized controlled trial was conducted in a sample of 673 participants from eight Integrated Family Service Centers in Hong Kong. The experimental group (n = 316) received a physical activity intervention. The control group (n = 357) received information on healthy eating. Both groups received three face-to-face intervention sessions (totalling 6 h and 30 min) and 16 text messages. The primary outcome was the change in days spent engaged in ZTEx. Secondary outcomes included changes in sitting time, days engaged in moderate or vigorous physical activities, family communication (encouraging and engaging family members in ZTEx), dietary habits, perceived health and happiness, and family harmony. Self-administered questionnaires were used at baseline and at 3, 6, and 12 months. Mixed effects models with intention-to-treat analysis was used. Results: Compared with the control group at 3 months, the experimental group showed significantly greater increases of 1.3 days spent doing ZTEx (Cohen's d: 0.60), 0.3 days spent doing moderate physical activity (Cohen's d: 0.08), 0.3 days encouraging family members to do ZTEx (Cohen's d: 0.16), and 0.7 days doing ZTEx with family members (Cohen's d: 0.39) during the 7 days prior. At 3 months, the experimental group also showed a significantly greater improvement in perceived health, by a score of 0.2 (Cohen's d: 0.14). The effect sizes ranged from small to medium, with similar intervention effects at the 6-month and 1-year assessments. Compared with the experimental Lai et al. Positive Lifestyle-Integrated Physical Activity Intervention group, the control group showed a significantly greater reduction of 0.4 days on which sweetened beverages were consumed (95% CI: 0.01, 0.9, p < 0.05, Cohen's d: 0.28). The qualitative results supported the quantitative findings. Conclusions: Our findings show that a community-based lifestyle-integrated physical activity (PA) intervention can enhance physical activity, family communication, and perceived health in deprived families in Hong Kong.

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“…Smoking Cessation. Cutting down the number of cigarette smoking is one of the prime interventions that should be initiated by patients themselves as well as policymakers should implement new strategies for it [119]. It is the most cost-effective method to prevent lung function deterioration in COPD patients [120].…”

Section: Nonpharmacological Treatmentmentioning

confidence: 99%

Mucus Hypersecretion in Chronic Obstructive Pulmonary Disease and Its Treatment

Shah

Singh

et al. 2023

Mediators of Inflammation

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Most patients diagnosed with chronic obstructive pulmonary disease (COPD) present with hallmark features of airway mucus hypersecretion, including cough and expectoration. Airway mucus function as a native immune system of the lung that severs to trap particulate matter and pathogens and allows them to clear from the lung via cough and ciliary transport. Chronic mucus hypersecretion (CMH) is the main factor contributing to the increased risk of morbidity and mortality in specific subsets of COPD patients. It is, therefore, primarily important to develop medications that suppress mucus hypersecretions in these patients. Although there have been some advances in COPD treatment, more work remains to be done to better understand the mechanism underlying airway mucus hypersecretion and seek more effective treatments. This review article discusses the structure and significance of mucus in the lungs focusing on gel-forming mucins and the impacts of CMH in the lungs. Furthermore, we summarize the article with pharmacological and nonpharmacological treatments as well as novel and interventional procedures to control CMH in COPD patients.

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Promoting smoking cessation in China: a foot-in-the-door approach to tobacco control advocacy

Abstract: The training and establishment of smoking cessation clinics could serve as a means to motivate and empower HCPs who could contribute to broaden tobacco control policy in China.

Cited by 7 publications

References 30 publications

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

Mucus Hypersecretion in Chronic Obstructive Pulmonary Disease and Its Treatment

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