PRIDE: Preventing Respiratory Illnesses During Childhood Study
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | Any - 6 |
| Updated: | 8/25/2017 |
| Start Date: | January 2009 |
| End Date: | June 2013 |
A+ Head Start Intervention for Smoke Free Homes
Environmental tobacco smoke (ETS0, also known as secondhand smoke, is the combination of
smoke given off by the burning end of a tobacco product and the smoke exhaled by the smoker.
Children exposed to ETS are at an increased risk of sudden infant death syndrome (SIDS), ear
infections, colds, pneumonia, bronchitis and more severe asthma. ETS can also slow the growth
of children's lungs and can cause them to cough, wheeze and fell breathless. The purpose of
this study is to determine the effectiveness of a motivational interviewing-based program in
reducing ETS exposure and improving lung health among children who are enrolled in a Head
Start program and whose households include a smoker.
smoke given off by the burning end of a tobacco product and the smoke exhaled by the smoker.
Children exposed to ETS are at an increased risk of sudden infant death syndrome (SIDS), ear
infections, colds, pneumonia, bronchitis and more severe asthma. ETS can also slow the growth
of children's lungs and can cause them to cough, wheeze and fell breathless. The purpose of
this study is to determine the effectiveness of a motivational interviewing-based program in
reducing ETS exposure and improving lung health among children who are enrolled in a Head
Start program and whose households include a smoker.
About 90% of nonsmoking people in the US are exposed to ETS. More than 50 chemicals
identified in ETS have been found to cause cancer and exposure has been linked to heart
disease in adults and SIDS, ear infections and numerous respiratory problems, including
asthma in children. In 2007, the Environmental Protection Agency and the Office of Head
Start-a national program that provides economically disadvantaged children services to
enhance their social and cognitive development-announced a new initiative to promote
smoke-free homes for children in Head Start programs. Because Head Start reaches high-risk,
low-income preschool children, it offers a timely intervention for reducing children's
exposure to ETS. Head Start also attempts to engage parents, which is an important component
of reducing household ETS exposure among children. This study will determine the
effectiveness of a home-delivered, motivational interviewing-based program in reducing ETS
exposure and improving lung health among children who are enrolled in the Baltimore City Head
Start program and whose households include a smoker.
Participation in this study will last 1 year. First, all participating families will be
visited at home by a study staff person who will attach special filters that will track the
amount of nicotine in the various rooms of the house. During this initial visit, the
participating children will undergo weight and height measurements and saliva sampling. About
a week later, the filters will be collected, a 2nd saliva samples will be taken and parents
will be interviewed about their family and child's health. Families will then be randomly
assigned to one of two groups. Both groups will received educational information about
reducing tobacco smoke exposure. One group will also receive the home-delivered, motivational
interviewing-based program aimed to reduce ETS. This program will consist of 2 home visits
and 2 phone calls, both led by health counselor who will teach participants how to reduce
their child's exposure to tobacco smoke. The home visits will occur during Weeks 1 & 2 and
the phone calls will occur during Weeks 3 & 6. Follow-up visits for all participating
families will occur at Months 3,6 and 12 and will involve repeat filter testing, saliva
monitoring and interviews.
identified in ETS have been found to cause cancer and exposure has been linked to heart
disease in adults and SIDS, ear infections and numerous respiratory problems, including
asthma in children. In 2007, the Environmental Protection Agency and the Office of Head
Start-a national program that provides economically disadvantaged children services to
enhance their social and cognitive development-announced a new initiative to promote
smoke-free homes for children in Head Start programs. Because Head Start reaches high-risk,
low-income preschool children, it offers a timely intervention for reducing children's
exposure to ETS. Head Start also attempts to engage parents, which is an important component
of reducing household ETS exposure among children. This study will determine the
effectiveness of a home-delivered, motivational interviewing-based program in reducing ETS
exposure and improving lung health among children who are enrolled in the Baltimore City Head
Start program and whose households include a smoker.
Participation in this study will last 1 year. First, all participating families will be
visited at home by a study staff person who will attach special filters that will track the
amount of nicotine in the various rooms of the house. During this initial visit, the
participating children will undergo weight and height measurements and saliva sampling. About
a week later, the filters will be collected, a 2nd saliva samples will be taken and parents
will be interviewed about their family and child's health. Families will then be randomly
assigned to one of two groups. Both groups will received educational information about
reducing tobacco smoke exposure. One group will also receive the home-delivered, motivational
interviewing-based program aimed to reduce ETS. This program will consist of 2 home visits
and 2 phone calls, both led by health counselor who will teach participants how to reduce
their child's exposure to tobacco smoke. The home visits will occur during Weeks 1 & 2 and
the phone calls will occur during Weeks 3 & 6. Follow-up visits for all participating
families will occur at Months 3,6 and 12 and will involve repeat filter testing, saliva
monitoring and interviews.
Inclusion Criteria:
- Child enrolled in Baltimore City Head Start
- Smoker living in the home with child
Exclusion Criteria:
- No smoker in home with child
- Does not speak English
- Is enrolled in other respiratory research study
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