A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.

This study examined the extent to which delivery of the minimal Smoke-Free Homes intervention by trained 2-1-1 information and referral specialists had an effect on the adoption of home smoking bans in low-income households. A randomized controlled trial was conducted among 2-1-1 callers (n = 500) a...

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Main Authors: Rebecca S Williams, Jana H Stollings, Łucja Bundy, Regine Haardörfer, Matthew W Kreuter, Patricia Dolan Mullen, Mel Hovell, Marti Morris, Michelle C Kegler
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0165086&type=printable
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author Rebecca S Williams
Jana H Stollings
Łucja Bundy
Regine Haardörfer
Matthew W Kreuter
Patricia Dolan Mullen
Mel Hovell
Marti Morris
Michelle C Kegler
author_facet Rebecca S Williams
Jana H Stollings
Łucja Bundy
Regine Haardörfer
Matthew W Kreuter
Patricia Dolan Mullen
Mel Hovell
Marti Morris
Michelle C Kegler
author_sort Rebecca S Williams
collection DOAJ
description This study examined the extent to which delivery of the minimal Smoke-Free Homes intervention by trained 2-1-1 information and referral specialists had an effect on the adoption of home smoking bans in low-income households. A randomized controlled trial was conducted among 2-1-1 callers (n = 500) assigned to control or intervention conditions. 2-1-1 information and referral specialists collected baseline data and delivered the intervention consisting of 3 mailings and 1 coaching call; university-based data collectors conducted follow-up interviews at 3 and 6 months post-baseline. Data were collected from June 2013 through July 2014. Participants were mostly female (87.2%), African American (61.4%), and smokers (76.6%). Participants assigned to the intervention condition were more likely than controls to report a full ban on smoking in the home at both 3- (38.1% vs 19.3%, p = < .001) and 6-month follow-up (43.2% vs 33.2%, p = .02). The longitudinal intent-to-treat analysis showed a significant intervention effect over time (OR = 1.31, p = .001), i.e. OR = 1.72 at 6 months. This study replicates prior findings showing the effectiveness of the minimal intervention to promote smoke-free homes in low-income households, and extends those findings by demonstrating they can be achieved when 2-1-1 information and referral specialists deliver the intervention. Findings offer support for this intervention as a generalizable and scalable model for reducing secondhand smoke exposure in homes.
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spelling doaj-art-83597b35edba4e9089ff0f928aba73232025-08-20T02:20:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011111e016508610.1371/journal.pone.0165086A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.Rebecca S WilliamsJana H StollingsŁucja BundyRegine HaardörferMatthew W KreuterPatricia Dolan MullenMel HovellMarti MorrisMichelle C KeglerThis study examined the extent to which delivery of the minimal Smoke-Free Homes intervention by trained 2-1-1 information and referral specialists had an effect on the adoption of home smoking bans in low-income households. A randomized controlled trial was conducted among 2-1-1 callers (n = 500) assigned to control or intervention conditions. 2-1-1 information and referral specialists collected baseline data and delivered the intervention consisting of 3 mailings and 1 coaching call; university-based data collectors conducted follow-up interviews at 3 and 6 months post-baseline. Data were collected from June 2013 through July 2014. Participants were mostly female (87.2%), African American (61.4%), and smokers (76.6%). Participants assigned to the intervention condition were more likely than controls to report a full ban on smoking in the home at both 3- (38.1% vs 19.3%, p = < .001) and 6-month follow-up (43.2% vs 33.2%, p = .02). The longitudinal intent-to-treat analysis showed a significant intervention effect over time (OR = 1.31, p = .001), i.e. OR = 1.72 at 6 months. This study replicates prior findings showing the effectiveness of the minimal intervention to promote smoke-free homes in low-income households, and extends those findings by demonstrating they can be achieved when 2-1-1 information and referral specialists deliver the intervention. Findings offer support for this intervention as a generalizable and scalable model for reducing secondhand smoke exposure in homes.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0165086&type=printable
spellingShingle Rebecca S Williams
Jana H Stollings
Łucja Bundy
Regine Haardörfer
Matthew W Kreuter
Patricia Dolan Mullen
Mel Hovell
Marti Morris
Michelle C Kegler
A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
PLoS ONE
title A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
title_full A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
title_fullStr A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
title_full_unstemmed A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
title_short A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
title_sort minimal intervention to promote smoke free homes among 2 1 1 callers north carolina randomized effectiveness trial
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0165086&type=printable
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