Trial reportAmerican journal of respiratory and critical care medicine2014
Effectiveness of motivational interviewing to reduce head start children's secondhand smoke exposure. a randomized clinical trial.
Trial report in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00927264 (A+ Head Start Intervention for Smoke Free Homes), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A+ Head Start Intervention for Smoke Free Homes
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Effectiveness of Smoke-Free Home-based Interventions in Reducing Second-Hand Smoke Exposure in Children and Adults: A Systematic Review.Asian Pacific journal of cancer prevention : APJCP · 2025Pooled it
- Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke.The Cochrane database of systematic reviews · 2018Pooled it
- Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2015Pooled it
- Randomised pilot trial of cash incentives for reducing paediatric asthmatic tobacco smoke exposures from maternal caregivers and members of their social network.Archives of disease in childhood · 2021Trial
- A randomised controlled trial of a complex intervention to reduce children's exposure to secondhand smoke in the home.Tobacco control · 2018Trial
- Health Coaching and Chronic Obstructive Pulmonary Disease Rehospitalization. A Randomized Study.American journal of respiratory and critical care medicine · 2016Trial
- Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study.Health education research · 2016Trial
- Cost Analysis of Motivational Interviewing and Preschool Education for Secondhand Smoke Exposures.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016Trial
- Reducing Underserved Children's Exposure to Tobacco Smoke: A Randomized Counseling Trial With Maternal Smokers.American journal of preventive medicine · 2015Trial
- Reducing environmental tobacco smoke exposure of preschool children: a randomized controlled trial of class-based health education and smoking cessation counseling for caregivers.International journal of environmental research and public health · 2015Trial
- Effectiveness of motivational interviewing to reduce head start children's secondhand smoke exposure. a randomized clinical trial.American journal of respiratory and critical care medicine · 2014Trial
- Effectiveness of family-based behavioral intervention for smoking cessation in low-income households: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Associations of household tobacco smoking status with childhood temperament among U.S. preschool-aged children.Journal of affective disorders · 2023Article
- Effectiveness of a School-Based 'Tobacco Free' Intervention on Adolescents' Knowledge and Exposure to Second Hand Tobacco Smoke - A Multiphase Study.Asian Pacific journal of cancer prevention : APJCP · 2019Review
- Motivational interviewing for smoking cessation.The Cochrane database of systematic reviews · 2019Review
- Smokers who have children with asthma: Perceptions about child secondhand smoke exposure and tobacco use initiation and parental willingness to participate in child-focused tobacco interventions.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018Article
- Health Coaching in Severe COPD After a Hospitalization: A Qualitative Analysis of a Large Randomized Study.Respiratory care · 2017Article
- The Likelihood of Preventing Respiratory Exacerbations in Children and Adolescents with either Chronic Suppurative Lung Disease or Bronchiectasis.Frontiers in pediatrics · 2017Review
- Head Start Staff Reactions to a Novel Tobacco Intervention: A Qualitative Analysis.American journal of health behavior · 2016Article
- Understanding motivation to implement smoking bans among mothers with a hospitalized infant.Addictive behaviors · 2016Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
rationaleSecondhand smoke exposure (SHSe) is a significant modifiable risk for respiratory health in children. Although SHSe is declining overall, it has increased for low-income and minority populations. Implementation of effective SHSe interventions within community organizations has the potential for significant public health impact.
objectivesTo evaluate the effectiveness of motivational interviewing (MI) delivered in the context of a SHS education reduction initiative within Head Start to reduce preschool children's SHSe.
methodsA total of 350 children enrolled in Baltimore City Head Start whose caregivers reported a smoker living in the home were recruited. Caregivers were randomized to MI + education or education alone. Assessments were conducted at baseline, 3, 6, and 12 months. MEASUREMENTS AND MAIN
resultsThe primary outcome measure was household air nicotine levels measured by passive dosimeters. Secondary outcomes included child salivary cotinine, self-report of home smoking ban (HSB), and smoking status. Participants in the MI + education group had significantly lower air nicotine levels (0.29 vs. 0.40 mg), 17% increase in prevalence of caregiver-reported HSBs, and a 13% decrease in caregiver smokers compared with education-alone group (all P values < 0.05). Although group differences in salivary cotinine were not significant, among all families who reported having an HSB, salivary cotinine and air nicotine levels declined in both groups (P < 0.05).
conclusionsMI may be effective in community settings to reduce child SHSe. More research is needed to identify ways to tailor interventions to directly impact child SHSe and to engage more families to make behavioral change. Clinical trial registered with www.clinicaltrials.gov (NCT 00927264).
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.