Evidence map›Paper›PMID 26028355›Full record

Trial reportAmerican journal of preventive medicine2015

Reducing Underserved Children's Exposure to Tobacco Smoke: A Randomized Counseling Trial With Maternal Smokers.

Bradley N Collins, Uma S Nair, Melbourne F Hovell, Katie I DiSantis, Karen Jaffe, Natalie M Tolley, E Paul Wileyto, Janet Audrain-McGovern

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02117947 (Behavioral Counseling to Reduce Children's Secondhand Smoke Exposure), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02117947 nacompletednot on this map

Behavioral Counseling to Reduce Children's Secondhand Smoke Exposure: A Trial With Maternal Smokers

TypeinterventionalSponsorTemple UniversityRan2004 to 2011Enrolled300ConditionsNicotine DependenceArmsBehavioral Counseling, Self-help control
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  20. Disseminating a Smoke-free Homes Program to Low Socioeconomic Status Households in the United States Through 2-1-1: Results of a National Impact Evaluation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Bradley N CollinsHealth Behavior Research Clinic, Department of Public Health, College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania. Electronic address: collinsb@temple.edu.
Uma S NairHealth Behavior Research Clinic, Department of Public Health, College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania.
Melbourne F HovellCenter for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California.
Katie I DiSantisHealth Behavior Research Clinic, Department of Public Health, College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania.
Karen JaffeHealth Behavior Research Clinic, Department of Public Health, College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania.
Natalie M TolleyHealth Behavior Research Clinic, Department of Public Health, College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania.
E Paul WileytoDepartment of Biostatistics and Epidemiology, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Janet Audrain-McGovernDepartment of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Temple University · USUniversity of Pennsylvania · USSan Diego State University · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
SHS Treatment for Postpartum African American SmokersR01CA105183 · NCI · UNIVERSITY OF PENNSYLVANIA · PI COLLINS, BRADLEY N · 2004 to 2008
$2.2M
Postpartum Smoking and Infant ETS Reduction TrialK07CA093756 · NCI · UNIVERSITY OF PENNSYLVANIA · PI COLLINS, BRADLEY N · 2002 to 2006
$649k
NCI NIH HHS CA105183NCI NIH HHS CA93756NCI NIH HHS K07 CA093756NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA105183
6 · The paper itself

Abstract

introductionAddressing maternal smoking and child tobacco smoke exposure is a public health priority. Standard care advice and self-help materials to help parents reduce child tobacco smoke exposure is not sufficient to promote change in underserved populations. We tested the efficacy of a behavioral counseling approach with underserved maternal smokers to reduce infant's and preschooler's tobacco smoke exposure.

designA two-arm randomized trial: enhanced behavior counseling (experimental) versus enhanced standard care (control). Assessment staff members were blinded. SETTING/

participantsThree hundred randomized maternal smokers were recruited from low-income urban communities. Participants had a child aged <4 years exposed to two or more maternal cigarettes/day at baseline.

interventionPhiladelphia Family Rules for Establishing Smoke-free Homes (FRESH) included 16 weeks of counseling. Using a behavioral shaping approach within an individualized cognitive-behavioral therapy framework, counseling reinforced efforts to adopt increasingly challenging tobacco smoke exposure-protective behaviors with the eventual goal of establishing a smoke-free home.

main outcome measuresPrimary outcomes were end-of-treatment child cotinine and reported tobacco smoke exposure (maternal cigarettes/day exposed). Secondary outcomes were end-of-treatment 7-day point-prevalence self-reported cigarettes smoked/day and bioverified quit status.

resultsParticipation in FRESH behavioral counseling was associated with lower child cotinine (β=-0.18, p=0.03) and reported tobacco smoke exposure (β=-0.57, p=0.03) at the end of treatment. Mothers in behavioral counseling smoked fewer cigarettes/day (β=-1.84, p=0.03) and had higher bioverified quit rates compared with controls (13.8% vs 1.9%, χ(2)=10.56, p<0.01). There was no moderating effect of other smokers living at home.

conclusionsFRESH behavioral counseling reduces child tobacco smoke exposure and promotes smoking quit rates in a highly distressed and vulnerable population.

trial registrationThis study is registered at www.clinicaltrials.gov NCT02117947.

Indexed as

Child, PreschoolCotinineDirective CounselingFemaleHumansInfantMaternal BehaviorPhiladelphiaSmokingSmoking CessationTobacco Smoke PollutionVulnerable PopulationsCotinineTobacco Smoke Pollution

Identifiers

PMID26028355
PMCPMC4575825
OpenAlexW2124333631

What OpenQuestion holds

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Read underepoch 390

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.