NCT03062709

A Study of Tobacco Smoke and Children With Respiratory Illnesses

Urine Cotinine in Children and Parental Behavior Modification: A Pilot Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 3 (actual)
• Sponsor: MaineHealth · Academic / Other
• Sex: All
• Age: 10 Years
• Healthy volunteers: Not accepted

Summary

This study aims to assess the feasibility of using an intervention for environmental smoke exposure in children that uses cotinine testing results with written materials and telephone counseling for a potential future study of parents whose children are admitted with respiratory illnesses to The Barbara Bush Children's Hospital in Portland, Maine.

Detailed description

Children who are regularly exposed to environmental tobacco smoke (ETS) are at a greater risk for developing respiratory disease. Given the strong relationship between parental smoking and child health, many studies have evaluated the efficacy of interventions to modify parental smoking behavior and thereby reduce children's exposure to second- and thirdhand tobacco smoke, including the use of cotinine levels in children. There are several local ETS exposure intervention programs for The Barbara Bush Children's Hospital patient population and their families. The state of Maine and MaineHealth fund a free 24-hour tobacco cessation hotline (The Maine Tobacco Helpline) which combines evidence-based behavioral counseling techniques and free nicotine replacement therapy (gum, lozenge, or patch). MaineHealth also runs a tobacco cessation campaign (The Breathe Easy Coalition) that provides print materials and trainings aimed to reduce smoking in public housing, hospitals, behavioral health facilities, and higher education. The Breathe Easy Coalition's Smoke-Free Housing program provides education about the effects of secondhand and thirdhand tobacco smoke and asks families to pledge to keep tobacco smoke out of their home. This study aims to combine all three of these strategies (child cotinine feedback, tobacco cessation counseling, and written materials on ETS) to create a cohesive ETS exposure reduction program for the Barbara Bush Children's Hospital inpatient population, and determine the feasibility of a future study that would evaluate whether cotinine testing is helpful for changing smoking behaviors in this target population.

Conditions

• Bronchiolitis
• Pneumonia
• Reactive Airway Disease
• Asthma
• Tobacco Smoking
• Tobacco Cessation
• Bronchopulmonary Dysplasia

Interventions

Type	Name	Description
BEHAVIORAL	Breathe Easy Coalition written materials	written materials about secondhand and thirdhand environmental smoke exposure in children
BEHAVIORAL	Maine Tobacco Helpline	referral to tobacco cessation counselor, helpline calls adult referred to provide counseling over the phone.
DIAGNOSTIC_TEST	Urine cotinine testing	the child's urine is tested for cotinine, which is produced when the body absorbs nicotine. These results are communicated to the child's parent/guardian.

Timeline

• Start date: 2017-03-12
• Primary completion: 2017-03-30
• Completion: 2017-04-30
• First posted: 2017-02-23
• Last updated: 2017-05-16

Locations

1 site across 1 country: United States