Establishing smoke-free homes with families involved in child protective services: An effectiveness-implementation trial of an integrated program

与参与儿童保护服务的家庭建立无烟之家：综合计划的有效性实施试验

• 批准号: 10322732
• 负责人: MICHELLE C KEGLER
• 金额: $ 63.21万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-01-01 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10322732
• 关键词: Accreditation; Address; Adoption; Age; Air; Attention; Cessation of life; Child; Child Abuse and Neglect; Child Health; Child Rearing; Child Welfare; Consent; Educational Curriculum; Effectiveness; Evidence based intervention; Evidence based program; Family; Family Research; Health; Home; Household; Hybrids; Intervention; Link; Longevity; Maintenance; Malignant Neoplasms; Measures; Methods; Monitor; Mothers; Nicotine; Outcome; Parents; Participant; Patient Self-Report; Persons; Population; Poverty; Prevention program; Process; Process Measure; Provider; Public Health; Randomized; Reporting; Research; Risk; Risk Factors; Safety; Smoke; Smoke-free home; Smoker; Smoking; Smoking Behavior; Source; Standardization; System; Testing; Time; Tobacco-Related Carcinoma; Training; United States; Victimization; brief intervention; cancer health disparity; cancer risk; child protection; child protective service; cost; design; effectiveness evaluation; effectiveness implementation study; effectiveness implementation trial; environmental tobacco smoke; environmental tobacco smoke exposure; experience; high risk; high risk population; hybrid type 1 trial; implementation process; improved; inclusion criteria; intervention delivery; lifetime risk; low socioeconomic status; maltreatment; parental involvement; premature; primary outcome; program costs; programs; randomized trial; recruit; trend

Project Abstract Child exposure to secondhand smoke (SHS) is linked to multiple forms of cancer throughout the lifespan. Young children living in low-socioeconomic status households are at increased risk for SHS exposure. Families involved with the child protection system as the result of substantiated child maltreatment are an especially high-risk group for SHS, as these families are often living in poverty and report high daily smoking rates. Importantly, child maltreatment victimization also increases risk of cancer and premature death from cancer, independent of parent smoking behavior. Identifying ways to broadly disseminate effective SHS prevention programs to these high-risk families is an important strategy for reducing cancer disparities. We propose an effectiveness-implementation hybrid trial type 1 to examine the impact of integrating two evidence-based programs, Some Things are Better Outside (SHS prevention program) and SafeCare® (Child Maltreatment Prevention Program), on establishing a smoke-free home and on implementation process outcomes. Aim 1 focuses on the refinement of the standardized integration (systematic braiding) of the two programs into “Smoke-Free SafeCare (SFSC).” Aims 2 and 3 focus on the hybrid trial. Fifty certified SafeCare Providers will be recruited and randomly assigned to deliver either SFSC or Standard SafeCare. Providers will each serve ten research families (N = 500) who meet the inclusion criteria (Mother or another person residing in the home smokes at home). The primary outcome, smoke-free home status, will be measured via self-report at 4-timepoints (baseline, 8-weeks, 20-weeks, and 1-year), and validated via air nicotine monitor at 8 weeks and 1-year (Aim 2). Process measures will be collected to examine how the braided intervention impacts provider fidelity, delivery time and costs, and other process measures (Aim 3). If effective, SFSC can be efficiently disseminated for widespread adoption by the National SafeCare Training and Research Center to the over 100 accredited SafeCare agencies across the United States and worldwide that serve parents involved with child protection services, reducing cancer risk and disparities for a high-risk population.

项目摘要 儿童暴露于二手烟（SHS）与整个癌症的多种形式有关 寿命。 SHS暴露于儿童保护系统的家庭 儿童虐待是SHS特别高风险的群体，因为这些家庭经常住在 贫困和报告的每日吸烟率很高。 增加癌症的风险和癌症过早死亡，与父母吸烟无关 行为。 高风险家庭是降低癌症差异的重要策略 有效性实施混合试验类型1，以检查整合两个的影响 基于证据的计划，有些事情在外部更好（SHS预防计划）和 SafeCare®（儿童虐待生产计划），建立无烟房屋和 关于实施过程的目标1。 两个程序的集成（系统编织）纳入“无烟Safecare（SFSC）”中。 2和3专注于混合试验。 随机分配了SFSC或标准Safecare。 符合纳入标准的研究家庭（n = 500）（母亲或居住的人） 房屋在家中抽烟）。 通过四个时间点（基线，8周，20周和1年）进行自我报告，并通过空气进行了验证 尼古丁在8周和1年（AIM 2）。 编织的干预如何影响提供商的保真度，交货时间和成本以及其他 过程措施（AIM 3）。 国家安全培训和研究中心采用100多名认可的 美国和全球范围内的Safecare机构为与之互动的父母服务 儿童保护服务，减少高危人群的癌症风险和差异。