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 儿童接触二手烟 (SHS) 与多种癌症有关 生活在低社会经济地位家庭的幼儿面临更大的风险。 因经证实而涉及儿童保护系统的家庭。 虐待儿童是 SHS 的一个特别高风险群体，因为这些家庭通常居住在 贫困和每日吸烟率很高，重要的是，儿童受到虐待。 增加患癌症和因癌症过早死亡的风险，与父母吸烟无关 确定向这些人广泛传播有效的二手烟预防计划的方法。 高风险家庭是减少癌症差异的重要策略。 有效性-实施混合试验类型 1，用于检验整合两者的影响 基于证据的计划、外面的事情更好（SHS 预防计划）和 SafeCare®（儿童虐待预防计划），关于建立无烟家庭和 目标 1 侧重于标准化的细化。 将这两个计划整合（系统地编织）到“无烟安全护理 (SFSC) 目标”中。 2 和 3 重点关注混合试验，将招募和招募 50 名经过认证的 SafeCare 提供商。 随机分配提供 SFSC 或标准 SafeCare 的提供商将分别服务 10 名。 符合纳入标准的研究家庭（N = 500）（母亲或居住在 将测量主要结果，即无烟家庭状况。 通过 4 个时间点（基线、8 周、20 周和 1 年）的自我报告，并通过航空验证 将收集第 8 周和第 1 年的尼古丁监测结果（目标 2）进行检查。 编织干预如何影响提供者的忠诚度、交付时间和成本以及其他 流程措施（目标 3）如果有效，可以有效地广泛传播 SFSC。 被国家 SafeCare 培训和研究中心采用，超过 100 个经过认证的 美国和世界各地为涉及以下问题的家长提供服务的 SafeCare 机构 儿童保护服务，降低癌症风险和高危人群的差异。