If Mothers Had Their Say: Research-Informed Intervention Design for Empowering Mothers to Establish Smoke-Free Homes
If Mothers Had Their Say: Research-Informed Intervention Design for Empowering Mothers to Establish Smoke-Free Homes
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DOI：
10.1080/00981389.2014.888125
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发表时间：
2014-05-28
影响因子：
2.2
通讯作者：
Shepherd, Edward G.
中科院分区：
文献类型：
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作者：
Begun, Audrey L.;Barnhart, Sheila M.;Shepherd, Edward G.
增强母亲权能以建立无烟家园项目是为了响应一个跨学科卫生小组的要求而制定的，该小组寻求有效的干预措施，以减少/消除呼吸系统受损的婴儿接触环境烟草烟雾的情况。描述了告知EMESH干预设计的两个研究阶段。第一阶段是对20名被诊断为支气管肺发育不良（BPD）的婴儿的照顾者进行半结构化访谈。在第二阶段，75例随机选择的BPD婴儿的病历进行了审查，以探讨家庭人口统计学和工作人员的行为环境烟草烟雾（ETS）干预。访谈结果表明，家庭愿意与社会工作者和跨学科团队成员合作解决婴儿的ETS暴露问题，家庭的独特情况表明需要量身定制的干预措施，使用自我效能和决策平衡工具是可行的选择。医疗记录审查的结果表明，许多家庭经济脆弱，居住在吸烟普遍的地区。关于ETS谈话和干预的工作人员文件很少，表明这些谈话可能不会进行。这些结果表明，EMESH的下一阶段需要采取双管齐下的方法：对员工进行主持和记录ETS对话的培训，以及一套量身定制的、家长驱动的干预方案。
The Empowering Mothers to Establish Smoke-free Homes (EMESH) project developed in response to an interdisciplinary health team seeking effective interventions for reducing/eliminating the environmental tobacco smoke exposure of infants with compromised respiratory status. Two study phases that informed the EMESH intervention design are described. Phase I involved semi-structured interviews with 20 caretakers of infants diagnosed with Bronchopulmonary Dysplasia (BPD). In Phase II, 75 randomly selected medical records of infants with BPD were reviewed to explore the family demographics and staff behavior regarding environmental tobacco smoke (ETS) interventions. Interview results suggest that families are open to partnering with social workers and interdisciplinary team members in addressing infants' ETS exposure, families' unique circumstances indicate a need for tailored interventions, and the use of self-efficacy and decisional balance tools are feasible options. Results from the medical records review indicate that many families are economically vulnerable and reside in regions where smoking is common. There is a paucity of staff documentation regarding ETS conversations and interventions, indicating that these conversations may not take place. Together these results suggest a two-pronged approach in the next phases of EMESH: staff training in hosting and documenting ETS conversations and a tailored, parent-driven set of intervention options.