REDUCTION OF ENVIRONMENTAL TOBACCO-SMOKE EXPOSURE AMONG ASTHMATIC-CHILDREN - A CONTROLLED TRIAL
REDUCTION OF ENVIRONMENTAL TOBACCO-SMOKE EXPOSURE AMONG ASTHMATIC-CHILDREN - A CONTROLLED TRIAL
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DOI：
10.1378/chest.106.2.440
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发表时间：
1994-08-01
期刊：
影响因子：
9.6
通讯作者：
ATKINS, CJ
中科院分区：
文献类型：
--
作者：
HOVELL, MF;MELTZER, SB;ATKINS, CJ
试验目的：这项随机临床试验测试的行为医学计划，旨在减少哮喘儿童暴露于环境烟草烟雾（ETS）在home.Design：家庭被随机分配到一个实验性的预防医学咨询组，监测控制组，或通常的治疗控制组。参与者：91个家庭被招募从四个过敏clinics.Intervention：实验组接受了为期6个月的一系列旨在减少ETS暴露的咨询会议。该小组还监测了吸烟、暴露和儿童哮喘症状。监测组没有接受咨询和通常的治疗对照组只接受结果measurements. Measures和结果：父母报告的香烟儿童暴露在前一周的采访中，每天的数量。尼古丁空气监测器和结构有效性分析证实了暴露报告的有效性。在家中接触父母的香烟对所有群体都有所减少。实验组儿童的ETS暴露减少了79%，而监测控制组为42%，常规治疗控制组为34%。重复测量的方差分析结果显示，显著（F（[10，350]=1.92，p
Study objective: This randomized clinical trial tested a behavioral medicine program designed to reduce asthmatic children's exposure to environmental tobacco smoke (ETS) in the home.Design: Families were randomly assigned to an experimental preventive medicine counseling group, a monitoring control group, or a usual treatment control group. Families were measured six times over 1 year.Participants: Ninety-one families were recruited from four allergy clinics.Intervention: The experimental group received a 6-month series of counseling sessions designed to decrease ETS exposure. This group also monitored smoking, exposure, and children's asthma symptoms. The monitoring group did not receive counseling and the usual treatment control group received outcome measures only.Measurements and results: Parents reported the daily number of cigarettes children were exposed to during the week preceding interviews. A nicotine air monitor and construct validity analysis confirmed the validity of exposure reports. Exposure to the parent's cigarettes in the home decreased for all groups. The experimental group attained a 79 percent decrease in children's ETS exposure, compared with 42 percent for the monitoring control and 34 percent for the usual treatment control group. Repeated-measures analysis of variance resulted in a significant (F([10,350]=1.92, p