MassCONECT 4 Kids: Promoting Smoke-Free Homes

描述（由申请人提供）：家庭中的非自愿二手烟（SHS）暴露是一种完全可以预防的公共卫生威胁，对社会经济地位较低社区的幼儿造成不成比例的负担。我们的nci资助的社区网络项目MassCONECT之前已经证明了动机干预（Ml）在保护弱势儿童免受SHS侵害方面的有效性。我们现在提出了一项基于社区的参与性研究（CBPR）倡议，通过让父母自愿采用无烟家庭政策来保护儿童免受二手烟的侵害，来评估Ml与通常最佳做法（UBP）的有效性。Ml将与社区伙伴共同制定，纳入卫生部赞助的高危儿童家访方案，并由训练有素的社区卫生工作者提供。目标1：在马萨诸塞州波士顿、伍斯特和劳伦斯这三个城市，为高风险儿童（0-3岁）制定并整合一项促进无烟家庭的干预措施，并将其纳入现有的早期干预（El）家访计划。El项目由马萨诸塞州公共卫生部赞助，促进家庭与儿童的互动，以达到适当的发展里程碑。对于符合条件的El家庭，即父母/主要照顾者（或配偶/重要其他人）吸烟且没有无烟家庭政策的家庭，UBP包括有关二手烟和无烟家庭、戒烟热线和其他公开戒烟服务的书面材料。Ml将由训练有素的社区卫生工作者提供，使用根据客户的文化和语言量身定制的专门开发的信息。目标2:评估的有效性UBP vs毫升为高危儿童减少二手烟暴露:我们将招收500合格El家庭的三个城市,随机UBP或毫升。我们假设与UBP相比,毫升将导致的主要成果:1)采用发生率显著增加一个无烟的家庭政策,2)显著降低数量的香烟熏在家里,3)显著降低国内合成,和(四)显著降低儿童接触二手烟。这一干预措施是学术界与社区卫生部门强有力合作的产物，它严格适用儿童和社区保护原则，为社区建设能力，通过与现有国家资助的资源建立伙伴关系，最大限度地发挥可持续性的潜力，并为保护弱势儿童和缩小差距提供了一个创新的场所。

DESCRIPTION (provided by applicant): Involuntary secondhand smoke (SHS) exposure in homes is an entirely preventable public health threat that disproportionately burdens young children in communities of low socioeconomic position. Our NCI-funded Community Networks Program MassCONECT previously demonstrated the efficacy of motivational intervention (Ml) to protect vulnerable children from SHS. We now propose a community-based participatory research (CBPR) initiative to evaluate the effectiveness of Ml compared with usual best practices (UBP) by having parents voluntarily adopt smoke-free home policies to protect children from SHS. Ml will be developed in conjunction with community partners, integrated into a health department-sponsored home visiting program for high-risk children, and delivered by trained community health workers. Aim 1): Develop and integrate an intervention to promote smoke-free homes into existing Early Intervention (El) home visiting programs for high-risk children (ages 0-3 years) in three Massachusetts cities: Boston, Worcester, and Lawrence. El programs, sponsored by the Massachusetts Department of Public Health, facilitate family interactions with children to meet appropriate developmental milestones. For eligible El households, ie where either the parent/primary caregiver (or the spouse/significant other) smokes and no smoke-free home policy exists, UBP consists of written materials about SHS and smoke-free homes, quitlines and other publicly available cessation services. Ml will be delivered by a trained community health worker, using specifically developed messages culturally and linguistically tailored to the client. Aim 2: Assess the effectiveness of UBP vs. Ml to reduce SHS exposure for at-risk children: We will enroll 500 eligible El households in the three cities and randomize them to UBP or Ml. We hypothesize that compared to UBP, Ml will result in the primary outcomes of: i) significantly higher rates of adoption of a smoke-free household policy, ii) significantly lower numbers of cigarettes smoked inside the home, iii) significantly lower domestic SHS, and iv) significantly lower child SHS exposure. This intervention, a product of a strong academic-community-health department collaboration, rigorously applies CBPR principles, builds capacity for communities, maximizes the potential for sustainability through partnership with existing state-funded resources, and offers an innovative venue to protect vulnerable children and reduce disparities. This study encourages the adoption of smoke-free home policies to protect at-risk children from involuntary exposure to secondhand smoke. By integrating such community efforts into home visiting programs sponsored by health departments, the study offers an innovative strategy to promote the health of kids.