Motivational Incentives to Reduce Secondhand Smoke in NICU Infants' Homes

The University of Texas Health Science Center, Houston360 enrolled

Overview

A randomized, controlled, parallel group design will be used to test whether a Secondhand Smoke Exposure program initiated in the hospital and completed in the home using motivational interviewing plus motivational incentives (MI+) is more effective than Conventional Care (CC) with Neonatal Incentives Care Unit Infants' parents.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

360

Conditions

Exposure to Secondhand Smoke in Neonatal Infants

Interventions

Motivational Interviewing plus IncentivesBEHAVIORAL

1. Two hospital-based, face-to-face MI+ sessions 2. Two home-based MI+ sessions 3. Attendance at each session and for the establishment of a household smoking ban at two timepoints post-discharge

Conventional Care (CC)BEHAVIORAL

Participants in this arm will receive brochures and a brief information meeting in the NICU.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Have an infant that is at least 1 week prior to the estimated date of hospital discharge in the NICU at Children's Memorial Hermann Hospital (CMHH) * Report at least one person living in the home who smokes * Agree to attend intervention sessions and to invite other household members * Live within 50 miles of our center * Have access to a telephone. Exclusion Criteria: * Severe cognitive, and/or psychiatric impairment, per judgment of NICU and research staff, that precludes cooperation with study protocol * Inability to read, write, and speak English or Spanish * Inability or unwillingness to provide signed consent for participation * Inability or unwillingness to meet study requirements, including home visits for data collection and intervention purposes.

Locations (1)

Children's Memorial Hermann Hospital

Houston, Texas, United States

Outcomes

Primary Outcomes

Infant Second-Hand Smoke Exposure via Urine Cotinine

Infant Second-Hand Smoke Exposure (SHSe) measures will be determined via urine cotinine.

Time frame: Follow-up visit 4 months post-treatment

Secondary Outcomes

Secondhand Smoke Exposure outcomes

Primary caregiver reports via the Timeline Follow-Back and household air nicotine monitors. Number of cigarettes smoked outdoors vs. indoor and the implementation of household smoking bans will also be assessed. Primary caregivers will complete the SHSe related interviews and self-report questionnaires. Primary caregivers who are smokers will complete measures related to smoking and smoking cessation.

Time frame: Change from Baseline to the 4 months post-treatment followup

Data from ClinicalTrials.gov

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