Nicotine Patch as an Adjunctive Intervention to Reduce Secondhand Smoke Among NICU Families
Overview
- Phase
- Phase 4
- Intervention
- nicotine replacement therapy (NRT)
- Conditions
- Environmental Tobacco Smoke
- Sponsor
- The University of Texas Health Science Center, Houston
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Feasibility as Assessed by Number of Participants Who Accepted NRT Patches From Research Staff.
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study was to explore the potential for directly targeting smoking cessation, regardless of motivation level, in a subsample of neonatal intensive care unit (NICU) parents with the ultimate goal of reducing secondhand smoke (SHS) in their homes.
Investigators
Angela L Stotts
Professor and Vice Chair for Research (Department of Family & Community Medicine)
The University of Texas Health Science Center, Houston
Eligibility Criteria
Inclusion Criteria
- •Eligible mothers of any age or ethnic background must have an infant that is at least 1 week prior to the estimated date of hospital discharge in the NICU (ensuring time for the intervention)
- •report that a household resident smokes at least 5 cigarettes per day, on average, within the 2 months preceding the screening visit
- •agree to attend intervention sessions
- •live within 50 miles of our center
- •and have access to a telephone
Exclusion Criteria
- •Mothers were ineligible if they met criteria for severe cognitive, and/or psychiatric impairment, per judgment of NICU and research staff, that precludes cooperation with study protocol
- •were unable to read, write, and speak English
- •were unable or unwilling to provide signed consent for participation
- •and were unable or unwilling to meet study requirements for data collection and intervention purposes.
- •Within the month immediately preceding the screening visit, use of any form of tobacco or nicotine products other than cigarettes (e.g., e-cigarettes, chewing tobacco, etc.) on 3 or more days within a week if the individual refuses to refrain from such tobacco use during the course of the study
- •Current use of NRT or enrollment (or plans to enroll) in another smoking cessation program in the next 3 months
- •Uncontrolled hypertension (systolic blood pressure \[SBP\] greater than 180 or diastolic blood pressure \[DBP\] greater than 110)
- •History of severe cardiovascular (stroke, heart attack), kidney (e.g. chronic or acute kidney failure) or liver disease, or other unstable disease in the last 3 months
- •History of hypersensitivity or allergic reaction to NRT or similar chemical classes or any component of these formulations (including allergy to latex)
Arms & Interventions
Motivational advice and free NRT
Intervention: nicotine replacement therapy (NRT)
Motivational advice and free NRT
Intervention: motivational advice
Quitline referral
Intervention: Quitline referral
Outcomes
Primary Outcomes
Feasibility as Assessed by Number of Participants Who Accepted NRT Patches From Research Staff.
Time Frame: From time of randomization to intervention session number 2 (generally completed within 2-3 weeks of randomization)
Efficacy as Assessed by the Number of Participants Who Reported That Anyone in Their Household Used NRT.
Time Frame: From time of randomization to follow-up visit #2 (generally completed within 2-3 months)
Secondary Outcomes
- Car Smoking Ban Status, as Measured by Number of Participants Who Report a Car-smoking Ban.(From time of randomization to follow-up visit #2 (generally completed within 2-3 months))
- Cigarette Use (Point Prevalence), as Measured by Number of Cigarettes Smoked Per Day by Other Household Members (Other Than the Participant or Participant's Partner)(baseline)
- Home Smoking Ban Status, as Measured by Number of Participants Who Report a Home-smoking Ban.(From time of randomization to follow-up visit #2 (generally completed within 2-3 months))
- Cigarette Use (Point Prevalence), as Measured by Number of Cigarettes Smoked Per Day by the Participant's Partner(baseline)
- Smoking Quit Attempts, as Measured by Number of Participants Who Reported One or Greater Quit Attempts(at the time of follow-up visit #2 (about 1 month post-intervention))
- Cigarette Use (Point Prevalence), as Measured by Number of Cigarettes Smoked Per Day by the Participant(Baseline)
- Smoking Quit Attempts, as Measured by Number of Participant's Partners Who Reported One or Greater Quit Attempts(at the time of follow-up visit #2 (about 1 month post-intervention))
- Smoking Quit Attempts, as Measured by Number of Other Household Members (Other Than the Participant or the Participant's Partner) Who Reported One or Greater Quit Attempts(at the time of follow-up visit #2 (about 1 month post-intervention))