Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial
Abstract We tested the effectiveness of a program consisting of motivational interviewing (MI) and feedback of urine cotinine to stop passive smoking (PS) in children at risk for asthma. Fifty-eight families with children 0–13 years with a high risk of asthma and PS exposure were randomised in a one...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Nature Portfolio
2017-11-01
|
Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-017-15158-2 |
_version_ | 1819035984039247872 |
---|---|
author | Sasha G. Hutchinson Gerard van Breukelen Constant P. van Schayck Brigitte Essers S. Katharine Hammond Jean W. M. Muris Frans J. M. Feron Edward Dompeling |
author_facet | Sasha G. Hutchinson Gerard van Breukelen Constant P. van Schayck Brigitte Essers S. Katharine Hammond Jean W. M. Muris Frans J. M. Feron Edward Dompeling |
author_sort | Sasha G. Hutchinson |
collection | DOAJ |
description | Abstract We tested the effectiveness of a program consisting of motivational interviewing (MI) and feedback of urine cotinine to stop passive smoking (PS) in children at risk for asthma. Fifty-eight families with children 0–13 years with a high risk of asthma and PS exposure were randomised in a one-year follow-up study. The intervention group received the intervention program during 6 sessions (1/month) and the control group received measurements (questionnaires, urine cotinine, and lung function) only. The primary outcome measure was the percentage of families stopping PS (parental report verified and unverified with the child’s urine cotinine concentration <10 μg/l) in children during the intervention program. The analyses were performed with Mixed Logistic Regression. After 6 months, a significant group difference was observed for the unverified parental report of stopping PS in children: 27% of parents in the intervention group versus 7% in the control group. For the verified parental report, the difference was similar (23% versus 7%) but was not statistically significant. Despite a limited sample size, the results suggest that the intervention program is probably an effective strategy to stop PS in children. A program longer than 6 months might be necessary for a longer lasting intervention effect. |
first_indexed | 2024-12-21T07:58:18Z |
format | Article |
id | doaj.art-39f61e4c610e42518f12b643701d580e |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-12-21T07:58:18Z |
publishDate | 2017-11-01 |
publisher | Nature Portfolio |
record_format | Article |
series | Scientific Reports |
spelling | doaj.art-39f61e4c610e42518f12b643701d580e2022-12-21T19:10:56ZengNature PortfolioScientific Reports2045-23222017-11-017111010.1038/s41598-017-15158-2Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trialSasha G. Hutchinson0Gerard van Breukelen1Constant P. van Schayck2Brigitte Essers3S. Katharine Hammond4Jean W. M. Muris5Frans J. M. Feron6Edward Dompeling7Department of Paediatric Pulmonology, Maastricht University Medical Center (MUMC+)/CAPHRI School for Public Health and Primary Care, P.O. Box 616Department of Methodology and Statistics, MUMC+/CAPHRI, P.O. Box 616Department of Family Medicine, MUMC+/CAPHRI, P.O. Box 616Department of Clinical Epidemiology and Medical Technology Assessment, MUMC+School of Public Health, University of CaliforniaDepartment of Family Medicine, MUMC+/CAPHRI, P.O. Box 616Department of Social Medicine, MUMC+/CAPHRI, P.O. Box 616Department of Paediatric Pulmonology, Maastricht University Medical Center (MUMC+)/CAPHRI School for Public Health and Primary Care, P.O. Box 616Abstract We tested the effectiveness of a program consisting of motivational interviewing (MI) and feedback of urine cotinine to stop passive smoking (PS) in children at risk for asthma. Fifty-eight families with children 0–13 years with a high risk of asthma and PS exposure were randomised in a one-year follow-up study. The intervention group received the intervention program during 6 sessions (1/month) and the control group received measurements (questionnaires, urine cotinine, and lung function) only. The primary outcome measure was the percentage of families stopping PS (parental report verified and unverified with the child’s urine cotinine concentration <10 μg/l) in children during the intervention program. The analyses were performed with Mixed Logistic Regression. After 6 months, a significant group difference was observed for the unverified parental report of stopping PS in children: 27% of parents in the intervention group versus 7% in the control group. For the verified parental report, the difference was similar (23% versus 7%) but was not statistically significant. Despite a limited sample size, the results suggest that the intervention program is probably an effective strategy to stop PS in children. A program longer than 6 months might be necessary for a longer lasting intervention effect.https://doi.org/10.1038/s41598-017-15158-2 |
spellingShingle | Sasha G. Hutchinson Gerard van Breukelen Constant P. van Schayck Brigitte Essers S. Katharine Hammond Jean W. M. Muris Frans J. M. Feron Edward Dompeling Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial Scientific Reports |
title | Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial |
title_full | Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial |
title_fullStr | Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial |
title_full_unstemmed | Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial |
title_short | Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial |
title_sort | motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma a randomised controlled trial |
url | https://doi.org/10.1038/s41598-017-15158-2 |
work_keys_str_mv | AT sashaghutchinson motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT gerardvanbreukelen motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT constantpvanschayck motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT brigitteessers motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT skatharinehammond motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT jeanwmmuris motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT fransjmferon motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial AT edwarddompeling motivationalinterviewingandurinecotininefeedbacktostoppassivesmokeexposureinchildrenpredisposedtoasthmaarandomisedcontrolledtrial |