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...

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Main Authors: 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
Format: Article
Language:English
Published: Nature Portfolio 2017-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-017-15158-2
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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.
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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
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