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A process evaluation of an intervention to promote home smoking bans among low income households

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  • Escoffery, Cam
  • Bundy, Lujca
  • Haardoerfer, Regine
  • Berg, Carla J.
  • Savas, Lara S.
  • Williams, Rebecca S.
  • Kegler, Michelle C.

Abstract

Exposure to secondhand smoke occurs primarily in the home due to passage of smoke-free legislation. Creation of a total household smoking ban can reduce associated health conditions such as asthma, lung cancer, heart disease and stroke. This paper describes the results of a randomized control trial of a minimal intervention to create smoke-free homes. 2-1-1 callers were invited to participate in the trial and were randomized to an intervention (mailings and a coaching call) or a control group (no intervention). We assessed reach, dose, fidelity, and receptivity to the intervention through program records and a 3-month follow-up survey with intervention participants. For the intervention materials, materials were mailed to 244 participants (99.2%) and 227 participants (92.3%) received the coaching call intervention. 92.3% received all intervention components. Participants who had full household bans at 3 months were more likely to conduct behaviors leading to a smoke-free home (i.e., making a list of reasons, having a family talk, posting a pledge) than were those with no/partial ban. The intervention materials also were rated higher in relevance and usefulness by non-smokers than smokers. Results demonstrate that this minimal intervention had high fidelity to the delivery of components and relatively high receptivity.

Suggested Citation

  • Escoffery, Cam & Bundy, Lujca & Haardoerfer, Regine & Berg, Carla J. & Savas, Lara S. & Williams, Rebecca S. & Kegler, Michelle C., 2016. "A process evaluation of an intervention to promote home smoking bans among low income households," Evaluation and Program Planning, Elsevier, vol. 55(C), pages 120-125.
    • Handle: RePEc:eee:epplan:v:55:y:2016:i:c:p:120-125
    DOI: 10.1016/j.evalprogplan.2015.12.008
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    References listed on IDEAS

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    1. Glasgow, R.E. & Lichtenstein, E. & Marcus, A.C., 2003. "Why Don't We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1261-1267.
    2. Kegler, M.C. & Bundy, L. & Haardörfer, R. & Escoffery, C. & Berg, C. & Yembra, D. & Kreuter, M. & Hovell, M. & Williams, R. & Mullen, P.D. & Ribisl, K. & Burnham, D., 2015. "A minimal intervention to promote smoke-free homes among 2-1-1 callers: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 530-537.
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    Cited by:

    1. Michael J. Parks & Michelle C. Kegler & John H. Kingsbury & Iris W. Borowsky, 2020. "Reducing Socioeconomic Disparities in Comprehensive Smoke-Free Rules among Households with Children: A Pilot Intervention Implemented through a National Cancer Program," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    2. Els C. van Wijk & Regina I. Overberg & Anton E. Kunst & Janneke Harting, 2019. "Opportunities for Tailored Support to Implement Smoke-Free Homes: A Qualitative Study among Lower Socioeconomic Status Parents," IJERPH, MDPI, vol. 17(1), pages 1-13, December.

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